Southern California Center for Sexual Health and Survivorship Medicine, Newport Beach, CA 92663, USA.
J Sex Med. 2013 Feb;10 Suppl 1:5-15. doi: 10.1111/jsm.12034.
Sexual health issues for women who have cancer are an important and under-diagnosed and under-treated survivorship issue. Survivorship begins at the time a cancer is detected and addresses health-care issues beyond diagnosis and acute treatment. This includes improving access to care and quality-of-life considerations, as well as dealing with the late effects of treatment. Difficulties with sexual function are one of the more common late effects in women.
This article attempted to characterize the etiology, prevalence, and treatment for sexual health concerns for women with gynecological cancer.
A systematic survey of currently available relevant literature published in English was conducted.
The issue of sexual health for women with cancer is a prevalent medical concern that is rarely addressed in clinical practice. The development of sexual morbidity in the female cancer survivor is a multifactorial problem incorporating psychological, physiologic, and sociological elements. Treatments such as chemotherapy, radiation therapy, surgery, and hormonal manipulation appear to have the greatest influence on the development of sexual consequences. Sexual complaints include but are not limited to changes in sexual desire, arousal, and orgasmic intensity and latency. Many women suffer from debilitating vaginal dryness and painful intercourse.
Many of the sexual health issues experienced by cancer survivors can be addressed in clinical practice. A multimodal treatment paradigm is necessary to effectively treat these sexual complaints in this special patient population.
女性癌症患者的性健康问题是一个重要且未被充分诊断和治疗的生存问题。生存始于癌症被发现的那一刻，并涉及到诊断和急性治疗之外的医疗保健问题。这包括改善获得护理的机会和生活质量方面的考虑，以及处理治疗的后期影响。性功能障碍是女性更常见的晚期影响之一。
本文试图描述妇科癌症女性性健康问题的病因、患病率和治疗方法。
对已发表的英文相关文献进行了系统的综述。
癌症女性的性健康问题是一个普遍存在的医学问题，但在临床实践中很少得到解决。女性癌症幸存者的性功能障碍是一个多因素问题，涉及心理、生理和社会学因素。化疗、放疗、手术和激素治疗等治疗方法似乎对性后果的发展影响最大。性抱怨包括但不限于性欲、唤起和性高潮强度和潜伏期的变化。许多女性患有严重的阴道干燥和性交疼痛。
许多癌症幸存者经历的性健康问题可以在临床实践中得到解决。对于这一特殊患者群体，需要一种多模式治疗方法来有效治疗这些性抱怨。
