Sexuality in Cancer Treatment: Knowledge, Attitudes, and Practices Among Oncology Physicians

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Çetinkaya A. M., İlhan Y.

Acta Haematologica Oncologica Turcica, cilt.58, sa.2, ss.81-86, 2025 (Scopus, TRDizin)

Özet

Aim: This study aimed to evaluate the knowledge, attitudes, and practices of oncology clinicians regarding sexual health in cancer patients, an often overlooked yet essential component of patient care. Methods: A cross-sectional survey was conducted among 145 oncology specialists in Türkiye, including medical oncology, radiation oncology, surgical oncology, gynecologic oncology, and hematology professionals. A 31-item questionnaire assessed clinicians’ knowledge, attitudes, and practices related to sexual health during cancer treatment. Statistical analyses were performed using Statistical Package for the Social Sciences v25. Results: A very small proportion of clinicians (3.4%) had received specific training on sexual health in cancer care, while 86.9% expressed a desire for further education. Discussions on sexual health were infrequent, with 15.2% of clinicians never addressing it at treatment initiation and 33.1% never addressing it during follow-up. A lack of time and insufficient knowledge were the most cited barriers. Although 57.9% believed they provided adequate information, 42.1% felt underprepared. Conclusion: Sexual health remains under-discussed in oncology practice due to limited training and systemic barriers. Enhancing clinician education-especially regarding newer therapies such as immunotherapy-through continuous medical programs is essential. Addressing sexual health proactively may significantly improve the overall quality of life for cancer patients.