**1. Sexual Function Assessment in Brain‑Tumor Patients**

| Domain | What to Evaluate | Why It Matters |
|--------|------------------|---------------|
| **Physical Functioning** | • Erectile function (ED), ejaculatory issues, vaginal lubrication
• Hormonal status: testosterone, estradiol,
LH/FSH, prolactin | Tumors or treatment can disrupt neuro‑endocrine pathways → impotence,
anorgasmia |
| **Psychological / Cognitive Im

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