Comprehensive review · PMID 41419078

Strategies for Treating Sexual Health Concerns After Breast and Gynecologic Cancer — VialBase Research

Sexual dysfunction is common but underrecognized after breast/gynecologic cancer treatment

Last updated · 2025 · Mihulka O, Curran M, Narasimhan RM, Moore JF, Rojas KE · Journal of Minimally Invasive Gynecology
Key findings
  • Sexual dysfunction is common but underrecognized after breast/gynecologic cancer treatment
  • Bremelanotide highlighted as non-hormonal option for desire disorders in cancer survivors
  • Important for patients who cannot use hormonal therapy (hormone-receptor-positive cancers)
  • Genitourinary syndrome of menopause symptoms include vaginal dryness, dyspareunia, diminished desire
  • Evidence-based approach to management is needed

Summary

Comprehensive literature review of sexual dysfunction as a sequela of breast and gynecologic cancer treatment. Searches PubMed, Google Scholar, and Scopus for studies on sexual dysfunction and cancer survivorship. Highlights bremelanotide as a non-hormonal therapeutic option for patients with desire disorders who cannot use hormonal treatments.

Key Findings

  • Sexual dysfunction is highly prevalent but underrecognized in cancer survivors
  • Genitourinary syndrome of menopause symptoms are common after cancer treatment
  • Hormonal therapies are often contraindicated in hormone-receptor-positive cancers
  • Bremelanotide offers a non-hormonal alternative acting through melanocortin CNS pathways
  • Addresses both physiological and psychological aspects of sexual health

Relevance to PT-141

Identifies a critical clinical niche for PT-141/bremelanotide: cancer survivors who cannot use hormonal therapy. This is a growing population where few treatment options exist for desire disorders. PT-141’s non-hormonal, CNS-based mechanism makes it uniquely suited for this patient group. Reinforces the clinical value of the melanocortin pathway approach.

Citation

Mihulka O, et al. J Minim Invasive Gynecol. 2025 Dec 17. PMID: 41419078

See Also