Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy

Authors: TANGJITGAMOL; MANUSIRIVITHAYA1; HANPRASERTPONG2; KASEMSARN3; SOONTHORNTHUM3; LEELAHAKORN1; THAWARAMARA1; LAPCHAROEN1

Source: International Journal of Gynecological Cancer, Volume 17, Number 5, September/October 2007 , pp. 1104-1112(9)

Publisher: Wiley-Blackwell

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Abstract:

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Tangjitgamol S, Manusirivithaya S, Hanprasertpong J, Kasemsarn P, Soonthornthum T, Leelahakorn S, Thawaramara T, Lapcharoen O. Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy. Int J Gynecol Cancer 2007;17:1104-1112.

We determined the prevalence of sexual dysfunction in women with early-stage cervical cancer who had undergone radical hysterectomy in three institutions of Thailand. An interview was conducted according to the structured questionnaire composing of seven domains of sexual function: frequency, desire, arousal, lubrication, orgasm, satisfaction, and dyspareunia. From 105 women included in the study, mean age was 45.3 ± 7.8 years. Seventy-five (71.4%) were in premenopausal period. Eight out of 105 women (7.6%) never resumed their sexual intercourse after radical hysterectomy, 97 women resumed their sexual intercourse during 1-36 months postoperation (median, 4 months). Dyspareunia was increased in approximately 37% of women, while the other six domains of sexual function were decreased, ranging from approximately 40-60%. Of interest, only 10.5% of these cervical cancer women had some information of sexual function from medical or paramedical personnel, 17.1% obtained it from other laymen or public media, and 61.9% had never had it from any resources. Our conclusion is—sexual dysfunction is a common problem after cervical cancer treatment, but it has not been well aware of. These findings may necessitate health care providers to be more considerate on this problem.

Keywords: cervical cancer; radical hysterectomy; sexual dysfunction

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1525-1438.2007.00907.x

Affiliations: 1: Department of Obstetrics and Gynecology, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, Thailand 2: Department of Obstetrics and Gynecology, Songklanakarind Hospital, Songkla, Thailand 3: Department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital, Bangkok, Thailand

Publication date: 2007-09-01

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