Lara Lucia Alves Silva, de Andrade Jurandyr Moreira, Consolo Flavio Donaire, Romão Adriana Peterson Mariano Salata
Department of Gynecology, Faculty of Medicine of Ribeirão Preto in São Paulo, Brazil.
Clin J Oncol Nurs. 2012 Jun 1;16(3):273-7. doi: 10.1188/12.CJON.273-277.
Gynecologic cancer treatment can lead to anatomical changes in the genitalia that may impair sexual response. As a result, the authors aimed to assess women's self-perceptions of their sex lives following gynecologic cancer treatment and the impact of such treatment on sexual function. Thirty sexually active women were examined. At the first meeting with a physician sex therapist, women were asked about their satisfaction with their sexual activities prior to and after gynecologic cancer treatment, either with a partner or alone, and how many times per month they had sexual intercourse prior to the cancer diagnosis and after treatment. Women reported significantly worse sex lives and a significantly lower frequency of sexual relations following cancer treatment. All participants reported pain on vaginal penetration and feeling uncomfortable in discussing their sexual difficulties with the oncologist. The findings show that women experienced impaired sexual function, as well as poorer quality of sexual function, following gynecologic cancer treatment. Nurses should provide basic guidelines about sexual function to all patients who undergo treatment for gynecologic cancer.
妇科癌症治疗可能导致生殖器的解剖结构改变,进而可能损害性反应。因此,作者旨在评估妇科癌症治疗后女性对其性生活的自我认知,以及这种治疗对性功能的影响。对30名性活跃的女性进行了检查。在与医生性治疗师的首次会面中,女性被问及她们在妇科癌症治疗前后对自己与伴侣或独自进行的性活动的满意度,以及在癌症诊断前和治疗后每月进行性交的次数。女性报告称,癌症治疗后性生活明显变差,性关系频率显著降低。所有参与者均报告阴道插入时疼痛,并且在与肿瘤学家讨论性困难时感到不适。研究结果表明,妇科癌症治疗后女性性功能受损,性功能质量也较差。护士应为所有接受妇科癌症治疗的患者提供有关性功能的基本指导方针。