Sexual Health and Sexual Quality of Life in Patients with Lung Cancer
DOI:
https://doi.org/10.12775/QS.2026.79.76723Keywords
lung cancer, sexual life, sexual health, oncological therapy, sexual dysfunctionAbstract
Background: Lung cancer is the most commonly diagnosed malignancy worldwide and the second most frequent cancer in Poland. Patients often experience reduced libido, sexual dysfunction and lower satisfaction with intimate relationships. Despite its importance to well-being, sexual health is frequently overlooked in clinical practice. Advances in treatment and improved survival rates highlight the need to assess how cancer and oncological therapies affect patients' sexual quality of life.
Aim: This review examines current literature on lung cancer diagnosis and treatment in the context of sexual health in women and men. It focuses on sexual satisfaction and common dysfunctions.
Methods: PubMed, Cochrane Library, Science Direct, Springer Link and Google Scholar were searched for articles addressing sexual health and sexual satisfaction in patients with lung cancer. Only English-language publications were included. Few studies from Poland were identified.
Results: The reviewed literature suggests that lung cancer negatively affects sexual quality of life in both women and men through reduced libido, impaired sexual functioning and lower satisfaction with sexual activity. The impact appears more pronounced in women.
Conclusions: These findings emphasize the need to address sexual concerns in oncology and provide holistic care that includes physical, emotional and intimate aspects of patients' lives.
References
[1] Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4. PMID: 38572751.
[2] Wojciechowska U., Didkowska J., Barańska K. Miklewska M., Michałek I., Olasek P., Jawołowska A.., Nowotwory złośliwe w Polsce w 2022 roku. Krajowy rejestr nowotworów, Warszawa: Minsiterstwo Zdrowia, 2024.
[3] OECD/European Commission, EU Country Cancer Profile: Poland 2025, Paris: OECD, 2025.
[4] Costa M, Fernandes CL, Leite J, Vilaça M, Estevinho F, Magalhães H. Sexual Health of Patients in Treatment for Lung Cancer: An Undercover Concern for Patients and Oncologists. Curr Oncol. 2025 Feb 13;32(2):107. doi: 10.3390/curroncol32020107. PMID: 39996907; PMCID: PMC11854130.
[5] Zanni L, Fasse L, Letot J, Fromage MN, Flahault C. Sexual health of patients with lung cancer: a systematic review. Support Care Cancer. 2025 Oct 8;33(11):920. doi: 10.1007/s00520-025-10000-2. PMID: 41060455.
[6] Perz J, Ussher JM, Gilbert E; Australian Cancer and Sexuality Study Team. Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer. BMC Cancer. 2014 Mar 28;14:228. doi: 10.1186/1471-2407-14-228. PMID: 24673768; PMCID: PMC3986691.
[7] Ntekim A. , „Sexual Dysfunctions -Special Issues.,” w Goshtasebi, A. (Ed.). Sexual Dysfunction Among Cancer Survivors, London, 2011.
[8] Loi M, Wortel RC, Francolini G, Incrocci L. Sexual Function in Patients Treated With Stereotactic Radiotherapy For Prostate Cancer: A Systematic Review of the Current Evidence. J Sex Med. 2019 Sep;16(9):1409-1420. doi: 10.1016/j.jsxm.2019.05.019. Epub 2019 Jul 11. PMID: 31303575.
[9] L.R. Schover, „Sexual quality of life in men and women after cancer,” Climacteric, tom 22, nr 6, pp. 553-557, 2019.
[10] Krouwel EM, Albers LF, Nicolai MPJ, Putter H, Osanto S, Pelger RCM, Elzevier HW. Discussing Sexual Health in the Medical Oncologist's Practice: Exploring Current Practice and Challenges. J Cancer Educ. 2020 Dec;35(6):1072-1088. doi: 10.1007/s13187-019-01559-6. PMID: 31209770; PMCID: PMC7679345.
[11] Ospina-Serrano AV, Collazo-Lorduy A, Azkona-Uribelarrea E, Guillen-Sentís P, Aparisi F, López R, Cruz P, Valdivia A, Cordeiro P, Olivares-Hernández A, Blanco M, Casas-Cornejo R, Carcereny E, Dómine M, Antoñanzas M, Blasco-Cordellat A, Peralta D, Sereno M, Cardeña-Gutiérrez A, Romão R, Losada B, Avendaño AC, Suay-Montagud G, Moran T, Ortega-Gallastegi B, Calvo V, Arango N, Ramos P, Triana I, Provencio-Pulla M. LUDICAS: sexual dysfunction in patients with lung cancer, a multicenter cross-sectional study. ESMO Open. 2025 Apr;10(4):104539. doi: 10.1016/j.esmoop.2025.104539. Epub 2025 Apr 2. PMID: 40179819; PMCID: PMC11998112.
[12] Reese JB, Shelby RA, Abernethy AP. Sexual concerns in lung cancer patients: an examination of predictors and moderating effects of age and gender. Support Care Cancer. 2011 Jan;19(1):161-5. doi: 10.1007/s00520-010-1000-0. Epub 2010 Sep 4. PMID: 20820818.
[13] Mafalda Costa, Catarina Lopes Fernandes, Joana Leite, Marta Vilaça, Fernanda Estevinho, Helena Magalhães „Sexual health and its impact on quality of life of patients with lung cancer,” Journal of Thoracic Oncology, tom 20, nr 3, p. 255, 2025.
Medical Oncology Department - Pedro Hispano Hospital, Matosinhos, Portugal
[14] Johannes, C.B., Araujo, A.B., Feldman, H.A., Derby, C.A., Kleinman, K.P. and McKinlay, J.B. (2000) Incidence of Erectile Dysfunction in Men 40 to 69 Years Old: Longitudinal Results from the Massachusetts Male Aging Study. Journal of Urology, 163, 460-463. https://doi.org/10.1016/s0022-5347(05)67900-1
[15] McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, Laumann E, Lee SW, Segraves RT. Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016 Feb;13(2):144-52. doi: 10.1016/j.jsxm.2015.12.034. PMID: 26953829.
[16] S. Atallah , C. Johnson-Agbakwu , T. Rosenbaum, C. Abdo, E.Byers, C. Graham, P. Nobre, K.Wylie, L.Brotto „Ethical and sociocultural aspects of sexual function and dysfunction in both sexes,” J Sex Med,, tom 13, nr 4, pp. 591-606, 2016.
[17] Walker LM, Wiebe E, Turner J, Driga A, Andrews-Lepine E, Ayume A, Stephen J, Glaze S, Booker R, Doll C, Phan T, Brennan K, Robinson JW. The oncology and sexuality, intimacy, and survivorship program model: an integrated, multidisciplinary model of sexual health care within oncology. Journal of Cancer Education. 2021 Apr;36(2):377-385.doi: 10.1007/s13187-019-01641-z. PMID: 31797198
[18] Ratner ES, Foran KA, Schwartz PE, Minkin MJ. Sexuality and intimacy after gynecological cancer. Maturitas. 2010 May;66(1):23–26. doi:10.1016/j.maturitas.2010.01.015
[19] Florez N., Kiel L., Meza K., Wei Z., Mazzola E., Velazquez A.I., Franco I., Fidler M.J., Elkins I., Feldman J., Seaborne L., Heisler C., King J.C., Moore A., Wiens J., Kushner D. Sexual Health Assessment in Women with Lung Cancer study: Sexual health assessment in women with lung cancer. Cancer. 2024 Feb 1;130(3):375-384. doi: 10.1002/cncr.35057. PMID: 37843054
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Wiktoria Sochal, Mateusz Sobierajski, Mikołaj Czerwonka, Julia Kot, Weronika Źrodowska

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 24
Number of citations: 0