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Abstract
Cancer is a disease that causes mixed and dramatic emotions
in the suffers and their families. The most common sexual problems
after cancer treatment include loss of desire for sex in women or
men, pain with sexual activity in women, erectile dysfunction (ED)
in men. Although difficulty reaching orgasm can occur, it typically
is secondary to lack of desire and pleasure during sexual activity
rather than a primary result of damage to sensory nerves, Cancer
treatments may damage one or more of the physiological systems
needed for a healthy sexual response, including hormonal, vascular,
neurologic, and psychological elements of sexual function.
Treatment also may entail removal or direct damage to parts of the
reproductive organs.In women the autonomic nerves that direct blood flow into
the genital area with sexual arousal may also be affected by pelvic
surgery, but the impact on sexual function is unclear. Wellcontrolled
studies of large populations of women have shown that
benign hysterectomy, including removal of the cervix, does not
impair women’s sexual pleasure or capacity to reach orgasm.After radical hysterectomy alone for cervical cancer, most
sexual problems with pain or difficulty reaching orgasm resolve by
a year after surgery. The only enduring difference between cancer
survivors and matched controls is some loss of desire for sex and
reduced vaginal lubrication, In contrast to men, women who have
radical cystectomy or surgery to remove rectal cancer have similar
sexual function to healthy controls, If pelvic surgery impairs
vaginal expansion and lubrication, it seems that women can
compensate by using estrogen replacement or water-based
lubricants.
After radiation therapy in fields that include the genital area,
women fare more poorly than men. Young women treated with
radiation therapy for cervical cancer are significantly more likely to
have problems with dyspareunia and other aspects of sexual
function than matched controls.
Women treated with both hysterectomy and postoperative
radiation for endometrial cancer has rates of vaginal stenosis as
high as 55%, causing significant sexual problems.
The aim of the present study, therefore, was to identify what
is the sexual dysfunction in patients who had treatment of
gynecological cancer? and awareness of medical staff toward the
References
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sexual dysfunction in patients who had treatment of gynecological
cancer.
To achieve this goal, 200 women were treated for malignant
disease. These women were subjected for assessment by
constructed questionnaire to be answered in two sittings. 1st sitting:
information about sexual cycle, the aim of the study and the
questionnaire. 2nd sitting: to answer the questionnaire.
Lack of communication about sex has been cited by patients as
a major problem. Because so many women with gynecologic
cancer have problems with sex after diagnosis and treatment, it is
important for them to have an opportunity to discuss these potential
problems. For any rational discussion to take place and for
informed consent to treatment that may affect their sexuality,
women have to be given information on which to base their
consent.
This information should be comprehensive, but above all, the
information should be available!
Several studies have highlighted a lack of information on sex
for cancer patients in particular. Lack of information has been cited
as one of the main difficulties women have in dealing with the
effect of the cancer on their sexuality, together with changes infeelings about their femininity and problems in communicating
these emotions to their partner.