Sexuality Concerns during Androgen Suppression Therapy: Perspectives from Patient and Partner in Relation to Social Support (#101)
Introduction/Objective: Androgen suppression therapy (AST) used for the management of prostate cancer can lead to a range of side effects including sexual dysfunction. This can affect men’s sexuality and sense of masculinity; and impact on couples’ relationships. This presentation describes the results from a qualitative study examining patient and partner perspectives on sexuality concerns after AST; and the potential benefit of an exercise intervention in alleviating these concerns.
Methods: Ten men receiving AST involved in an existing exercise intervention trial and their partners (n = 4) were interviewed and a consensual qualitative research approach was adopted to guide the study and interview methods.
Results: Analysis revealed how patients came to accept their sexual dysfunction through shared conversations with and support from their partners, and from peers through the exercise trial. For those with partners, support through conveying understanding of the effects of AST on sexual function and the social reconstruction of the importance of the role of sex in the relationship were the main themes that emerged. Peer support through involvement in the exercise intervention helped to reinforce the normative aspects of their sexual dysfunction as well as help the men to connect with their sense of masculinity.
Conclusion: Side effects from AST can affect both the patient and his partner. Results from this study will help to inform the development of an intervention to target these effects, and improve men’s sexual health and general well-being.