Resumen
Cancer impacts sexual health (SH) even years after diagnosis, but long-term consequences are not fully documented, especially in cancers unrelated to sexuality. This study aimed to assess SH deterioration five years after diagnosis in a large population of cancer survivors. Our results show that 57.3% reported substantial SH deterioration. Substantial deterioration was reported in all cancer sites (from 27.7% in melanoma to 83.1% in prostate). Treatment type, cancer sequelae, and pain, as well as psychological consequences (depression and anxiety, especially for younger patients) were associated with substantial SH deterioration. Five years after diagnosis, the majority of cancer survivors reported SH deterioration. Interventions should be developed to improve sexual health regardless of cancer site. Particular attention should be paid to depression and anxiety, especially in younger survivors.