P1237 Attitudes towards sexual counselling of patients with gynaecological malignancies – preliminary results of the survey examining ENYGO members perspective

Kacperczyk‐Bartnik, Joanna; Nowosielski, Krzysztof; Lindquist, David; Lanner, Maximilian; Nikolova, Tanja; Vlachos, Dimitrios‐Efthymios; Selçuk, İlker; Pletnev, Andrei; Zalewski, Kamil

doi:10.1136/ijgc-2019-esgo.254

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“…Although 9–90% of women after treatment remain sexually active, the frequency of sexual problems in this population is high: dyspareunia or pain – 40–100%, vaginal dryness – 60–87%, loss of libido or low arousal – 25–61%, and low/lack of orgasm – up to 45% [ 6 , 7 , 16 ]. Most studied revealed that, compared with healthy women, those patients have greater problems with loss of desire and poorer sexual function scores, report abrupt shifts in self-identity due to loss of physical integrity, distancing in intimate relationships, changes in perceiving oneself as a sexual being, loss of sexual interest, and difficulties in mutual communication with a partner [ 2 , 8 – 13 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Couples’ sexual health after gynaecological cancer diagnosis – an unexplored area for further research

Nowosielski¹,

Pałka²

2023

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Introduction The aim of the study was to assess the sexual inhibitory tone, body image, self-concept, and sexual performance in couples after gynaecological cancer treatment, and to identify areas for further prospective studies. Material and methods Thirty gynaecological cancer survivors with a heterosexual partner were assessed during a semi-structural sexual interview. Sexual excitation/sexual inhibition scales were used to evaluate proneness to sexual stimuli, whereas a body exposure during sexual activity questionnaire was used to assess body avoidance during sex. Self-concept in cancer survivors was evaluated by a sexual self-scheme scale. The differences in sexual needs, satisfaction, and sexual activity were comped between women and their partners. Results In survivors and their partners the sexual inhibitory tone was higher than the excitatory tone – 3.91 and 2.45 vs. 2.97 and 2.31, respectively. Most women were schematic-positive and co-schematic – 46.7% and 40.0%, respectively. The decrease in importance of sex was higher in women compared to their partners (D change –0.88 and –0.22, respectively). The frequency of satisfying sex decreased after treatment in women but increased in their partners – D change: –1.04 and +2.94, respectively. Satisfaction with sexual life and quality of relationship improved or did not change after cancer diagnosis in women. None of the sexual response elements were changed by the cancer diagnosis in partners. Conclusions In cancer survivors with a sexual partner, both people should be carefully counselled because there are some important differences in perception of sexual needs within the couple. Avoiding body exposure during sex and differences in proneness to sexual stimuli should be explored in further studies.

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Section: Introductionmentioning

confidence: 99%

Couples’ sexual health after gynaecological cancer diagnosis – an unexplored area for further research

Nowosielski¹,

Pałka²

2023

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P1237 Attitudes towards sexual counselling of patients with gynaecological malignancies – preliminary results of the survey examining ENYGO members perspective

Cited by 1 publication

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Couples’ sexual health after gynaecological cancer diagnosis – an unexplored area for further research

Couples’ sexual health after gynaecological cancer diagnosis – an unexplored area for further research

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