SUMMARY
Chronic diseases usually have three levels of impact on the SH of the patients: primary (the disease and its treatments impact the patient`s sexual response), secondary (symptoms of the disease), and tertiary (related psychosocial impacts). An international study has drawn up a list of HCP-identified related topics that need to be addressed by age group: there is clearly interest in SH, the specific SH-related needs of patients and parents have not yet been identified. The main consequences that the patients mentioned were body shame, low self-esteem (39.5% vs. 20.9% for the . . .

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