Sexual Activity and Function in Patients With Gynecological Malignancies After Completed Treatment

Grimm, Donata; Hasenburg, Annette; Eulenburg, Christine; Steinsiek, Lisa; Mayer, Sebastian; Eltrop, Stephanie; Prieske, Katharina; Trillsch, Fabian; Mahner, Sven; Woelber, Linn

doi:10.1097/igc.0000000000000468

Cited by 23 publications

(22 citation statements)

References 37 publications

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“…These effects of cancer treatment may have contributed to our participants’ sexual dysfunction. Indeed, more than half of our participants (55.8%) were not sexually active after completing treatment, similar to the finding that only 41.3% of German women were sexually active after completing treatment for gynaecological cancer compared to 78% of healthy women in the control group (Grimm et al., ).…”

Section: Discussionsupporting

confidence: 89%

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Associations among menopausal symptoms, sleep and fatigue in Taiwanese women with endometrial cancer

Tsai

Chang

et al. 2016

Eur J Cancer Care

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The purpose of this study was to explore the relationships among menopausal symptoms, sleep quality and fatigue in women with endometrial cancer. Participants were 95 women (mean age = 57.44 ± 10.15 years) diagnosed with endometrial cancer and who had completed their treatment before data collection. Each woman completed three structured questionnaires: the Functional Assessment of Cancer Therapy-Endocrine Symptoms (endocrine symptom subscale), the Pittsburgh Sleep Quality Index and the Functional Assessment of Chronic Illness Therapy-Fatigue. Participants' worst menopausal symptom was sexual pain. In addition, menopausal symptoms were worse in women with surgical menopause than with natural menopause. The majority of women had poor sleep quality (55%), and women with fatigue reported worse sleep quality and menopausal symptoms than those without fatigue. However, higher fatigue was significantly related to shorter time since diagnosis. Together, three variables (time since diagnosis, menopausal symptoms and sleep quality) explained 39% of the variance in fatigue, with menopausal symptoms being the strongest predictor. Healthcare providers can assess menopausal symptoms and sleep quality during and after treatment of women with endometrial cancer. Such assessments would allow timely interventions to alleviate fatigue and menopausal symptoms in this population, thus improving their quality of life.

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Section: Discussionsupporting

confidence: 89%

“…were not sexually active after completing treatment, similar to the finding that only 41.3% of German women were sexually active after completing treatment for gynaecological cancer compared to 78% of healthy women in the control group (Grimm et al, 2015).…”

Section: Discussionsupporting

confidence: 79%

Associations among menopausal symptoms, sleep and fatigue in Taiwanese women with endometrial cancer

Tsai

Chang

et al. 2016

Eur J Cancer Care

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“…8 In the present study, we noted a sexual inactivity rate of 55.9% among patients with EC but do not have any information for comparison, and the most common reason for a lack of intercourse was a ''psychological problem'' (30.8%). Zeng et al 22 reported a high sexual inactivity rate of 70.5% after they investigated 156 Chinese women with gynecological cancer.…”

Section: Discussioncontrasting

confidence: 61%

Sexual Function and Quality of Life Among Patients With Endometrial Cancer After Surgery

Gao

Xiao

Bai

et al. 2017

International Journal of Gynecological Cancer

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“…Similarly, a majority of studies limits participation to a restricted age range; as a result, little is known of sexual dysfunction in women over the age of 60 (Bae & Park, 2016;Bennett et al, 2016;Farthmann et al, 2016;Stead et al, 2003). A more robust understanding of the impacts of sexual dysfunction on the lives of single, non-partnered cancer patients and survivors is also needed, as this population has received relatively little focus within the literature to date (Donovan et al, 2007;Grimm et al, 2015;Philip et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Sexual wellbeing is affected by cancer and its treatments through a variety of interacting biopsychosocial pathways (Bae & Park, 2016;Boquiren et al, 2016;Carpenter, Andersen, Fowler, & Maxwell, 2009;Cull et al, 1993;Grimm et al, 2015). In women treated for diverse cancer diagnoses, issues related to sexual desire, arousal, orgasm, lubrication and pain often interfere with sexual function and are accompanied by significant distress (Denlinger et al, 2014;Falk & Dizon, 2013;Stead et al, 2007).…”

Section: Impacts Of Cancer and Its Treatment On Sexual Wellbeingmentioning

confidence: 99%

A comprehensive review of sexual health concerns after cancer treatment and the biopsychosocial treatment options available to female patients

2017

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The repercussions of cancer diagnosis and treatment profoundly impact the sexual wellbeing of women prior to, during, and following cancer treatment. Sexual health concerns are often under-addressed within clinical and research settings, and information tends to be limited to women with breast or gynecological cancers. In this narrative literature review, the authors critically evaluate research published between 1990 and 2016, pertaining to sexual health concerns of women diagnosed with cancer, of any type or stage, and to the psychosocial and biomedical interventions that currently exist for the treatment of sexual health-related side-effects (e.g. vaginal dryness, dyspareunia and vulvo-vaginal atrophy). The findings of 109 published articles are discussed and summarised according to four central themes: how cancer affects female sexual wellbeing; physical impacts of cancer diagnosis and treatment; emotional impacts of cancer diagnosis and treatment; and interventions for sexual dysfunction. Suggestions to enhance research and clinical practice in relation to the sexual health concerns of women following cancer treatments are also presented. Concerns pertaining to women's sexual health are diverse, multiple, and pervade all types and stages of cancer. Several evidence-based psychosocial and biomedical interventions exist to help women manage physical and psychosocial ramifications of cancer diagnosis and treatment.

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Sexual Activity and Function in Patients With Gynecological Malignancies After Completed Treatment

Abstract: A high number of patients with GC remain sexually inactive after treatment, indicating that women experience persistent functional problems. However, women who regain SA after completed treatment have a good overall SF and vice versa.

Cited by 23 publications

References 37 publications

Associations among menopausal symptoms, sleep and fatigue in Taiwanese women with endometrial cancer

Associations among menopausal symptoms, sleep and fatigue in Taiwanese women with endometrial cancer

Sexual Function and Quality of Life Among Patients With Endometrial Cancer After Surgery

A comprehensive review of sexual health concerns after cancer treatment and the biopsychosocial treatment options available to female patients

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