Jinekolojik kanserden sağkalım sürecinde cinsel sağlık: Bütüncül bakımda hemşirenin rolü

Sexual health in the survivorship process of gynecological cancer is a critical component that is often overlooked but profoundly impacts quality of life. While cancer treatments improve survival rates, they often result in physiological challenges such as vaginal dryness, dyspareunia, and pelvic floor dysfunction, alongside psychological issues like body image disturbances, altered self-perception, and loss of sexual self-efficacy. Gender roles and cultural taboos further complicate this process, limiting individuals’ efforts to address their sexual health and seek support. This review aims to comprehensively examine the effects of gynecological cancer treatments on sexual health and to discuss evidence-based multidisciplinary approaches for managing these effects, with a focus on the roles and responsibilities of nurses. Pharmacological and physical therapies, such as local hormone treatments, vaginal moisturizers, and pelvic floor rehabilitation, are highlighted as effective tools for improving sexual function. Additionally, psychotherapeutic approaches, including psychoeducational programs and cognitive-behavioral therapy, support women in coping with psychological challenges and strengthening relational bonds. Sexual health is an essential part of overall well-being and should be addressed with a holistic approach in the survivorship process of gynecological cancer. Nurses play a key role in this process by conducting sexual health assessments, identifying patients’ needs, fostering a safe communication environment, and providing counseling. With a multidisciplinary approach, evidence-based interventions and culturally sensitive strategies play a crucial role in enhancing women’s quality of life and overcoming challenges in the survivorship process. Keywords: gynecological cancer, holistic care, nursing, sexual health, survivorship