Cancer, Benign Gynecology, and Sexual Function—Issues and Answers

Bennett, Nelson; Incrocci, Luca; Baldwin, David S.; Hackett, Geoffrey; El-Zawahry, Ahmed; Graziottin, Alessandra; Łukasiewicz, Monika; McVary, Kevin T.; Sato, Yoshikazu; Krychman, Michael

doi:10.1016/j.jsxm.2016.01.018

Cited by 13 publications

(10 citation statements)

References 159 publications

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“…Further investigation is needed to expand empirically based understandings of sexual dysfunction into more diverse patient populations (Bennett et al, 2016;Brotto et al, 2010;Farthmann et al, 2016;Stead et al, 2003). For example, very little research exists which examines cancer-related sexual dysfunction in non-heterosexual women (Brotto et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…For example, very little research exists which examines cancer-related sexual dysfunction in non-heterosexual women (Brotto et al, 2010). 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%

“…In particular, pelvic RT is associated with vaginal stenosis, vaginal shortening, bowel and bladder incontinence, vasocongestion, fatigue, lymphedema and loss of genital sensitivity (Bennett et al, 2016;Bergmark, Avall-Lundqvist, Dickman, Henningsohn, & Steineck, 2002;Bober et al, 2016;DeSimone et al, 2014). In particular, pelvic RT is associated with vaginal stenosis, vaginal shortening, bowel and bladder incontinence, vasocongestion, fatigue, lymphedema and loss of genital sensitivity (Bennett et al, 2016;Bergmark, Avall-Lundqvist, Dickman, Henningsohn, & Steineck, 2002;Bober et al, 2016;DeSimone et al, 2014).…”

Section: Effects Of Radiation Therapy On Sexual Wellbeingmentioning

confidence: 99%

“…Fear, embarrassment and guilt pertaining to a partner's potential (or actual) response to women's physical and sexual changes also fuels sexual dysfunction during and following cancer treatment (Vermeer et al, 2016). Single women report fearing dating and rejection by a new partner (Bennett et al, 2016). Dyspareunia, bowel incontinence, lymphedema and reduced orgasm frequency are also key contributors to distress (Bergmark et al, 2002).…”

Section: Emotional Impacts Of Cancer and Treatment On Sexual Well-bmentioning

confidence: 99%

“…Radiation therapy (RT) is associated with fatigue and disruptions to body image. In particular, pelvic RT is associated with vaginal stenosis, vaginal shortening, bowel and bladder incontinence, vasocongestion, fatigue, lymphedema and loss of genital sensitivity (Bennett et al, 2016;Bergmark, Avall-Lundqvist, Dickman, Henningsohn, & Steineck, 2002;Bober et al, 2016;DeSimone et al, 2014). Women who undergo RT for anal cancer report frequent and distressing physical side effects of treatment (e.g.…”

Section: Effects Of Radiation Therapy On Sexual Wellbeingmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Effects Of Radiation Therapy On Sexual Wellbeingmentioning

confidence: 99%

Section: Emotional Impacts Of Cancer and Treatment On Sexual Well-bmentioning

confidence: 99%

Section: Effects Of Radiation Therapy On Sexual Wellbeingmentioning

confidence: 99%

See 3 more Smart Citations

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

2017

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Reliability of ultrasound imaging of pelvic floor morphology and function among females who have undergone pelvic radiotherapy

Bernard

Frenette

McLean

et al. 2021

Neurourology and Urodynamics

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Aims: To investigate the intra-and inter-rater reliability of two-dimensional (2D) transperineal ultrasound imaging (USI) measures of bladder wall thickness (BWT), urethral length (UL), and parameters related to levator plate length (LP) and transient changes in LP during pelvic floor muscle (PFM) contraction, and on Valsalva in women who received radiation therapy (RT) for treatment of pelvic cancer. Methods: Twenty women with a history of RT for the treatment of pelvic cancer were assessed independently by two raters on the same day. Five outcomes were assessed for reliability: BWT, UL, and LP at rest (LP-R), during a maximal voluntary contraction of the PFMs (LP-MVC), and during a maximal-effort Valsalva maneuver (LP-MVM). Reliability was determined using intra-class correlation coefficients (ICC) and Bland-Altman analyses.

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