{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T14:30:56Z","timestamp":1783780256801,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2010,7,11]],"date-time":"2010-07-11T00:00:00Z","timestamp":1278806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>: It is estimated that 600\u2009000 men are currently living in North America with castrate levels of testosterone as a result of androgen deprivation therapy for prostate cancer. The goal of this study was to explore how patients and their partners adjust to changes associated with androgen deprivation therapy (ADT).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: Eighteen couples were interviewed regarding their adjustment to ADT side effects.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: Three distinct patterns of adjustment were observed. One group of couples had assumed sex to be impossible after commencing ADT, and quickly accepted the loss of sex in exchange for a life extending treatment (four couples). Another group was found to be struggling to either maintain satisfying sex or adapt to the loss of their sexual relationship (five couples). The third group had struggled, but found that they were satisfied with their sexual outcome (nine couples). A subset of these couples successfully adjusted to changes in the man's sexual function and found satisfying ways to be sexually active (five couples).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: The finding that some couples are able to enjoy satisfying sex, despite castrate levels of testosterone, raised questions about how patients are prepared to undergo ADT and how they are managed. It is possible that both the couples who gave up on sex because they believed that satisfying sex was impossible, and the couples who continued to struggle to adjust, may have faired better if they had known how other couples are able to maintain satisfying sex while the man is androgen\u2010deprived. Copyright \u00a9 2010 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1794","type":"journal-article","created":{"date-parts":[[2010,7,12]],"date-time":"2010-07-12T11:04:54Z","timestamp":1278932694000},"page":"880-888","source":"Crossref","is-referenced-by-count":40,"title":["A description of heterosexual couples' sexual adjustment to androgen deprivation therapy for prostate cancer"],"prefix":"10.1002","volume":"20","author":[{"given":"Lauren M.","family":"Walker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,7,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/95.13.981"},{"issue":"1","key":"e_1_2_6_3_2","first-page":"3","article-title":"Androgen deprivation therapy in the treatment of advanced prostate cancer","volume":"9","author":"Perlmutter MA","year":"2007","journal-title":"Rev Urol"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00567.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21231"},{"issue":"1","key":"e_1_2_6_6_2","first-page":"7","article-title":"Contemporary patterns of androgen deprivation therapy use for newly diagnosed prostate cancer","volume":"60","author":"Meng MV","year":"2000","journal-title":"Urology"},{"issue":"3","key":"e_1_2_6_7_2","first-page":"204","article-title":"Hormone ablation for the treatment of prostate cancer:the lived experience","volume":"26","author":"Ng C","year":"2006","journal-title":"Urol Nurs"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0b013e32814db88c"},{"key":"e_1_2_6_9_2","volume-title":"Prostate Cancer: Principles and Practice","author":"Kantoff PW","year":"2002"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.06416.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000141820.17959.2f"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.08.012"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22933"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0b013e3282f0ebef"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00181-7"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.01053.x"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12119-003-1011-9"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1401"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732303258016"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.10.016"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/00926230903554552"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/00926230600835346"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2006.06.006"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1206"},{"issue":"2","key":"e_1_2_6_25_2","first-page":"34","article-title":"Addressing the effects of androgen deprivation therapy on intimate relationships: benefits of early awareness and intervention","volume":"8","author":"Walker LM","year":"2009","journal-title":"Oncol Exch"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2010.01902.x"},{"key":"e_1_2_6_27_2","volume-title":"Exploratory Research in the Social Sciences. 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