Sexual dysfunction in female cancer survivors: A narrative review

Valpey, Robin; Kucherer, Shelly; Nguyen, Julia K.

doi:10.1016/j.genhosppsych.2019.04.003

Cited by 19 publications

(15 citation statements)

References 70 publications

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“…As a result of gynecological cancer treatment, sexual health and relationships are particularly challenged [ 6 , 8 , 50 , 51 , 52 ]. This issue was reported as an unmet need by the users in current follow-up trajectories.…”

Section: Discussionmentioning

confidence: 99%

Development of a Framework and the Content for a Psychoeducational Internet-Delivered Intervention for Women after Treatment for Gynecological Cancer

et al. 2021

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The number of women treated for gynecological cancer is increasing. At the same time, the duration of in-patient hospitalization has decreased, and follow-up with its primary focus on early recognition of recurrence does not meet all patients’ needs. One method of follow-up may be digital intervention. This study describes the development of a psychoeducational Internet-delivered intervention targeting women’s psychosocial needs during the follow-up period after treatment for gynecological cancer. The project consisted of three phases following the UK Medical Research Council Framework guidelines for the development of complex interventions. Phase one identified the evidence in the field, phase two identified the relevant theoretical framework, and phase three included a two-year work process including focus group interviews and think aloud interviews with users. Through the steps of literature review, theoretical framework, and an iterative development process with users and other stakeholders, a six-week program was developed. The program included psychoeducational information, multimedia, exercises, and weekly telephone follow-up with a dedicated nurse. This Internet-delivered intervention can be a novel method for addressing the gap in the provision of follow-up for women after treatment for gynecological cancer.

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Section: Discussionmentioning

confidence: 99%

Development of a Framework and the Content for a Psychoeducational Internet-Delivered Intervention for Women after Treatment for Gynecological Cancer

et al. 2021

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“…There is a great lack of assessment of sexual function during medical monitoring after treatment. Few providers often ask patients about sexual concerns and patients don’t really raised the topic [ 26 ]. Women with gynecologic cancers also pointed worries and lack of information to worsen sexual impairment [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer

Kamga

Bengrine-Lefèvre

Quipourt

et al. 2021

Health Qual Life Outcomes

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Background With the growing number of older endometrial cancer (EC) and ovarian cancer (OC) survivors, data on long-term health-related quality of life (HRQoL) became an important issue in the management of older patients. So, the aim of this study was to describe and compare according to age long-term HRQoL, sexual function, and social deprivation of adults with either EC or OC. Methods A cross-sectional study was set up using data from the Côte d’Or gynecological cancer registry. A series of questionnaires assessing HRQoL (SF-12), sexual function (FSFI), anxiety/depression (HADS), social support (SSQ6) and deprivation (EPICES) were offered to women with EC or OC diagnosed between 2006 and 2013. HRQoL, sexual function, anxiety/depression, social support and deprivation scores were generated and compared according to age (< 70 years and ≥ 70 years). Results A total of 145 women with EC (N = 103) and OC (N = 42) participated in this study. Fifty-six percent and 38% of EC and OC survivors respectively were aged 70 and over. Treatment did not differ according to age either in OC or EC. The deprivation level did not differ between older and younger survivors with OC while older survivors with EC were more precarious. The physical HRQoL was more altered in older EC survivors. This deterioration concerned only physical functioning (MD = 24, p = 0.012) for OC survivors while it concerned physical functioning (MD = 30, p < 0.0001), role physical (MD = 22, p = 0.001) and bodily pain (MD = 21, p = 0.001) for EC survivors. Global health (MD = 11, p = 0.011) and role emotional (MD = 12, p = 0.018) were also deteriorated in elderly EC survivors. Sexual function was deteriorated regardless of age and cancer location with a more pronounced deterioration in elderly EC survivors for desire (p = 0.005), arousal (p = 0.015) and orgasm (p = 0.007). Social support, anxiety and depression were not affected by age regardless of location. Conclusion An average 6 years after diagnosis, the impact of cancer on HRQoL is greatest in elderly survivors with either EC or OC.

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“…The surgical treatment of early stage cervical cancer can include cervical conisation, trachelectomy, simple hysterectomy or radical hysterectomy with pelvic lymphadenectomy carried out by minimally invasive or open surgery. Radical hysterectomy can lead not only to a high level of physical complaints, but also to negative sexual health and psychosexual effects [3]. The physical effects of radical surgery are adhesion formation, vaginal shortening and fibrosis, which can cause dyspareunia and sexual dissatisfaction [4].…”

Section: Cervical Cancermentioning

confidence: 99%

“…Pain following surgery can also have a significant impact on sexual function. Surgical damage to nerves in the pelvic region leads to decreased genital sensitivity and delayed or absent orgasm [3]. Based on evidence from one small retrospective series, minimally invasive surgery may limit sexual dysfunction through preservation of the posterior branches of the hypogastric nerve, which is implicated in arousal and orgasm [7].…”

Section: Cervical Cancermentioning

confidence: 99%