Psychosexual health in gynecological cancer

Carr, Susan

doi:10.1016/j.ijgo.2015.06.014

Cited by 14 publications

(13 citation statements)

References 42 publications

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“…Although survival rates for women diagnosed with gynaecological cancers are improving, the quality of life (QoL) for those women and their families often suffer as a result [1][2][3]. The World Health Organization (WHO) and the literature have characterised sexuality as a human right and a key component of QoL [2,[4][5][6]. In 2012, an estimated three million women worldwide were living with gynaecological cancers, with more than half experiencing sexual difficulties [2,7].…”

Section: Sqol As a Key Survivorship Issue For Gcsmentioning

confidence: 99%

“…The World Health Organization (WHO) and the literature have characterised sexuality as a human right and a key component of QoL [2,[4][5][6]. In 2012, an estimated three million women worldwide were living with gynaecological cancers, with more than half experiencing sexual difficulties [2,7]. High rates of sexual dysfunction, sexual inactivity and sexual morbidity in this population have been shown to greatly impact QoL [3,5,7,8].…”

Section: Sqol As a Key Survivorship Issue For Gcsmentioning

confidence: 99%

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Factors of sexual quality of life in gynaecological cancers: a systematic literature review

Roussin

Lowe

Hamilton

et al. 2021

Arch Gynecol Obstet

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Background The impact of cancer diagnosis and treatment on sexual quality of life (SQoL) is a well-established survivorship issue for gynaecological cancer survivors (GCS), yet little is known on how to intervene. Purpose The aim of this systematic review was to identify the factors explaining the variability in SQoL for GCS. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework and the software Covidence. Electronic databases Scopus, Web of Science, PUBMED and CINAHL were searched for original research on GCS published between 2002 and 2018. We performed a two-stage screening process against selection criteria and quality assessment of individual studies. The Salutogenic Theory and the PRECEDE–PROCEED model were used as theoretical frameworks to identify and categorise factors. Results The initial search yielded 3,505 articles resulting in a total of 46 studies used to examine the association between factors of SQoL and gynaecological cancers. Our findings suggested that SQoL varies across subgroups based on age, menopausal status, relationship status, and treatment modality. Protective factors included clinicians’ knowledge and confidence, preventive medical approach, risk and needs assessment, patient–clinician communication, relationship quality, psychosocial support, symptom management, accessibility of psychosexual care, and self-efficacy in the rediscovery of sexuality. Conclusion Despite the high incidence and long-term impact of sexual health issues on quality of life, supportive care needs are not being met. A better understanding of the evidence base around the factors of SQoL can help health professionals take steps to protect and improve SQoL in GCS.

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Section: Sqol As a Key Survivorship Issue For Gcsmentioning

confidence: 99%

Section: Sqol As a Key Survivorship Issue For Gcsmentioning

confidence: 99%

Factors of sexual quality of life in gynaecological cancers: a systematic literature review

Roussin

Lowe

Hamilton

et al. 2021

Arch Gynecol Obstet

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“…With a background incidence of 40% of sexual dysfunction in the general female population and 63% in gynaecological cancer patients, we performed a sample size calculation (α = 0.05 and power of 80%). The sample size was calculated to be 146 patients.…”

Section: Methodsmentioning

confidence: 99%

Body mass index and sexual function in women with gynaecological cancer

et al. 2018

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Objectives To investigate the association between body mass index (BMI) and sexual functioning in gynaecologic cancer patients. To determine the association between socio‐economic deprivation and sexual functioning. Methods This is a prospective cohort study on women undergoing surgery for suspected or proven gynaecological cancer between September 2014 and February 2016 in the Royal Cornwall Hospital Trust. Patients were invited to participate by completing the Female Sexual Function Index (FSFI) at three time points: preoperative, 3 months postoperative, and 1 year postoperative. A semiparametric model of the FSFI score was used to establish the association between BMI and sexual functioning. Results A total of 257 patients were approached of which 166 patients were included. Fifty‐two patients (33.8%) were overweight (BMI, 25‐29.9 kg/m2), 44 (28.6%) were obese (BMI, 30‐39.9 kg/m2), and a further 20 (13.0%) morbidly obese (BMI ≥ 40 kg/m2). Overweight and obese women reported improved sexual functioning compared with normal‐weight women in endometrial, ovarian, and vulvar cancers. Among cervical cancer, worse sexual functioning was seen in women with an increased BMI; however, this was not significant. Younger age was associated with improved sexual function, and sexual functioning was better postoperatively for all patients compared with preoperatively. There was no evidence of relationship between deprivation and sexual functioning in gynaecological cancer patients. Conclusion Higher BMI is associated with improved sexual functioning in endometrial, ovarian, and vulvar cancer; however, this was not seen in cervical cancer patients. There is no evidence of correlation between deprivation and sexual functioning.

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“…Abstinence from sexual activity is also associated with the decreased intimacy in the couple. Psychosexual healthcare needs concern both the patients and their partners, and all of them should have an easy access to sexual healthcare specialists [ 59 – 61 ], especially as different models of sexual healthcare for cancer patients are being constantly developed and prove to be efficient in helping the patients [ 62 – 64 ].…”

Section: Sexual and Psychological Functioning Among Women With Gynecomentioning

confidence: 99%

Consequences of gynecological cancer in patients and their partners from the sexual and psychological perspective

Iżycki¹,

Woźniak²,

Iżycka³

2016

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The diagnosis of gynecological cancer and the following consequences of the treatment radically change the lives of cancer patients and their partners. Women experience negative consequences in terms of sexual, psychological and social functioning. Surgical treatment may result in a decrease in sexual pleasure and pain during intercourse. Chemotherapy and radiotherapy can cause a loss of libido and negatively affect the capacity to experience pleasure or orgasm.Treatment-related changes may include the occurrence of body image disorders, decreased quality of life as well as depressive and anxiety disorders among patients. Furthermore, a negative influence on the relationship between the affected women and their partners, as well as an adverse effect on the social activity, can be observed. Cancer is not an individual experience. It also affects partners of the sick women in terms of psychological and sexual functioning.This article depicts possible problems encountered by cancer patients and their partners from the psychological and sexual perspective. The emphasis is put on understanding sexuality not only in the context of sexual performance, but also in a wider perspective.

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Psychosexual health in gynecological cancer

Cited by 14 publications

References 42 publications

Factors of sexual quality of life in gynaecological cancers: a systematic literature review

Factors of sexual quality of life in gynaecological cancers: a systematic literature review

Body mass index and sexual function in women with gynaecological cancer

Consequences of gynecological cancer in patients and their partners from the sexual and psychological perspective

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