Radiation-specific sexual and reproductive health challenges in adolescent and young adults assigned female at birth: a mixed-methods study of unmet needs post pelvic radiotherapy

This study investigates the sexual and reproductive health (SRH) challenges faced by adolescent and young adult patients assigned female at birth (AFAB) following pelvic radiotherapy (RT) for cancer. The authors aimed to identify the impacts of RT on SRH, uncover unmet care needs, and highlight gaps in support services for this population. Findings revealed high rates of sexual dysfunction, intimacy disruption, and fertility-related distress, emphasizing the need for improved communication, education, and resources in survivorship care.