sexual health counseling intervention during radiation therapy in improving quality of life for women with gynecologic cancer

Conditions: Malignant Female Reproductive System Neoplasm; Stage I Cervical Cancer AJCC v8; Stage I Uterine Corpus Cancer AJCC v8; Stage I Vaginal Cancer AJCC v8; Stage I Vulvar Cancer AJCC v8; Stage IA Cervical Cancer AJCC v8; Stage IA Uterine Corpus Cancer AJCC v8; Stage IA Vaginal Cancer AJCC v8; Stage IA Vulvar Cancer AJCC v8; Stage IA1 Cervical Cancer AJCC v8; Stage IA2 Cervical Cancer AJCC v8; Stage IB Cervical Cancer AJCC v8; Stage IB Uterine Corpus Cancer AJCC v8; Stage IB Vaginal Cancer AJCC v8; Stage IB Vulvar Cancer AJCC v8; Stage IB1 Cervical Cancer AJCC v8; Stage IB2 Cervical Cancer AJCC v8; Stage II Cervical Cancer AJCC v8; Stage II Uterine Corpus Cancer AJCC v8; Stage II Vaginal Cancer AJCC v8; Stage II Vulvar Cancer AJCC v8; Stage IIA Cervical Cancer AJCC v8; Stage IIA Vaginal Cancer AJCC v8; Stage IIA1 Cervical Cancer AJCC v8; Stage IIA2 Cervical Cancer AJCC v8; Stage IIB Cervical Cancer AJCC v8; Stage IIB Vaginal Cancer AJCC v8; Stage III Cervical Cancer AJCC v8; Stage III Uterine Corpus Cancer AJCC v8; Stage III Vaginal Cancer AJCC v8; Stage III Vulvar Cancer AJCC v8; Stage IIIA Cervical Cancer AJCC v8; Stage IIIA Uterine Corpus Cancer AJCC v8; Stage IIIA Vulvar Cancer AJCC v8; Stage IIIB Cervical Cancer AJCC v8; Stage IIIB Uterine Corpus Cancer AJCC v8; Stage IIIB Vulvar Cancer AJCC v8; Stage IIIC Uterine Corpus Cancer AJCC v8; Stage IIIC Vulvar Cancer AJCC v8; Stage IIIC1 Uterine Corpus Cancer AJCC v8; Stage IIIC2 Uterine Corpus Cancer AJCC v8; Stage IVA Cervical Cancer AJCC v8; Stage IVA Uterine Corpus Cancer AJCC v8; Stage IVA Vaginal Cancer AJCC v8; Stage IVA Vulvar Cancer AJCC v8

Summary: this phase i trial studies a sexual health counseling intervention during radiation therapy in improving quality of life for women with gynecologic cancer. women with gynecologic cancer often suffer long-term complications from treatment that can affect their physical and psychological well-being. an early sexual health counseling intervention prior to and after radiation may improve symptoms management and reduce the physical and psychological effects of treatment.

primary objective: i. to determine the feasibility of a sexual health counseling intervention before and after pelvic radiation for women with gynecologic cancers. secondary objective: i. to preliminarily evaluate the efficacy of a sexual health counseling intervention on patient reported outcomes in quality of life, sexual function, and genitourinary symptoms. outline: patients receive sexual health counseling prior to starting and at the completion of radiation. after completion of study, patients are followed up at 1 and 6 months after radiation.

Eligibility criteria:
inclusion criteria: * any patient with endometrial, cervical, vaginal, or vulvar cancer receiving adjuvant external beam radiation or definitive external beam radiation and brachytherapy will be eligible for the study * those receiving concurrent chemotherapy will be eligible * any prior gynecologic surgery is permitted exclusion criteria: * patients with metastatic or recurrent disease and patients receiving brachytherapy alone