Sheppard Caren, Whiteley Rose
Specialist Nurse Psychotherapist in Oncology and Palliative Care at St Luke's Hospice and the Porterbrook Clinic, Sheffield, UK.
J Br Menopause Soc. 2006 Mar;12(1):24-7. doi: 10.1258/136218006775997216.
Sexual difficulties commonly arise following a diagnosis of cancer, sometimes as a consequence of treatment, but may persist long after the cancer has successfully been treated. Sexual function is sensitive to the effects of trauma, both physical and emotional, and this is particularly the case for patients whose cancer affects their genitals. Gynaecological cancer frequently affects a woman's body image and often to some degree evokes a fear of dying; together, these two factors are likely to have a profound effect on sexual functioning. A couple's sexual relationship is also likely to be adversely affected in a number of ways, for example if a change occurs in its dynamic from partners/lovers to 'patient and carer'.
癌症确诊后常出现性功能障碍，有时是治疗的结果，但在癌症成功治疗后仍可能长期存在。性功能对身体和情感创伤的影响很敏感，对于癌症影响生殖器的患者来说尤其如此。妇科癌症经常影响女性的身体形象，并在一定程度上常常引发对死亡的恐惧；这两个因素加在一起，很可能对性功能产生深远影响。伴侣的性关系也可能在许多方面受到不利影响，例如，如果其关系动态从伴侣/爱人转变为“患者与照顾者”。
