Review Article: Sexuality and Risk-Reducing Salpingo-oophorectomy

Tucker, Paige E.; Cohen, Paul A.

doi:10.1097/igc.0000000000000943

Cited by 12 publications

(9 citation statements)

References 74 publications

(108 reference statements)

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“…Vaginal dryness and the decrease of libido were the most frequently complained post-surgical symptoms among our women, in line with the literature [7,9,17,31]. The hypoestrogenic condition, particularly in premenopausal women, is responsible for these symptoms and is associated with a deterioration in women’s perceived body image, quality of life and sexual health, eventually leading to emotional and psychological disorders and a loss of intimacy with the partner [17,31]. Finch et al [22] reported a significant decline in sexual functioning and a worsening in vasomotor symptoms in 75 premenopausal women submitted to RRSO.…”

Section: Discussionsupporting

confidence: 91%

Concerns and Expectations of Risk-Reducing Surgery in Women with Hereditary Breast and Ovarian Cancer Syndrome

Modaffari

Ponzone

Ferrari

et al. 2019

JCM

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Hereditary Breast and Ovarian Cancer syndrome (HBOC) carriers face complex decisions, which might affect their fertility and body image. Using an anonymous 40-items questionnaire we evaluated the expectations and concerns about Risk-Reducing Surgery (RRS) in 204 carriers. Participants are well-informed about the options to manage cancer risk, and women with previous cancer are more concerned with screening failure. Satisfaction with RR Mastectomy is high, even if many carriers are unsatisfied with reconstructed breast feel and nipple-areola complex tactile sensation and those with previous breast cancer report a change in their sexual habits. The decrease of libido and vaginal dryness are the most complained symptoms after RR Salpingo-Oophorectomy. Nevertheless, most carriers would choose RRS again, due to cancer risk or screening-related stress reduction. Women who deferred RRS are more afraid of menopausal symptoms and cancer risk than those who had undergone or declined surgery. Women who declined RRS feel well-informed and trust screening procedures. In conclusion, HBOC carriers consider themselves well-informed and able to choose the best option for their condition, would choose RRS again because of cancer risk and screening-related stress reduction, and those who delay RRS face a higher preoperative level of concern and need support.

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Section: Discussionsupporting

confidence: 91%

Concerns and Expectations of Risk-Reducing Surgery in Women with Hereditary Breast and Ovarian Cancer Syndrome

Modaffari

Ponzone

Ferrari

et al. 2019

JCM

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“…The authors claim that salpingo-oophorectomy can significantly impact on a woman's sexual well-being. In their study, the most frequently reported symptoms were vaginal dryness and reduced libido [39].…”

Section: Discussionmentioning

confidence: 93%

“…Moreover, subjects were divided according to education, as follows: primary (0), gymnasium (14), vocational (39), secondary (42), higher (41). Among the surveyed patients, 71 gave birth 1-2 times, 44 patients 3 or more times, and 21 patients were nulliparous (Table 1).…”

Section: Characteristics Of the Questioned Groupmentioning

confidence: 99%

Sexuality of Women after Gynecological Surgeries

et al. 2020

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(1) Background: Disorders of sexual life negatively impact self-esteem and social relationships. This problem affects patients after gynecological surgery. Providing access to specialist sexologist care constitutes an important aspect of support for this patient group. (2) Objective: The aim of the study was to assess the sexual life of women depending on the time since surgery, extent of gynecological surgery and postoperative chemotherapy and/or radiotherapy. (3) Methods: The study included 136 patients from gynecological outpatient clinics in Szczecin, Poland. The women answered questions from a special three-part questionnaire. Participation was anonymous and voluntary. The data obtained in the survey were subject to statistical analysis. (4) Results: Among patients with a sparing of the cervix, most have never or almost never experienced discomfort or pain during intercourse, and believe that the quality of their sex life has not deteriorated after surgery. It was found that cervical removal, despite the existence of other conditions, increases the chance of pain during sexual activity 11 times. We found that the removal of adnexa did not increase the risk of changing sexual activity. In patients who had not undergone postoperative chemo- and/or radiotherapy, sexual activity did not change after surgery, and they never or almost never experienced discomfort or pain during intercourse. On the other hand, it was shown, despite the smaller study group, that patients treated with postoperative chemo- and/or radiotherapy did not initiate sexual intercourse. (5) Conclusion: The more extended the gynecological surgery of the uterus, the greater the limitation of sexual life.

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“…However, Aziz et al 30 claim that THBO positively affects psychological and sexual wellbeing in women experiencing menopause. This difference is justified by the population studied, since the negative influence on sexual life may be smaller in patients who have undergone surgery after menopause 23,31 . Besides, hypoestrogenism associated with nerve damage during hysterectomy decrease vaginal lubrication, and reduced lubrication plus the vaginal canal reduction by cervix removal cause pain during intercourse 32,33 .…”

Section: Discussionmentioning

confidence: 99%

Função sexual e incontinência urinária por esforço em mulheres submetidas à histerectomia total com ooforectomia bilateral

et al. 2020

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RESUMO O objetivo deste artigo é avaliar o índice de função sexual de mulheres submetidas à histerectomia total com ooforectomia bilateral (HT-OB), a prevalência de incontinência urinária por esforço (IUE) e sua associação com a realização desse procedimento cirúrgico em um hospital de referência em Belém (PA). Foram incluídas 162 mulheres, com vida sexual ativa, alocadas em dois grupos: aquelas que realizaram HT-OB em período superior a 12 meses (n=68), e aquelas que não realizaram (n=94). Utilizou-se o questionário female sexual function index (FSFI) para avaliação da função sexual, e um questionário desenvolvido pelos pesquisadores para coletar dados sociais, econômicos e clínicos, incluindo informações quanto à presença de IUE. O valor de significância foi definido como p<0,05. Houve diferença significativa no índice de função sexual entre o grupo HT-OB e o grupo-controle, com escore geral do FSFI de 23,56 e 28,68, respectivamente (p=0,0001). Os domínios desejo, excitação, lubrificação (p<0,0001), orgasmo (p=0,04), satisfação (p=0,0006) e dor (p=0,015) apresentaram escores inferiores em mulheres histerectomizadas. A prevalência de sintomas de IUE no grupo HT-OB foi de 35,3%, sendo observada associação significativa entre a presença desses sintomas e a realização da histerectomia (p=0,02). Mulheres que realizam HT-OB têm maior risco de disfunção sexual, e este procedimento cirúrgico é associado ao desenvolvimento de IUE.

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Review Article: Sexuality and Risk-Reducing Salpingo-oophorectomy

Cited by 12 publications

References 74 publications

Concerns and Expectations of Risk-Reducing Surgery in Women with Hereditary Breast and Ovarian Cancer Syndrome

Concerns and Expectations of Risk-Reducing Surgery in Women with Hereditary Breast and Ovarian Cancer Syndrome

Sexuality of Women after Gynecological Surgeries

Função sexual e incontinência urinária por esforço em mulheres submetidas à histerectomia total com ooforectomia bilateral

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