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Chapter 12 - Anal and Colorectal Cancer

Published online by Cambridge University Press:  23 October 2024

By
Emma B. Holliday ,
Van K. Morris  and
Craig Messick
Edited by
Laurie J. Mckenzie  and
Denise R. Nebgen
Laurie J. Mckenzie
Affiliation:
University of Texas MD Anderson Cancer Center, Houston
Denise R. Nebgen
Affiliation:
University of Texas MD Anderson Cancer Center, Houston
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Summary

Improvements in multimodality treatment of anal and colorectal cancer has led to increased numbers of women survivors who experience gynecologic problems in long-term survivorship. The etiology of gynecologic problems after anal and colorectal cancer treatment is complex and multifactorial. Pelvic radiation, surgery and chemotherapy can all cause anatomic, hormonal and psychological changes. Consideration of preventative measures can ideally reduce the risk of vaginal stenosis, dyspareunia, sexual dysfunction, infertility, premature menopause and pelvic pain after therapy. Proactive screening and appropriate treatment of cancer therapy late effects can improve patients’ quality of life during survivorship.

Keywords

Radiationlate effectssurvivorshipdyspareuniavaginal stenosissexual dysfunctioninfertilitypremature menopausepelvic pain
Type
Chapter
Information
Caring for the Female Cancer Patient
Gynecologic Considerations
 , pp. 200 - 214
Publisher: Cambridge University Press
Print publication year: 2024

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