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Male Sexual Function after Allogeneic Hematopoietic Stem Cell Transplantation in Childhood: A Multicenter Study

Klaus Müller; Kaspar Sørensen; Anu Haavisto; Anu Suominen; Kirsi Jahnukainen; Sidsel Mathiesen; Malene Mejdahl Nielsen; Marianne Ifversen; Päivi Lähteenmäki; Anders Juul

Male Sexual Function after Allogeneic Hematopoietic Stem Cell Transplantation in Childhood: A Multicenter Study

Klaus Müller
Kaspar Sørensen
Anu Haavisto
Anu Suominen
Kirsi Jahnukainen
Sidsel Mathiesen
Malene Mejdahl Nielsen
Marianne Ifversen
Päivi Lähteenmäki
Anders Juul
Katso/Avaa
Publisher´s pdf (666.9Kb)
Lataukset: 

MDPI
doi:10.3390/cancers12071786
URI
https://doi.org/10.3390/cancers12071786
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042821039
Tiivistelmä
There are many known endocrine complications after allogeneic hematopoietic stem cell transplantation (HSCT) in childhood including increased risk of biochemical hypogonadism. However, little is known about sexuality in adulthood following childhood HSCT. In this multicenter study, sexual functions and possible risk factors were assessed comprehensively in two national cohorts (Finland and Denmark) of male adult survivors of childhood HSCT. Compared to a healthy control group (n= 56), HSCT survivors (n= 97) reported less sexual fantasies, poorer orgasms, lower sexual activity with a partner and reduced satisfaction with their sex life, even in the presence of normal erectile functions and a similar frequency of autoerotic acts. Of the HSCT survivors, 35% were cohabitating/married and 66% were sexually active. Risk factors for poorer self-reported sexual functions were partner status (not cohabitating with a partner), depressive symptoms, CNS and testicular irradiation. Sexual dysfunction increased by age in the HSCT group with a pace comparable to that of the control group. However, because of the lower baseline level of sexual functions in the HSCT group, they will reach the level of clinically significant dysfunction at a younger age. Hence, male survivors of childhood HSCT should be interviewed in detail about their sexual health beyond erectile functions.
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