Sexual adjustment following early stage cervical and endometrial cancer: prospective controlled multi‐centre study

Juraskova, Ilona; Butow, Phyllis; Bonner, Carissa; Robertson, Rosalind; Sharpe, Louise

doi:10.1002/pon.2066

Cited by 29 publications

(35 citation statements)

References 40 publications

(87 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent prospective study found that patients with early-stage endometrial (and cervical) cancer experienced major physical changes such as vaginal stenosis and diminished sexual activity. 19 However, these physical changes did not result in poorer sexual satisfaction or desire, 19 supporting earlier qualitative findings indicating that posttreatment sexual satisfaction is associated with intimacy rather than intercourse. 20 However, a recent crosssectional study using a validated sexual function measure indicated that 89% of endometrial cancer survivors (stages I-IIIA) had sexual dysfunction.…”

mentioning

confidence: 52%

Sexual Function of Patients With Endometrial Cancer Enrolled in the Gynecologic Oncology Group LAP2 Study

Carter¹,

Huang

Chase

et al. 2012

International Journal of Gynecological Cancer

View full text Add to dashboard Cite

Objectives To present responses to sexual function items contained within the quality of life (QOL) survey of the Gynecologic Oncology Group (GOG) LAP2 study, to investigate associations between sexual function and other factors such as relationship quality and body image), and to explore patterns of response in endometrial cancer patients. Methods Participants enrolled on the LAP2 QOL study arm completed a self-report QOL survey, which contained sexual function items, before surgery, and at 1, 3, 6-weeks and 6-months post surgery. Responses to sexual function questions were classified into three patterns—responder, intermittent responder and non-responder—based on whether the sexual function items were answered when the QOL survey was completed. Results Of 752 patients who completed the QOL survey, 225 completed the sexual function items within the QOL survey, 224 responded intermittently, and 303 did not respond at all. No significant differences of sexual function were found between the patients randomized to laparoscopy compared to laparotomy. Among those who responded completely or intermittently, sexual function scores declined after surgery and recovered to pre-surgery levels at 6 months. Sexual function was positively associated with better quality of relationship (P<0.001), body image (P<0.001), and QOL (P<0.001), and negatively associated with fear of sex (P<0.001). Conclusion Our findings suggest that younger patients, those who were married, and those who had quality relationships were more likely to answer the sexual function items and have better quality of sexual function. Factors such as age, relationship quality, body image, and pain may place women with endometrial cancer at risk for sexual difficulties in the immediate recovery period; however, sexual function improved by 6-months postoperatively in our cohort of early-stage endometrial cancer patients.

show abstract

mentioning

confidence: 52%

Sexual Function of Patients With Endometrial Cancer Enrolled in the Gynecologic Oncology Group LAP2 Study

Carter¹,

Huang

Chase

et al. 2012

International Journal of Gynecological Cancer

View full text Add to dashboard Cite

show abstract

“…According to some authors, patient quality of life (QoL) remains unchanged in spite of the onerous therapy [16–18]. For example, in a study conducted by Jaruskowa [19], no differences were observed in sexual functioning of patients undergoing treatment for cervical and endometrial cancer in comparison to mild gynecological lesions and cancer patients before surgery. A study by Rowlands et al .…”

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

View full text Add to dashboard Cite

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.

show abstract

“…The impact of surgery for early endometrial cancer seems to be low and outcomes regarding sexual function are similar to those seen after hysterectomy for benign reasons [ 84 ].…”

Section: Arguments In Favor Of Routine Screening For Sexual Dysfunctimentioning

confidence: 87%

Should Every Woman with Gynecologic Cancer Undergo Routine Screening for Psychological Distress and Sexual Dysfunction?

Miller

2013

Controversies in the Management of Gynecological Cancers

View full text Add to dashboard Cite

Sexual adjustment following early stage cervical and endometrial cancer: prospective controlled multi‐centre study

Abstract: The current findings suggest that early stage cervical and endometrial cancer patients fare as well as benign and pre-invasive cancer groups in terms of sexual adjustment over the 6 months post-treatment.

Cited by 29 publications

References 40 publications

Sexual Function of Patients With Endometrial Cancer Enrolled in the Gynecologic Oncology Group LAP2 Study

Sexual Function of Patients With Endometrial Cancer Enrolled in the Gynecologic Oncology Group LAP2 Study

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

Should Every Woman with Gynecologic Cancer Undergo Routine Screening for Psychological Distress and Sexual Dysfunction?

Contact Info

Product

Resources

About