Sexual dysfunctions among cancer patients

Estapé, Tania; Vila, Jordi; Munoz, Maria; Firvida, J.L.; Viñolas, Núria

doi:10.1016/0959-8049(93)91814-2

Cited by 1 publication

(2 citation statements)

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“…This evolution is connected to late effects of radiation, which tend to appear 6-12 months after the end of treatment and which are often irreversible [10]. Tiredness, anorexia, depression and sleep disorders also tend to persist over long periods of time [6,7].…”

Section: Discussionmentioning

confidence: 99%

“…Physiologic and anatomic changes that result from pelvic irradiation include impaired bowel function, urinary complaints, fatigue, pelvic pain, weight loss, skin erythema, loss of hair in the irradiated area, vaginal fibrosis causing vaginal shortness and loss of elasticity, vaginal dryness with higher risk of infection and dyspareunia, irritation in contact with the ejaculated semen, vaginal bleeding due to fragile vessels, impaired orgasm and impaired sexual arousal due to altered blood flow and denervation, infertility and premature menopause [3,[7][8][9][10]. Simultaneously, women experience symptoms of anxiety and depression, associated with the feeling of loneliness in the treatment room, the immobilisation, the uncomfortable position, the skin markings and the fear of developing skin burns, of becoming radioactive or of having new forms of cancer due to the exposure to radiation [3,6].…”

Section: Introductionmentioning

confidence: 99%

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Impact of pelvic radiotherapy on female sexuality

Rodrigues

Teixeira

et al. 2011

Arch Gynecol Obstet

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Purpose To assess physical and psychological morbidity, sexual functioning and social and relationship satisfaction among women treated with pelvic radiotherapy. Methods Observational (case-control) study of 199 women: 98 submitted to pelvic radiotherapy for the treatment of uterine, rectal or anal cancers and 101 without a personal history of cancer and similar socio-demographic variables. These completed a socio-demographic and Results Women submitted to pelvic irradiation reported a higher rate of adverse physical symptoms in the last month: fatigue 59 versus 25% (p \ 0.001), lack of strength 42 versus 20% (p = 0.001), diarrhoea 24 versus 12% (p = 0.032), vaginal discharge 17 versus 7% (p = 0.024), skin erythema 9 versus 2% (p = 0.026). Levels of depression, anxiety and stress were higher among radiotherapy patients, but only reach statistical significance for the stress parameter (6.1 vs. 4.0, p = 0.012). Also these women reported lower scores of satisfaction with social support (57.2 vs. 62.2, p = 0.005) and sexual function (8.5 vs. 13.5, p = 0.049). No statistically significant differences occurred between the two groups regarding scores of relationship satisfaction (20.8 vs. 19.9, p = n.s.). Conclusions Our results suggested that pelvic radiotherapy had a negative impact on female sexuality. Thus, interventions that would help to reduce this impact need to be designed and integrated into routine clinical practice.

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Section: Discussionmentioning

confidence: 99%