Quantity vs. Quality: An Exploration of the Predictors of Posttreatment Sexual Adjustment for Women Affected by Early Stage Cervical and Endometrial Cancer

Juraskova, Ilona; Bonner, Carissa; Bell, Melanie L.; Sharpe, Louise; Robertson, Rosalind; Butow, Phyllis

doi:10.1111/j.1743-6109.2012.02860.x

Cited by 24 publications

(15 citation statements)

References 46 publications

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“…These findings are in contrast with previous prospective studies that evaluated changes in sexual functioning of CC patients who received surgical treatment with or without adjuvant radiotherapy and/or chemotherapy. 7,18,19,25,26 However, the results of the current study corroborate the findings of the 2 prospective study comparing sexual functioning of CC patients before and after surgical treatment without adjuvant treatment. 6,12 Nevertheless, the results of the current study are striking and in contrast with our hypothesis as we expected the perceived life-threatening character of the cancer and the extensive surgical treatment itself to have a significant effect on the sexual functioning of CC survivors.…”

Section: Discussionsupporting

confidence: 87%

Long-Term Sexual Functioning in Women After Surgical Treatment of Cervical Cancer Stages IA to IB: A Prospective Controlled Study

Aerts

Enzlin

Verhaeghe

et al. 2014

Int J Gynecol Cancer

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Section: Discussionsupporting

confidence: 87%

Long-Term Sexual Functioning in Women After Surgical Treatment of Cervical Cancer Stages IA to IB: A Prospective Controlled Study

Aerts

Enzlin

Verhaeghe

et al. 2014

Int J Gynecol Cancer

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“…Physical activity interventions also improve fatigue, physical functioning, and self-efficacy, while resulting in weight loss and less sleep dysfunction (37), all of which are beneficial alone and may mediate changes in sexual health as well. A prospective assessment of endometrial and ovarian cancer survivors indicated that the quality of sexual encounters impacts sexual health more than the quantity of encounters (38), further highlighting the complexity involved in assessing the sexual health of this population. Therefore, future studies should include sexuality-based questionnaires to obtain robust information about cancer survivor sexuality (39).…”

Section: Discussionmentioning

confidence: 99%

Sexual health of endometrial cancer survivors before and after a physical activity intervention: A retrospective cohort analysis

Armbruster

Song

Bradford

et al. 2016

Gynecologic Oncology

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Objective Sexual dysfunction is common in endometrial cancer survivors (ECS). Our group previously tested a six-month exercise intervention in ECS. We performed a secondary analysis to determine intervention's impact on sexual health. Methods We studied 100 post-treatment Stage I-IIIa sedentary ECS who participated in a non-controlled, single-arm, home-based exercise intervention utilizing telephone counseling, printed material, and pedometers. Quality-of-life and physical activity measures were collected at baseline and six months. Sexual function (SF) and sexual interest (SI) scores were extracted from the QLACS questionnaire. Results Baseline SF and SI were lower in survivors with less than a four-year college degree (P < 0.001). Baseline SI was higher in survivors who were married or living with a significant other (P = 0.012). No significant differences in SF or SI were observed based on obesity status, race, time since diagnosis, or treatment type. Post-intervention, mean SF score improved (P = 0.002), 51% of participants had improved SI, and 43% had improved SF. When controlled for age and time since diagnosis, a one-hour increase in weekly physical activity was associated with a 6.5% increased likelihood of improved SI (P = 0.04). Increased physical activity was not associated with improved SF. Conclusions Although causation cannot be determined in this study, the correlation between receipt of an exercise intervention and improved sexual health for ECS is a novel finding. This finding suggests a role for physical activity as a strategy to improve the sexual health of ECS, which our group is examining in a larger prospective study.

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“…It has been suggested that a baseline score of sexual functioning of cervical cancer patients may be severely influenced by the patient's knowledge of her cancer diagnosis and could be affected by symptoms prior to diagnosis [30]. For example, Pieterse et al.…”

Section: Discussionmentioning

confidence: 99%

Sexual Functioning and Vaginal Changes after Radical Vaginal Trachelectomy in Early Stage Cervical Cancer Patients: A Longitudinal Study

Froeding

Ottosen

Rung-Hansen

et al. 2014

The Journal of Sexual Medicine

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Introduction Radical vaginal trachelectomy (RVT) offers low complication rate, good survival, and possibility for future childbearing for young women with early stage cervical cancer. However, the literature on quality of life (QOL) and sexual functioning in patients undergoing RVT is scarce. Aim The aims of this study were to prospectively assess sexual function after RVT and to compare scores of sexual function in patients operated by RVT and radical abdominal hysterectomy (RAH) with those of age-matched control women from the general population. Methods Eighteen patients with early stage cervical cancer operated with RVT were prospectively included and assessed preoperatively, and 3, 6, and 12 months postoperatively using validated questionnaires. RAH patients were included consecutively and assessed once at 12 months postsurgery, while an age-matched control group of 30 healthy women was assessed once. Main Outcome Measure Sexual dysfunction total score as measured by the Female Sexual Function Index (FSFI) was the main outcome measure. Results During the 12 months posttreatment, RVT patients tended to have persistent sexual dysfunction as measured by FSFI (mean overall score <26.55 at each assessment) and Female Sexual Distress Scale (mean overall score > 11). Sexual worry (P < 0.001) and lack of sexual desire (P = 0.038) were more frequently reported among patients in both treatment groups compared with control women. Sexual activity increased significantly during the observation time for the RVT group (P = 0.023) and reached that of healthy women. Global Health Status score improved over time for the RVT group but never reached that of healthy control women (P = 0.029). Conclusions Our data suggest that patients treated with RVT for early stage cervical cancer experience persistent sexual dysfunction up to one year post surgery influencing negatively on their QOL.

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Quantity vs. Quality: An Exploration of the Predictors of Posttreatment Sexual Adjustment for Women Affected by Early Stage Cervical and Endometrial Cancer

Cited by 24 publications

References 46 publications

Long-Term Sexual Functioning in Women After Surgical Treatment of Cervical Cancer Stages IA to IB: A Prospective Controlled Study

Long-Term Sexual Functioning in Women After Surgical Treatment of Cervical Cancer Stages IA to IB: A Prospective Controlled Study

Sexual health of endometrial cancer survivors before and after a physical activity intervention: A retrospective cohort analysis

Sexual Functioning and Vaginal Changes after Radical Vaginal Trachelectomy in Early Stage Cervical Cancer Patients: A Longitudinal Study

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