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Discussing Sexual Health Before Androgen Deprivation Therapy

Dr. Neil Fleshner demonstrates how to discuss sexual health with a patient before starting androgen deprivation therapy (ADT). Learn how to address common sexual side effects, set expectations, and help patients understand available support and management strategies.

5 A’s framework source: Gupta N, Reese JB, Bober S, Nelson CJ. Communicating about sexuality in cancer care. Oxford Textbook of Communication in Oncology and Palliative Care. 3rd ed. Chapter 41. Oxford University Press; 2026.

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