Stead Maxine L, Fallowfield Lesley, Selby Peter, Brown Julia M
UK Clinical Research Network Coordinating Centre, Arthington House, Hospital Lane, Leeds LS16 6QB, UK.
Best Pract Res Clin Obstet Gynaecol. 2007 Apr;21(2):309-20. doi: 10.1016/j.bpobgyn.2006.11.008. Epub 2006 Dec 27.
A diagnosis of gynaecological cancer and its treatment are usually associated with many physical and psychological changes, both as a result of the diagnosis itself and of the usual treatments of surgery, radiotherapy and/or several months of chemotherapy. Patients often experience symptoms such as fatigue, abdominal swelling and pain, and suffer from emotional distress and disturbances of their life style. Sexual functioning can also be affected. Often there are physiological difficulties, such as vaginal dryness, together with psychological distress and relationship problems. This chapter discusses the ways in which gynaecological cancer can impact sexual functioning, and presents findings from a research project that was undertaken to begin to understand how sexual functioning can be affected by ovarian cancer. The article also makes recommendations for how health-care professionals can help women to cope better with psychosexual dysfunction following a diagnosis of a gynaecological cancer.
妇科癌症的诊断及其治疗通常会引发许多生理和心理变化，这既是诊断本身所致，也是手术、放疗和/或数月化疗等常规治疗的结果。患者常出现疲劳、腹部肿胀和疼痛等症状，并遭受情绪困扰和生活方式紊乱之苦。性功能也可能受到影响。通常存在生理困难，如阴道干涩，同时伴有心理困扰和人际关系问题。本章讨论妇科癌症影响性功能的方式，并呈现一项研究项目的结果，该项目旨在初步了解卵巢癌如何影响性功能。本文还就医疗保健专业人员如何帮助女性更好地应对妇科癌症诊断后的性心理功能障碍提出了建议。
