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Summary: Sexual difficulties in men after a stem cell transplant are common, and can be caused by a number of factors. Several therapies are available to help men improve sexual health after transplant. To read the full transcript, go to: https://www.bmtinfonet.org/video/mens-sexual-health-after-transplant-0 Presenter: Eric Zhou PhD, Faculty, Division of Sleep Medicine; Attending Psychologist, Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Boston Children's Hospital Meet Dr. Zhou: https://www.dana-farber.org/find-a-doctor/eric-zhou/ Highlights: -Chemotherapy, radiation and graft-versus-host disease can cause sexual difficulties for men after transplant. -Men often do not raise the issue of sexual difficulties with their doctor, nor do doctors routinely ask if this is a problem. -Successful treatment for sexual dysfunction will include addressing function, desire/libido and the patient’s relationship with their partner. Key Points: 00:53 A 2013 study found that one in five male transplant survivors experienced genital skin changes such as redness, rash and/or narrowing of the urethra. 06:38 A man’s self-image can be tied to his ability to perform sexually. It is easy for a cycle to occur where the sexual dysfunction leads to a negative self-image and a negative self-image leads to more sexual dysfunction. 12:47 Risk factors for poor sexual health after transplant include time since transplant, chronic pain, fatigue, depression and age which naturally increases the rate of erectile dysfunction. 16:23 Therapies for erectile dysfunction include much more than oral medication, which is often not covered by insurance and does not address issues with libido. 16:23 Lifestyle modifications like taking care of your body through diet, exercise and grooming can be beneficial for sexual dysfunction after transplant. 19:45 Hormone therapy, vacuum devices, injection therapy and prosthetics are common therapies for men with sexual dysfunction after transplant. 24:58 Patients experiencing a loss of libido first rule out medicals causes and then address other potential causes such as stress, anxiety around sex, and emotional issues with their partner to determine what may be causing lack of libido. 32:11 Improving intimacy with your partner can be achieved through keeping a desire diary, sexting with your partner, and considering what turns you both on and incorporating that into your sex life. 34:49 Two goo dresources for men experiencing sexual difficulties after transplant are Cancer.org and Sexhealthmatters.org This presentation took place at the 2020 Celebrating a Second Chance at Life Symposium. WHO WE ARE: BMT InfoNet is dedicated to providing patients and their loved ones with emotional support and high quality, easy-to-understand information about blood stem cell transplants (bone marrow, peripheral blood and cord blood) and other cellular therapies. Whether you are just beginning your transplant or cellular therapy journey, or learning to manage the joys and challenges of survivorship, BMT InfoNet is here to help before, during and after treatment. Our goal is to empower you with credible information and emotional support, so that you can take a more active role in decisions affecting your health. http://www.bmtinfonet.org VISIT US ON SOCIAL MEDIA: https://www.facebook.com/bmtinfonet/ https://www.facebook.com/bonemarrowstemcelltransplantclub https://twitter.com/BMTInfoNet
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