性问题和癌症：不要忽视它

In early April, the first guidelines on care for sexual problems were published by the National Comprehensive Cancer Network (NCCN).

These guidelines are included in their new生存指导方针。

Since cancer survivorship begins as soon as someone receives acancer diagnosis，指南可以改善仍计划计划的两种患者的护理癌症治疗和那些正在进行癌症治疗或结束的活跃治疗的人。

癌症患者的性问题是常见的
不幸的是，性问题是非常普遍的side effect of cancer treatment。Sexual problems affect at least half of patients who've had前列腺那乳房or agynecologic cancer; they also can occur after化疗or辐射到盆腔区域或大脑。

虽然情绪问题也发挥了作用，但这些问题通常由对神经的身体损伤，血管和血管患者涉及正常性反应中的血管和激素引起的。

在成功治疗后，许多带有癌症诊断的负面情绪，但是性问题往往徘徊没有专业的帮助。

Unfortunately, few patients get the care that could make their sex lives satisfying again.

什么新的指导方针意味着治疗性问题
Ideally, help should include therapies for medical issues like erection problems, pain with intercourse and loss of sexual desire, as well as counseling to help the cancer survivor and partner communicate openly and adjust their sexual routine.

According to the guidelines, your cancer care team should ask periodically about sexual problems, even if at first you say that everything is OK.

If a specific problem is found, you'll need a more in-depth assessment, and your doctor should suggest treatments.

对于妇女而言，指导方针提到性别，性感丧失，性欲失去，发生性交和达到性高潮的麻烦。这些是我们看到的所有常见问题。

For men, I was sad to see that the guidelines focus very narrowly on erection problems. It's true that erection problems are the sexual issue that most often prompts men to seek help, but we also see many men with loss of desire, pain during sex, or changes in their orgasm, including dry orgasms, weak orgasms or leaking urine during orgasm.

治疗MD安德森的性问题
在MD安德森，有性问题的妇女可以利用我们在妇科肿瘤系和生殖医学部的多学科团队。该团队包括若干专家妇科医生，专注于癌症治疗，安德烈布拉德福德，博士学位，博士学位，培养性问题的临床心理学家，以及一个专家癌症和生育。

Men with sexual problems can get evaluated and treated by Run Wang, M.D., in the Department of Urology's Sexual Medicine Clinic.

Research on sexual problems
I've been working on web sites for both men and women that explain why sexual problems occur and describe self-help strategies and medical treatment options.