Sexual and psychosocial experiences of women with advanced-stage cervical cancer at Tikur Anbessa Hospital

Abstract

Background Cervical cancer and related treatments can result in multiple side effects that can impact sexual function. There are also psychological sequelae such as anxiety, guilt, and depression. To effectively anticipate, comprehend, and address the issues faced by cancer patients, it is crucial to conduct research on psychosocial and sexual concerns. Therefore, this study aimed to understand the sexual and psychosocial experiences of women with advanced-stage cancer. Methods and Materials: A qualitative phenomenological study was performed at the Tikur Anbessa Specialized Hospital Oncology Center. A total of 23 women with advanced-stage cervical cancer were selected. In-depth interviews were conducted using an interview guide. The recorded data were transcribed using verbatim approach and then translated into English. The transcribed data were then imported into the qualitative data analysis software package MAXQDA for coding and categorization. Results Several codes arose from the synthesis of the women's transcribed interviews, and these codes were subsequently grouped into three themes and subthemes. The most commonly reported sexual problems were pain during sexual intercourse, bleeding or spotting after sexual intercourse, foul smelling vaginal discharge, and diminished sexual desire. Women reported that it can be challenging for them to start these conversations with providers and that medical providers do not always provide them with information on sexual issues. Most women highlighted how important their partners' psychosocial assistance was to them during difficult times. Conclusion Women experienced numerous sexual problems after the onset of cancer symptoms and after undergoing cancer treatment. Patients with cancer will benefit from psychosocial support from their partners, families, and doctors to feel hopeful again.