Dysfonction sexuelle chez 100 femmes tunisiennes atteintes d’un cancer du sein

Ellouz, F.; Marrakchi, Naziha; Raies, H.; Masmoudi, S.; Mézlini, Amel; M’rad, M.F.

doi:10.1016/j.sexol.2017.12.004

Cited by 5 publications

(6 citation statements)

References 21 publications

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“…Our results were comparable to a Tunisian study by Zaied using the RSS scale, conducted on 100 women with breast cancer in Monastir, which found 18% sexual dysfunction, 47% reduction in sexual desire, decreased ability to reach orgasm in 61%, sexual attraction in 25%, frequency of intercourse in 53%, and dyspareunia and vaginal dryness were present in 45% of patients [20]. In the Tunisian study by Ellouz of 100 women followed for breast cancer at the Salah-Azaiez Institute in Tunis, 75% of cases were sexually dysfunctional, an alteration in the sexual relationship and in the couple relationship in 47% and 24.7% respectively in the study population, decreased sexual desire in 56%, decreased sexual arousal in 60%, difficulty reaching orgasm in 59%, lubrication insufficient in 53% and penetration pain in 53% and Fifty-seven percent of patients were dissatisfied with their sexuality [21]. The alteration of sexuality in our study population, where the women were followed over a more or less long period, was less severe than that found in the Ellouz study where the cancer follow-up was for a period of 6 months to 1 year.…”

Section: Impact Of Breast Cancer On Sexualitymentioning

confidence: 88%

“…We did not find any correlation between the professional activity of our patients and their partners and sexual disorders. The majority of studies find no relationship between occupation and sexual problems in breast cancer patients [17,20,21]. An Iranian study of 150 women with genital cancers including 108 women with breast cancer reported that there was a significant correlation between sexual functioning and occupation [29].…”

Section: Professional Activitymentioning

confidence: 99%

“…Similarly, in our patients, menopausal status does not present a predictive factor. Most studies find no correlation between menopausal status and sexual problems in cancer patients [20,21,32].…”

Section: Sexual Disorders and Clinical Factorsmentioning

confidence: 99%

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Study of Sexuality in Women in Complete Release of Non-Metastatic Breast Cancer, About 30 Women

Zoukar,

Daldoul,

Toumi

et al. 2023

J Gynecol Res Rev Rep

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Introduction: Breast cancer is a public health problem because of its frequency and severity. This pathology affects the quality of life of the patient and causes physical, psychological, social and especially sexual sequelae. Materials and Methods: This is a cross-sectional study of 30 patients followed for non-metastatic breast cancer at Monastir Maternity and Neonatal Center. Data collection was conducted using a fact sheet and two internationally validated scales: RSS (Relationship and sexuality) and BESAA (Body-Esteem Scale for Adolescents and Adults). Results: Sexual desire was affected by the disease and its treatments in fourteen patients. The ability to achieve orgasm was reduced in eighteen patients Fourteen patients felt less sexually attractive. Twenty one women reported a decrease in the frequency of sexual intercourse. Four women reported a fear of sex. Dyspareunia and vaginal dryness were present in six women. Women aged 35 to 39 years were significantly more afraid of having sex (p = 0.039) and less sexual frequency (p = 0.003) Hormone therapy was significantly correlated with sexual functioning impairment (p = 0.009) and lower sexual frequency (p = 0.017). Overall, the alteration of the body image was significantly and positively correlated with sexual fear (P = 0.011, r = + 0.46). Altered perception of appearance was significantly and positively correlated with sexual fear (p = 0.008, r = +0.477). The dissatisfaction with weight was significantly and positively correlated with sexual fear (P = 0.011, r = +0.45). Conclusion: Women with breast cancer suffer clear sexual sequelae. These women deserve adequate and collaborative care to ensure a better life.

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Section: Impact Of Breast Cancer On Sexualitymentioning

confidence: 88%

Section: Professional Activitymentioning

confidence: 99%

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Study of Sexuality in Women in Complete Release of Non-Metastatic Breast Cancer, About 30 Women

Zoukar,

Daldoul,

Toumi

et al. 2023

J Gynecol Res Rev Rep

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“…On comparant nos résultats à celles objectivés dans l´étude d´Ellouze, on trouve que dans cette dernière la prévalence de la dysfonction sexuelle peut atteindre 75 % des cas. Une diminution du désir sexuel était notée chez 56 % de femmes, une diminution de l´excitation sexuelle chez 60 % et une difficulté à atteindre l´orgasme chez 59 % [ 11 ]. Ces valeurs sont proches de celles trouvées dans notre étude à l´exception d´une prévalence de dysfonction sexuelle plus élevée dans l´étude d´Ellouze par rapport à notre étude.…”

Section: Discussionunclassified

“…L´altération de la relation de couple a été identifiée par Ellouze et al . en 2018 comme facteur lié à la dysfonction sexuelle chez les femmes atteintes de cancer du sein [ 11 ]. Plus que la moitié de nos patientes (55%) se sentait moins attirantes sexuellement dont 22% souffraient d´une sécheresse vaginale.…”

Section: Discussionunclassified

Evaluation de la sexualité chez des femmes atteintes d’un cancer du sein après traitement: à propos de 100 cas

Smida¹,

Bouchahda²,

Guezguez³

et al. 2021

Pan Afr Med J

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Le cancer du sein est le cancer féminin le plus fréquent. Plusieurs stratégies de traitement sont utilisées : la chimiothérapie, la radiothérapie, la chirurgie et enfin l´hormonothérapie. Chacun de ces traitements est susceptible d´altérer la sexualité des patientes à court ou à long terme. L´objectif de notre étude est d´évaluer la sexualité des femmes atteintes d'un cancer du sein après traitement. Un devis descriptif quantitatif a été réalisé auprès de 100 patientes suivies pour un cancer mammaire non métastasique en activité sexuelle, rencontrées à la consultation de gynécologie de l´hôpital Farhat Hached de Sousse. La collecte des données a été réalisé par une fiche de renseignement et à l´aide de deux échelles validées : RSS (Relation Ship and Sexuality) et BESAA (Body EsteemScale For Adolescents and Adults) afin d´évaluer la sexualité et l´image du corps. La moyenne d´âge était 53,8 ans. Environ la moitié des patientes (48%), avaient une vie sexuelle altérée par la maladie. La fréquence des rapports, le désir sexuel et la capacité d´atteindre l´orgasme a été diminué respectivement chez 65, 45 et 54 patientes. Le score global des 3 dimensions de l´image du corps était de 49,4. Les femmes âgées entre 35 et 39 ans développaient significativement plus de peur du rapport sexuel (p=0,002) et moindre de fréquence sexuelle (p=0,004). Une formation adéquate et accentuée sur la prise en charge des femmes ayant un cancer ainsi que leurs problèmes sexuels et un travail multidisciplinaire permettent d´améliorer l´état psychologique des femmes.

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Determinants of Health-related Quality of Life in Breast Cancer Patients: A Comprehensive Study in Marrakech, Morocco

Belhaj Haddou,

Igarramen,

Khouchani

et al. 2024

TOPHJ

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Introduction The assessment of quality of life (QoL) has become crucial for evaluating treatment effectiveness and prognosis in oncology, especially in the case of breast cancer, where patients are at a high risk of experiencing reduced QoL during active treatment. The objective of this study is to assess health-related quality of life and examine the socio-economic and clinical factors influencing it in breast cancer patients in the city of Marrakech, Morocco. Methods The study was conducted on 220 breast cancer patients at the Marrakech University Hospital in Morocco. Quality of life was evaluated using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and the specific Breast Cancer questionnaire (EORTC-QLQ-BR23). Descriptive statistics, correlation analysis between socio-economic and clinical factors with QoL subscales, and linear regression were performed to analyze the data. Results The results indicated that the mean score for overall health was 60.4%. Social functioning had the highest score (85.8%), while emotional functioning had the lowest (70.4%). Among the symptom scales, the most concerning were fatigue, loss of appetite, pain, and financial difficulties. For QLQ-BR-23, the future perspective was the most affected domain (25.30%), as well as body image (13.79%). Symptom scale scores ranged from 20.4% to 61.6%, with the most concerning symptom being systemic treatment of side effects. The results showed that age (p= 0.011, β= -0.142), disease duration (p = 0.000, β= 0.624), and monthly income (p = 0.000, Β= 0.233) significantly influenced quality of life. Body image was significantly associated with marital status (p= 0.049, β= -0.140) and type of surgery (p = 0.031, β= -0.149). Sexual pleasure was correlated with marital status (p = 0.037, β= 0.191) and radiotherapy treatment (p = 0.021, β= -0.223). Conclusion The study revealed that patients have concerns related to financial difficulties while coping with symptoms associated with their illness. Age, disease duration, and monthly income were found to be the factors influencing the quality of life. Furthermore, body image was affected, as was emotional well-being, emphasizing the importance of addressing psychological aspects in their care by healthcare professionals.

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Dysfonction sexuelle chez 100 femmes tunisiennes atteintes d’un cancer du sein

Cited by 5 publications

References 21 publications

Study of Sexuality in Women in Complete Release of Non-Metastatic Breast Cancer, About 30 Women

Study of Sexuality in Women in Complete Release of Non-Metastatic Breast Cancer, About 30 Women

Evaluation de la sexualité chez des femmes atteintes d’un cancer du sein après traitement: à propos de 100 cas

Determinants of Health-related Quality of Life in Breast Cancer Patients: A Comprehensive Study in Marrakech, Morocco

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