Evolution of sexual health of patients with head and neck cancer before, during, and 1 year after treatment
Menée par questionnaires auprès de 44 patients atteints d'un cancer de la tête et du cou, cette étude analyse l'évolution de la qualité de leur vie sexuelle avant, pendant et après les traitements anticancéreux
Purpose: The impact of cancer and its treatments on sexuality is often overlooked, particularly in head and neck cancer. This study aimed to investigate the medium-term effects of head and neck cancer on sexual health and its correlation with overall quality of life.
Methods: A cohort of 44 patients with head and neck cancer was prospectively followed from diagnosis to 1 year post-treatment. Sexual interest and enjoyment were assessed using the EORTC QLQ30 and HN35 questionnaires, alongside quality of life evaluations, conducted six to eight times over a year.
Results: Sexual interest and enjoyment were compromised at diagnosis, further diminished during treatments, showed partial recovery post-treatment, and subsequently declined again. A significant association between sexual well-being and overall quality of life impairments was noted. Questions regarding sexuality constituted a substantial proportion of unanswered queries, indicating patient discomfort.
Conclusion: This study contributes to understanding the medium-term repercussions of head and neck cancer on the sexual health and highlights the need for enhanced support strategies. Addressing sexual health needs in head and neck cancer survivors requires a multifaceted approach, including improved patient-provider communication and integration into comprehensive cancer care plans.
Supportive Care in Cancer , résumé 2025