Introduction/Background Lack of knowledge on human sexuality among medical specialists may results in unequal access to sexual counselling especially in cancers survivors. The aim of the study was to assess the quality of sexual counselling and expectations in context of time, scope and performing staff in gynecological cancer women in Poland.

Methodology 322 patients with gynecological cancers were eligible for this cross-sectional questionary-based on-line study performed between November 2022 and May 2023 in Poland. The final sample consisted of 155 patients with mean age of 43.2±9.31 years (range 24–67). The study group was divided into two subgroups: 113 patients who were sexually active (64.6% after chemotherapy, 41.6% - radiotherapy) and 42 sexually inactive after the cancer diagnosis (64.28% after chemotherapy, 50% - radiotherapy).

Results Sexual issues were not raised by medical staff in case of 65.4% of sexually active and 71.4% of inactive survivors (p>0.005). 28.3% of sexually active and 38.1% inactive decided to begin talking about sexual life with no response. Only 8,8% and 0%, respectively, had a possibility for sexual counselling. Gynecological oncologists, oncologists, radiotherapeutics, and sexologists have informed patients about sexual health in case of 25.6%; 25.6%; 8.8%; 0% sexually active and 7.1%; 11.9%; 11.9%; 4.8% sexually inactive women, respectively. According to the opinion of 54.8% and 66.4% survivors, respectively, gynecological oncologist should be the first to introduces sexual issues, followed by oncologists, sexologists, and radiotherapeutics. Finally, 73.5% and 83.3% survivors, respectively, would like to participate in workshops about sexual life in future.

Conclusion Patients with gynecological cancer need more attention in context of their sexual life irrespectively if they currently are or are nor sexually active. Gynecological oncologist should be the first to inform about negative influence of anti-cancer treatment on sexual health. More effort should be made to organize workshops concerning sexual issues for gynecological cancer survivors.

Disclosures none