<p>Cancer and its treatment impact physical and emotional health. In addition to anxiety and depression, patients often have problems with their changed body image, self-esteem, and intimate relationships. Symptoms such as fatigue, pain, and hormonal and physical changes can affect sexual function. This also affects partners and the relationship. Conflicts and role shifts can affect sexual satisfaction as well as satisfaction with the relationship. Open communication is crucial; couples who discuss sexual concerns report greater resilience and satisfaction. However, discussions about sexuality with professionals are rare, often due to assumptions regarding their relevance or discomfort on the part of physicians. Psycho-oncological services, couples therapy, and sexual counseling are important to support intimacy and reduce anxiety.</p>