Shankar Abhishek, Prasad Neelam, Roy Shubham, Chakraborty Abhijit, Biswas Aalekhya Sharma, Patil Jaineet, Rath Goura Kishor
Department of Preventive Oncology, Dr B.R.Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Delhi, India. Email:
Asian Pac J Cancer Prev. 2017 May 1;18(5):1177-1182. doi: 10.22034/APJCP.2017.18.5.1177.
Cancer besides being a leading cause of mortality also creates a myriad of morbidities in survivors whether treated or untreated. Among women surviving after gynecological malignancies sexual dysfunction is a morbidity unexplored in Indian context because of cultural barriers. With the increasing proportion of women surviving carcinoma of the cervix, quality of life has become an important clinical issue. Despite the immense distress it causes in patients, sexual dysfunction is neither screened nor treated in Indian scenario. Despite this recognition, the area is not well researched and there is a paucity of information on the impact of cancer treatment on sexual health in Indian Context. Research has shown that up to 50% of women treated for cervix cancers have sexual dysfunction as they recover and become cancer survivors. This article aims to review the phases of sexual response and how each may be affected by the physical and emotional stress of cancer diagnosis and treatment. We will then discuss existing tools for assessment of sexual function and approaches to their treatment. Finally, we will conclude with advice to health care professionals based on current research and suggest questions for future study.
癌症不仅是主要的死亡原因，还会给幸存者带来无数的疾病，无论他们是否接受过治疗。在妇科恶性肿瘤幸存者中，由于文化障碍，性功能障碍在印度是一个未被探索的疾病。随着宫颈癌存活女性比例的增加，生活质量已成为一个重要的临床问题。尽管性功能障碍给患者带来了巨大痛苦，但在印度的情况下，它既没有得到筛查也没有得到治疗。尽管有这种认识，但该领域的研究并不充分，在印度背景下，关于癌症治疗对性健康影响的信息也很匮乏。研究表明，高达50%接受宫颈癌治疗的女性在康复并成为癌症幸存者后会出现性功能障碍。本文旨在回顾性反应的各个阶段，以及每个阶段如何受到癌症诊断和治疗的身体和情感压力的影响。然后，我们将讨论现有的性功能评估工具及其治疗方法。最后，我们将根据当前研究为医疗保健专业人员提供建议，并提出未来研究的问题。
