Beck A, Nikorovicz F
Onkologie. 1980 Feb;3(1):26-30. doi: 10.1159/000214740.
75 sexual active women with invasive cervical carcinoma up to 55 years of age were treated by radical hysterectomy, part of them also with postoperative irradiation. Of primary interest were interviews with those 57 women (87,7%) whose marital relationship was not disturbed in the postoperative phase. No harmony in the partnership was found in 7,7%, manifestation occurred within 1 year after treatment. The causes were in many cases of psychosomatic nature. Reduced libido was found in 60,8%, 62,0% had their first sexual relationship within 3 months after treatment. No orgasm was reported before operation by 7,6%, by 23% after operation. 57,7% had sexual climax always or mostly after treatment. Reduced orgasm was rare in those women, whose partnership was not disturbed. Frequency of cohabitations was reduced. 11,5% reported preoperative painful coitus, 50,8% postoperative. The interviews of women by means of standardized questionnaires should become a routine measure within the rehabilitation and postoperative control program of gynecologic cancer patients. The establishment of self-help groups is recommended in order to control also the psychosocial components of the disease.
75名年龄在55岁及以下患有浸润性宫颈癌的性活跃女性接受了根治性子宫切除术治疗，其中部分患者术后还接受了放疗。主要关注的是对57名女性（87.7%）的访谈，她们在术后阶段婚姻关系未受影响。7.7%的患者伴侣关系不和谐，这种情况在治疗后1年内出现。其原因在很多情况下具有心身性质。60.8%的患者出现性欲减退，62.0%的患者在治疗后3个月内恢复了首次性关系。术前7.6%的患者未报告有性高潮，术后这一比例为23%。57.7%的患者在治疗后总是或大多能达到性高潮。性高潮减退在那些伴侣关系未受影响的女性中很少见。同居频率降低。11.5%的患者术前报告性交疼痛，术后这一比例为50.8%。通过标准化问卷对女性进行访谈应成为妇科癌症患者康复和术后控制项目中的常规措施。建议成立自助小组，以便也能控制该疾病的社会心理因素。
