跳至主要内容

Sexual Satisfaction Is Reduced in the Female Patient and Sexually Intimate Partners Following Cancer Therapy

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50333#.VDdA11fHRK0

As cancer survival has continued to improve, cancer patients and their sexually intimate partner (SIP) are confronted with a number of issues including sexual function and overall sexual health. Our study objective was to assess changes in sexual function in women undergoing cancer treatment and their SIP, and attempt to identify areas of needed support and improvement. In this questionnaire-based observational study, females (n = 11) completed a Female Sexual Function Index (FSFI) and for SIP’s (n = 11), a Brief Sexual Function Inventory (BSFI). Level of satisfaction prior to and within 3 months following treatment with surgery, chemotherapy and/or radiation was compared. Mean pre-and post-treatment total (30.7 ± 2.7 vs. 23.2 ± 3.7, p < 0.001) and individual FSFI domains were significantly different for desire (4.2 ± 0.6 vs. 2.6 ± 0.6, p < 0.001), arousal (4.9 ± 0.4 vs. 3.5 ± 0.7, p = 0.001), lubrication (5.5 ± 0.4 vs. 4.5 ± 0.8, p = 0.006), orgasm (5.0 ± 0.6 vs. 3.8 ± 0.7, p = 0.001), satisfaction (5.3 ± 0.6 vs. 3.5 ± 0.9, p < 0.001), though no differences were noted with dyspareunia. For SIP’s, BSFI domain scores for level of satisfaction were significantly lower following partner treatment of SIPs (3.5 ± 5.2 vs. 2.5 ± 5.2, p = 0.004). Overall, female sexual dysfunction was identified in 9% of patients prior to cancer treatment and 91% (n = 11, p < 0.001) following treatment. In conclusion, cancer treatment significantly affects sexual function in female cancer patients and their SIPs. While long term effects on sexual dysfunction are still unclear, short-term health care strategies including treatment, counseling, and appropriate referral for cancer patients and their SIPs should not be overlooked.
Cite this paper
Martinez, A. , Sroga, J. , Ressler, I. , Ayensu-Coker, L. , Thomas, M. and Lindheim, S. (2014) Sexual Satisfaction Is Reduced in the Female Patient and Sexually Intimate Partners Following Cancer Therapy. Advances in Sexual Medicine, 4, 65-70. doi: 10.4236/asm.2014.44010. 
 

[1] Figueroa-Moseley, C., et al. (2007) Behavioral Interventions in Treating Anticipatory Nausea and Vomiting. Journal of the National Comprehensive Cancer Network, 5, 44-50.
[2] de Moor, J.S., et al. (2013) Cancer Survivors in the United States: Prevalence across the Survivorship Trajectory and Implications for Care. Cancer Epidemiology, Biomarkers Prevention, 22, 561-570.
http://dx.doi.org/10.1158/1055-9965.EPI-12-1356
[3] Stead, M.L., et al. (2007) Psychosexual Function and Impact of Gynaecological Cancer. Best Practice Research Clinical Obstetrics Gynaecology, 21, 309-320.
http://dx.doi.org/10.1016/j.bpobgyn.2006.11.008
[4] Carelle, N., et al. (2002) Changing Patient Perceptions of the Side Effects of Cancer Chemotherapy. Cancer, 95, 155-163.
http://dx.doi.org/10.1002/cncr.10630
[5] Gilbert, E., Ussher, J.M. and Perz, J. (2010) Sexuality after Breast Cancer: A Review. Maturitas, 66, 397-407.
http://dx.doi.org/10.1016/j.maturitas.2010.03.027
[6] Archibald, S., Lemieux, S., Byers, E.S., Tamlyn, K. and Worth, J. (2006) Chemically-Induced Menopause and the Sexual Functioning of Breast Cancer Survivors. Women and Therapy, 29, 83-106.
http://dx.doi.org/10.1300/J015v29n01_05
[7] Ganz, P.A., et al. (1998) Life after Breast Cancer: Understanding Women’s Health-Related Quality of Life and Sexual Functioning. Journal of Clinical Oncology, 16, 501-514.
[8] Barni, S. and Mondin, R. (1997) Sexual Dysfunction in Treated Breast Cancer Patients. Annals of Oncology, 8, 149- 153.
http://dx.doi.org/10.1023/A:1008298615272
[9] Hautamaki, K., et al. (2007) Opening Communication with Cancer Patients about Sexuality-Related Issues. Cancer Nursing, 30, 399-404.
http://dx.doi.org/10.1097/01.NCC.0000290808.84076.97
[10] Rosen, R., et al. (2000) The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrument for the Assessment of Female Sexual Function. Journal of Sex Marital Therapy, 26, 191-208.
http://dx.doi.org/10.1080/009262300278597
[11] O’Leary, M.P., Fowler, F.J., Lenderking, W.R., Barber, B., Sagnier, P.P., Guess, H.A., et al. (1995) A Brief Male Sexual Function Inventory for Urology. Urology, 46, 697-706.
http://dx.doi.org/10.1016/S0090-4295(99)80304-5
[12] Rosen, R.C. (1996) Brief Male Sexual Function Inventory for Urology. Urology, 47, 782-783.
http://dx.doi.org/10.1016/S0090-4295(96)00075-1
[13] Jemal, A., Thun, M.J., Ries, L.A.G., Howe, H.L., Weir, H.K., Center, M.M., et al. (2008) Annual Report to the Nation on the Status of Cancer, 1975-2005, Featuring Trends in Lung Cancer, Tobacco Use, and Tobacco Control. Journal of the National Cancer Institute, 100, 1672-1694.
http://dx.doi.org/10.1093/jnci/djn389
[14] Lee, S.J., Schover, L.R., Partridge, A.H., Patrizio, P., Wallace, W.H., Hagerty, K., et al. (2006) American Society of Clinical Oncology Recommendations on Fertility Preservation in Cancer Patients. Journal of Clinical Oncology, 24, 2917-2931.
http://dx.doi.org/10.1200/JCO.2006.06.5888
[15] Schover, L.R., Rybicki, L.A., Martin, B.A. and Bringelsen, K.A. (1999) Having Children after Cancer. A Pilot Survey of Survivors’ Attitudes and Experiences. Cancer, 86, 697-709.
[16] Skinner, R., Wallace, W.H. and Levitt, G.A. (2006) Long-Term Follow-Up of People Who Have Survived Cancer during Childhood. The Lancet Oncology, 7, 489-498.
http://dx.doi.org/10.1016/S1470-2045(06)70724-0
[17] The Ethics Committee of the American Society for Reproductive Medicine (2005) Fertility Preservation and Reproduction in Cancer Patients. Fertility and Sterility, 83, 1622-1628.
http://dx.doi.org/10.1016/j.fertnstert.2005.03.013
[18] Shimozuma, K., Ganz, P.A., Petersen, L. and Hirji, K. (1999) Quality of Life in the First Year after Breast Cancer Surgery: Rehabilitation Needs and Patterns of Recovery. Breast Cancer Research and Treatment, 56, 45-57.
http://dx.doi.org/10.1023/A:1006214830854
[19] Baker, F., Denniston, M., Smith, T. and West, M.M. (2005) Adult Cancer Survivors: How Are They Faring? Cancer, 104, 2565-2576.
http://dx.doi.org/10.1002/cncr.21488
[20] Ganz, P.A., Desmond, K.A., Belin, T.R., Meyerowitz, B.E. and Rowland, J.H. (1999) Predictors of Sexual Health in Women after a Breast Cancer Diagnosis. Journal of Clinical Oncology, 17, 2371-2380.                eww141010lx
标签：

评论

发表评论

此博客中的热门博文

Electron Spin and Proton Spin in the Hydrogen and Hydrogen-Like Atomic Systems

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52202#.VIj7tMnQrzE Author(s) Stanisław Olszewski * Affiliation(s) Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, Poland . ABSTRACT The mechanical angular momentum and magnetic moment of the electron and proton spin have been calculated semiclassically with the aid of the uncertainty principle for energy and time. The spin effects of both kinds of the elementary particles can be expressed in terms of similar formulae. The quantization of the spin motion has been done on the basis of the old quantum theory. It gives a quantum number n = 1/2 as the index of the spin state acceptable for both the electron and proton ...
发表评论
阅读全文

A Study on the Seismic Isolation Systems of Bridges with Lead Rubber Bearings

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52566#.VJt06cCAM4 Author(s)   Woo-Suk Kim , Dong-Joon Ahn , Jong-Kook Lee Affiliation(s) School of Architecture, Kumoh National Institute of Technology, Gumi, Republic of Korea . ABSTRACT This study consists of the development and presentation of example of seismic isolation system analysis and design for a continuous, 3-span, cast-in-place concrete box girder bridge. It is expected that example is developed for all Lead-Rubber Bearing (LRB) seismic isolation system on piers and abutments which placed in between super-structure and sub-structure. Design forces, displacements, and drifts are given distinctive consideration in...
发表评论
阅读全文

Effects of Karate Training on Basic Motor Abilities of Primary School Children

“You never attack first in karate” might be the best conclusion of karate, which is a martial art practiced typically without weapons. It’s reported that karate has a long history for several hundred years, but the modern karate was spread to the whole Japan from Okinawa in the early part of 20th century. Now it has become one of the most widely practiced martial art forms in the world. Usually, it’s divided into Kihon, Kata and Kumite. As for the beginners, Kihon is more suitable for them because it involves basic techniques. Due to karate consists of dynamic offensive and defensive techniques using all parts of the body to their maximum advantage, the best understanding of true karate practice is the perfection of oneself through the perfection of the art. It not only develops coordination, quickens reflexes, and builds stamina, but also develops composure, a clearer thought process, deeper insight into one’s mental capabilities, and more self-confidence. So many researchers stu...
发表评论
阅读全文