The impact of hematopoietic stem cell transplantation on sexuality: a systematic review of the literature
In this paper we review evidence concerning the impact of hematopoietic SCT (HSCT) on sexuality. The aims are to determine: (1) the sexual changes experienced by patients following allogeneic or autologous HSCT, and its consequences; (2) changes in the sexual function over time and (3) the impact of...
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| Veröffentlicht in: | Bone marrow transplantation (Basingstoke) 2012-05, Vol.47 (5), p.716-724 |
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| description | In this paper we review evidence concerning the impact of hematopoietic SCT (HSCT) on sexuality. The aims are to determine: (1) the sexual changes experienced by patients following allogeneic or autologous HSCT, and its consequences; (2) changes in the sexual function over time and (3) the impact of physiological changes induced by intensive treatment with radiation and chemotherapy on sexual functioning. Four databases were searched for articles published between January 1995 and May 2011. A total of 14 studies were identified and analyzed. We found that (1) multiple aspects of sexuality were affected, and the impact and etiology of these sexual alterations were different between genders, and (2) recovery of sexual activity and pleasure occurred in the first 2 years after HSCT, although it appears that some survivors are more likely to experience sexual dysfunction even 5–10 years after HSCT as compared with controls; and (3) there was contradictory evidence concerning possible differences between allogeneic and autologous HSCT, although there was a significant relation between the sexual dysfunctions and the type of chemotherapy administrated as conditioning and chronic GVHD. Future prospective research in sexual dysfunction with specific reliable validated instruments and more adequate sample sizes will be required to definitively evaluate the impact of HSCT on sexuality. |
| doi_str_mv | 10.1038/bmt.2011.169 |
| format | Article |
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The aims are to determine: (1) the sexual changes experienced by patients following allogeneic or autologous HSCT, and its consequences; (2) changes in the sexual function over time and (3) the impact of physiological changes induced by intensive treatment with radiation and chemotherapy on sexual functioning. Four databases were searched for articles published between January 1995 and May 2011. A total of 14 studies were identified and analyzed. We found that (1) multiple aspects of sexuality were affected, and the impact and etiology of these sexual alterations were different between genders, and (2) recovery of sexual activity and pleasure occurred in the first 2 years after HSCT, although it appears that some survivors are more likely to experience sexual dysfunction even 5–10 years after HSCT as compared with controls; and (3) there was contradictory evidence concerning possible differences between allogeneic and autologous HSCT, although there was a significant relation between the sexual dysfunctions and the type of chemotherapy administrated as conditioning and chronic GVHD. Future prospective research in sexual dysfunction with specific reliable validated instruments and more adequate sample sizes will be required to definitively evaluate the impact of HSCT on sexuality.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/bmt.2011.169</identifier><identifier>PMID: 21874054</identifier><identifier>CODEN: BMTRE9</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Autografts ; Biological and medical sciences ; Body Image ; Bone marrow ; Bone marrow transplantation ; Bone marrow, stem cells transplantation. Graft versus host reaction ; Cancer ; Cell Biology ; Chemotherapy ; Etiology ; Female ; Graft vs Host Disease - complications ; Graft-versus-host reaction ; Health aspects ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hematopoietic stem cells ; Hemopoiesis ; Humans ; Internal Medicine ; Literature reviews ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; original-article ; Physiological aspects ; Public Health ; Quality of Life ; Radiation ; Radiotherapy ; Sex (Psychology) ; Sex Factors ; Sexual behavior ; Sexual Dysfunctions, Psychological - etiology ; Sexuality ; Sexuality - drug effects ; Sexuality - radiation effects ; Stem cell transplantation ; Stem Cells ; Transfusions. Complications. Transfusion reactions. 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The aims are to determine: (1) the sexual changes experienced by patients following allogeneic or autologous HSCT, and its consequences; (2) changes in the sexual function over time and (3) the impact of physiological changes induced by intensive treatment with radiation and chemotherapy on sexual functioning. Four databases were searched for articles published between January 1995 and May 2011. A total of 14 studies were identified and analyzed. We found that (1) multiple aspects of sexuality were affected, and the impact and etiology of these sexual alterations were different between genders, and (2) recovery of sexual activity and pleasure occurred in the first 2 years after HSCT, although it appears that some survivors are more likely to experience sexual dysfunction even 5–10 years after HSCT as compared with controls; and (3) there was contradictory evidence concerning possible differences between allogeneic and autologous HSCT, although there was a significant relation between the sexual dysfunctions and the type of chemotherapy administrated as conditioning and chronic GVHD. Future prospective research in sexual dysfunction with specific reliable validated instruments and more adequate sample sizes will be required to definitively evaluate the impact of HSCT on sexuality.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Autografts</subject><subject>Biological and medical sciences</subject><subject>Body Image</subject><subject>Bone marrow</subject><subject>Bone marrow transplantation</subject><subject>Bone marrow, stem cells transplantation. Graft versus host reaction</subject><subject>Cancer</subject><subject>Cell Biology</subject><subject>Chemotherapy</subject><subject>Etiology</subject><subject>Female</subject><subject>Graft vs Host Disease - complications</subject><subject>Graft-versus-host reaction</subject><subject>Health aspects</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Hematopoietic stem cells</subject><subject>Hemopoiesis</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>original-article</subject><subject>Physiological aspects</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Radiation</subject><subject>Radiotherapy</subject><subject>Sex (Psychology)</subject><subject>Sex Factors</subject><subject>Sexual behavior</subject><subject>Sexual Dysfunctions, Psychological - etiology</subject><subject>Sexuality</subject><subject>Sexuality - drug effects</subject><subject>Sexuality - radiation effects</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Transfusions. 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The aims are to determine: (1) the sexual changes experienced by patients following allogeneic or autologous HSCT, and its consequences; (2) changes in the sexual function over time and (3) the impact of physiological changes induced by intensive treatment with radiation and chemotherapy on sexual functioning. Four databases were searched for articles published between January 1995 and May 2011. A total of 14 studies were identified and analyzed. We found that (1) multiple aspects of sexuality were affected, and the impact and etiology of these sexual alterations were different between genders, and (2) recovery of sexual activity and pleasure occurred in the first 2 years after HSCT, although it appears that some survivors are more likely to experience sexual dysfunction even 5–10 years after HSCT as compared with controls; and (3) there was contradictory evidence concerning possible differences between allogeneic and autologous HSCT, although there was a significant relation between the sexual dysfunctions and the type of chemotherapy administrated as conditioning and chronic GVHD. Future prospective research in sexual dysfunction with specific reliable validated instruments and more adequate sample sizes will be required to definitively evaluate the impact of HSCT on sexuality.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21874054</pmid><doi>10.1038/bmt.2011.169</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Autografts Biological and medical sciences Body Image Bone marrow Bone marrow transplantation Bone marrow, stem cells transplantation. Graft versus host reaction Cancer Cell Biology Chemotherapy Etiology Female Graft vs Host Disease - complications Graft-versus-host reaction Health aspects Hematology Hematopoietic Stem Cell Transplantation - adverse effects Hematopoietic stem cells Hemopoiesis Humans Internal Medicine Literature reviews Male Medical sciences Medicine Medicine & Public Health original-article Physiological aspects Public Health Quality of Life Radiation Radiotherapy Sex (Psychology) Sex Factors Sexual behavior Sexual Dysfunctions, Psychological - etiology Sexuality Sexuality - drug effects Sexuality - radiation effects Stem cell transplantation Stem Cells Transfusions. Complications. Transfusion reactions. Cell and gene therapy Transplantation Transplantation Conditioning - adverse effects Transplantation, Autologous - adverse effects Transplantation, Homologous - adverse effects |
| title | The impact of hematopoietic stem cell transplantation on sexuality: a systematic review of the literature |
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