Table 2.

Basic triage strategies for the most common sexual health issues in cancer patients utilized by the authors.

DSM-5 Diagnosis	Clinical Symptom	Treatment Options
Genito-Pelvic Pain/Penetration Disorder	Vaginal dryness	Moisturizer Lubricant Hormonal therapy*
	Pain or vaginal narrowing	Ensure proper tissue quality, moisture, and lubrication (See Table 1) Dilator and/or Vibrator Referral to pelvic floor physical therapy Consider topical lidocaine for the vulvar vestibule (for severe dyspareunia)
Female Sexual Interest/Arousal Disorder	Physical cause	Treat any physical issue (see above) Encourage pelvic floor exercises to increase circulation and tone
	No physical cause	Referral to sex therapy or marriage counselor
	Related to underlying medical condition	Optimize medical condition Evaluate medication impact
Female Orgasmic Disorder	Difficulty or inability in achieving orgasm	Treat any physical issue (see above) Vibrator Referral to sex therapy Erotica or romance novels Explore other methods of sexual expression (hugs and caress)

^*When medically appropriate.