No Sex Please, We're...Embarrassed!

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Aim: The aim of the article is to highlight the need for health-care professionals to consider the service user’s needs for guidance on intimate and sexual activity during and after hospital treatment.Body: This article examines the human need for intimacy, the effects of illness and aging on sexual relationships, and how the presumptions of age-related celibacy can be used as a diversion for the embarrassment of health-care professionals. Conclusion: Health care professionals should not assume that patients are not interested in retaining an intimate relationship with their partners because of chronology or ill-health. Intimacy is a basic human desire and can promote recovery and mental strength. Some patients will prefer not to discuss the subject but the opportunity to receive advice on intimate relationships should be afforded to service users’. Training should be provided in approaching the subject in a sensitive way that is comfortable for both parties. Target audience: This article was written to generate consideration for service-users’ undergoing radiotherapy and so was initially targeted at therapeutic radiographer/students, however it could be equally applicable to any health-care professional.
Original languageEnglish
Pages (from-to)19-22
JournalImaging and Therapy Practice
Publication statusPublished - 4 Jan 2018

Bibliographical note

Reference text: (1) Mackay J. Global sex: Sexuality and sexual practices around the world. Sexual and Relationship Therapy 2001 02/01;16(1):71-82.
(2) Taylor A, Gosney MA. Sexuality in older age: essential considerations for healthcare professionals. Age and Ageing 2011 September 01;40(5):538-543.
(3) Cleary V, Hegarty J. Understanding sexuality in women with gynaecological cancer. European Journal of Oncology Nursing 2011 2;15(1):38-45.
(4) Gilbert E, Ussher JM, Perz J, Wong WKT, Hobbs K, Mason C. Men's experiences of sexuality after cancer: a material discursive intra-psychic approach. Culture, Health & Sexuality 2013 09/01;15(8):881-895.
(5) Bauer M, McAuliffe L, Nay R. Sexuality, health care and the older person: An overview of the literature. International Journal of Older People Nursing Mar 2007;2(1):63-68.
(6) DeLamater J, Koepsel E. Relationships and sexual expression in later life: a biopsychosocial perspective. Sexual and Relationship Therapy 2015 01/02;30(1):37-59.
(7) Ménard AD, Kleinplatz PJ, Rosen L, Lawless S, Paradis N, Campbell M, et al. Individual and relational contributors to optimal sexual experiences in older men and women. Sexual and Relationship Therapy 2015 01/02;30(1):78-93.
(8) World Health Organisation. World Health Statistics. 2014; Available at: Accessed 11/05, 2015.
(9) Trompeter SE, Bettencourt R, Barrett-Connor E. Clinical research study: Sexual Activity and Satisfaction in Healthy Community-dwelling Older Women. Am J Med 2012;125:37-43.e1.
(10) Gott M, Hinchliff S. How important is sex in later life? The views of older people. Soc Sci Med 2003 4;56(8):1617-1628.
(11) Nicolosi A, Laumann EO, Glasser DB, Moreira ED, Paik A, Gingell C. Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors. Urology 2004;64(5):991-997.
(12) Thorpe R, Fileborn B, Pitts M, Minichiello V, Hawkes G. Old and desirable: older women's accounts of ageing bodies in intimate relationships. Sexual and Relationship Therapy 2014 / 09 / 01 /:11p.
(13) Gott M, Hinchliff S. Barriers to seeking treatment for sexual problems in primary care: A qualitative study with older people. Fam Pract 2003 December 2003;20(6):690-695.
(14) Levin RJ. The female orgasm—A current appraisal. J Psychosom Res 1981;25(2):119-133.
(15) Public Health England. Sexually Transmitted Infections (STI's): annual data tables. 2015; Available at: Accessed 11/05, 2015.
(16) Department of Health. Framework for Sexual Health Improvement. 2013;2011214.
(17) Heath H. Older people in care homes: sexuality and intimate relationships. Nurs Older People 2011 07;23(6):14-20.
(18) Levy JA. Sex and Sexuality in Later Life Stages. In: Rossi AS, editor. Sexuality Across the Life Course Chicago: University of Chicago Press; 1994. p. 294.
(19) Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, et al. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impotence Res 2005;17(1):39-57.
(20) Carpenter LM, Nathanson CA, Kim YJ. Physical women, emotional men: gender and sexual satisfaction in midlife. Arch Sex Behav 2009 02;38(1):87-107.
(21) Donnelly D, Burgess E, Anderson S, Davis R, Dillard J. Involuntary Celibacy: A Life Course Analysis. The Journal of Sex Research 2001(2):159.
(22) Marsiglio W, Donnelly D. Sexual Relations in Later Life: a National Study of Married Persons. Journal of Gerontology 1991 November 01;46(6):S338-S344.
(23) Symons D. Prècis of the evolution of human sexuality. Behav Brain Sci 1980 / 01 / 01 /;3(2):200.
(24) Camacho ME, Reyes-Ortiz C. Sexual dysfunction in the elderly: age or disease? Int J Impotence Res 2005;17:S52-S56.
(25) Byers ES. Beyond the birds and the bees and was it good for you?: Thirty years of research on sexual communication. Canadian Psychology/Psychologie canadienne Feb 2011;52(1):20-28.
(26) Carpenter LM, Nathanson CA, Kim YJ. Sex after 40?: Gender, ageism, and sexual partnering in midlife. Journal of Aging Studies 2006 4;20(2):93-106.
(27) Hillman J. Sexual issues and aging within the context of work with older adult patients. Professional Psychology: Research and Practice Jun 2008;39(3):290-297.
(28) Levin RJ. Sexuality of the ageing female – the underlying physiology. Sexual and Relationship Therapy 2015 01/02;30(1):25-36.
(29) Lindau ST, Gavrilova N. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. BMJ: British Medical Journal 2010(7746):580.
(30) Ponholzer A, Temml C, Mock K, Marszalek M, Obermayr R, Madersbacher S. Prevalence and Risk Factors for Erectile Dysfunction in 2869 Men Using a Validated Questionnaire. Eur Urol 2005;47:80-86.
(31) Jonker-Pool G, Hoekstra HJ, van Imhoff GW, Sonneveld DJA, Sleijfer DT, van Driel MF, et al. Male sexuality after cancer treatment -- needs for information and support: testicular cancer compared to malignant lymphoma. Patient Educ Couns 2004 02;52(2):143-150.
(32) Traa MJ, De Vries J, Roukema JA, Den Oudsten BL. ORIGINAL RESEARCH: The Preoperative Sexual Functioning and Quality of Sexual Life in Colorectal Cancer: A Study among Patients and Their Partners. The Journal of Sexual Medicine 2012;9:3247-3254.
(33) Scott JL, Halford WK, Ward BG. United We Stand? The Effects of a Couple-Coping Intervention on Adjustment to Early Stage Breast or Gynecological Cancer. J Consult Clin Psychol Dec 2004;72(6):1122-1135.
(34) Kagan SH, Holland N, Chalian AA. Sexual Issues in Special Populations: Geriatric Oncology – Sexuality and Older Adults. Semin Oncol Nurs 2008 5;24(2):120-126.
(35) Thaler-DeMers D. Intimacy issues: Sexuality, fertility, and relationships. Semin Oncol Nurs 2001 11;17(4):255-262.
(36) Hordern, Amanda BN,GradDipEd, M.Ed. Intimacy and Sexuality After Cancer: A Critical Review of the Literature. Cancer Nurs 2008 March/April;31(2):E9-E17.
(37) Curlin FA, Lawrence RE, Chin MH, Lantos JD. Religion, conscience, and controversial clinical practices. N Engl J Med 2007;356(6):593-600.
(38) Hordern AJ, Street AF. Communicating about patient sexuality and intimacy after cancer: mismatched expectations and unmet needs. Med J Aust 2007 Mar 5, 2007;186(5):224-7.
(39) Docherty A, Brothwell CPD, Symons M. The Impact of Inadequate Knowledge on Patient and Spouse Experience of Prostate Cancer. Cancer Nurs Jan-Feb 2007;30(1):58-63.
(40) Tsivian M, Mayes JM, Krupski TL, Mouraviev V, Donatucci CF, Polascik TJ. Altered male physiologic function after surgery for prostate cancer: couple perspective. International Braz J Urol 2009 Nov-Dec;35(6):673-682.
(41) Tierney DK. Sexuality: A Quality-of-Life Issue for Cancer Survivors. Semin Oncol Nurs 2008 5;24(2):71-79.


  • Intimacy
  • sexual activity
  • cancer treatment


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