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Evaluation of Sexual Dysfunction and Affecting Factors in Turkish Women with Gynecological Cancer

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Abstract

This study was performed to determine the prevalence of sexual dysfunction (SD) and affecting factors in women with gynecological cancer, in a cross-sectional, descriptive and qualitative design. The study was held during the period between May 1st and June 30th 2013, in women diagnosed with gynecological cancer and the sample size consisted of 230 patients. The collection of data employed Patient Information Forms, Index of Female Sexual Function (IFSF) and In-Depth Interview Forms. In-Depth interviews were conducted with 20 women with SD. The data were evaluated by Mann–Whitney U, Kruskall-Walls, Multiple Regression and Content Analysis techniques. The average IFSF score of women diagnosed with gynecological cancer was revealed to be 20.36 ± 10.32, and SD was observed in 80 % of these women. According to the collected data, more cases of SD were observed in women who are 50 years of age or older, with low levels of education (primary school), unemployed, married through arrangement, married for more than 30 years, diagnosed with endometrial cancer, and underwent surgical operations (p < 0.05). At the end of the interviews conducted with these women, it was concluded that body image, sexual role, sexual functions and reproductivity, representing the four major dimensions of sexual health associated with diagnosis and treatment process were adversely affected at a great extent. SD is a common problem in patients with gynecological cancer. In this respect, it is of utmost importance for health professionals to adopt a holistic approach towards the sexual problems of women and initiate multidisciplinary attempts for their solution.

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References

  1. Keskin, G., Gumus, A.B.: Turkish hysterectomy and mastectomy patients-depression, body image, sexual problems and spouse relationships. Asian Pac. J. Cancer Prev. 12, 425–432 (2011)

    PubMed  Google Scholar 

  2. Gilbert, E., Ussher, J.M., Perz, J.: Sexuality after gynaecological cancer: a view of the material, intrapsychic, and discursive aspects of treatment on women’s sexual-well being. Maturitas 70, 42–57 (2011)

    Article  PubMed  Google Scholar 

  3. American Cancer Society Cancer.: Facts & figures. http://www.cancer.org (2008). Accessed 1 June 2014

  4. Turkish Statistical Institute.: Turkey in statistics. file:///C:/Users/Asus/Downloads/1639538495874106148.pdf (2013). Accessed 19 Feb 2015

  5. Republic of Turkey, Ministry of Health, Public Health Agency of Turkey, Department of Cancer.: Cancer statistics of Turkey. http://kanser.gov.tr/Dosya/ca_istatistik/2009kanseraporu.pdf (2014). Accessed 19 Feb 2015

  6. Bruner, D.W., Boyd, C.P.: Assessing women’s sexuality after cancer therapy: checking assumptions with the focus group technique. Cancer Nurs. 22, 438–447 (1999)

    Article  PubMed  Google Scholar 

  7. Ratner, E.S., Foran, K.A., Schwartz, P.E., Minkin, M.J.: Sexuality and intimacy after gynecological cancer. Maturitas 66, 23–26 (2010)

    Article  PubMed  Google Scholar 

  8. Cleary, V., Hegarty, J.: Understanding sexuality in women with gynaecological cancer. Eur. J. Oncol. Nurs. 15, 38–45 (2011)

    Article  PubMed  Google Scholar 

  9. Pinar, G., Okdem, S., Buyukgonenc, L., Ayhan, A.: The relationship between social support and the level of anxiety, depression, and quality of life of Turkish women with gynecologic cancer. Cancer Nurs. 35, 229–235 (2012)

    Article  PubMed  Google Scholar 

  10. Kaplan, S.A., Reis, R.B., Kohn, I.J., Ikeguchi, E.F., Laor, E., Te, A.E., Martins, A.C.: Safety and efficacy of sildenafil in postmenopausal women with sexual dysfunction. Urology 53, 481–486 (1999)

    Article  PubMed  Google Scholar 

  11. Yilmaz, C.A., Eryilmaz, H.Y.: Validity/reliability study of female sexual function index (IFSF). Androl. Bull. 18, 275–276 (2004)

    Google Scholar 

  12. World Health Organization.: Developing sexual health programmes. http://whqlibdoc.who.int/hq/2010/WHO_RHR_HRP_10.22_eng.pdf (2010). Accessed July 2014

  13. Lutgendorf, S.K., Anderson, B., Sorosky, J.I., Buller, R.E., Lubaroff, D.M.: Interleukin-6 anduse of social support in gynaecologic cancer patients. Inter. J. Behav. Med. 7, 127–142 (2000)

    Article  Google Scholar 

  14. Corney, R.H., Crowther, M.E., Everett, H., Howells, A., Shepherd, J.H.: Psychosexual dysfunction in women with gynaecological cancer following radical pelvic surgery. Br. J. Obstet. Gynaecol. 100, 73–78 (1993)

    Article  PubMed  Google Scholar 

  15. Bourgeois-Law, G., Lotocki, R.: Sexuality and gynaecological cancer: a needs assessment. Can. J. Hum. Sex. 8, 231–240 (1999)

    Google Scholar 

  16. Oskay, U.Y., Beji, N.K., Demirgoz, M.B., Yilmaz, S.D.: Evaluation of sexual function in patients with gynecologic cancer and evidence-based nursing interventions. Sex. Disabil. 29, 33–41 (2011)

    Article  Google Scholar 

  17. Bukovic, D., Silovski, H., Silovski, T., Hojsak, I., Sakic, K., Hrgovic, Z.: Sexual functioning and body image of patients treated for ovarian cancer. Sex. Disabil. 26, 63–73 (2008)

    Article  Google Scholar 

  18. Taylor, B., Davis, S.: Using the extended PLISSIT model to address sexual healthcare needs. Nurs. Stand. 21, 35–40 (2006)

    Article  PubMed  Google Scholar 

  19. Sexual Education Treatment and Research Association.: Research on sexual and reproductive health. Publications of Sexual Education Treatment And Research Association. http://www.cetad.org.tr/books.aspx?list=10 (2006). Accessed 1 Sept 2014

  20. Demirezen, E., Erdogan, S., Onem, K.: Evaluation sexual function of women who admitted to the primary health center under the age of 40 years. Androl. Bull. 25, 177–180 (2006)

    Google Scholar 

  21. Oksuz, E., Malhan, S.: Prevalence and risk factors for female sexual dysfunction in Turkish women. J. Urol. 175, 654–658 (2006)

    Article  PubMed  Google Scholar 

  22. Pinar, G., Ayhan, A., Pinar, T.: Emotions of gynecologic cancer patients dealing with permanent colostomy: a qualitative interview study. J. Cancer. Ther. 4, 1060–1067 (2013)

    Article  Google Scholar 

  23. Ghielmetti, T., Kuhn, P., Dreher, E.F., Kuhn, A.: Gynaecological operations: do they improve sexual life? Eur. J. Obstet. Gynecol. Reprod. Biol. 129, 104–110 (2006)

    Article  PubMed  Google Scholar 

  24. Pinar, G.: Nursing approaches to sexual dysfunction and sexual counseling-related issues in patients receiving cancer treatment. Gulhane. Med. J. 52, 241–247 (2010)

    Google Scholar 

  25. Henson, H.K.: Breast cancer and sexuality. Sex. Disabil. 20, 261–275 (2002)

    Article  Google Scholar 

  26. Hacettepe University Institute of Population Studies.: Demographic and health survey for Turkey. http://www.hips.hacettepe.edu.tr/eng/tdhs08/TDHS-2008_Main_Report.pdf (2008). Accessed 19 Feb 2015

  27. Reis, N., Beji, K.N., Coskun, A.: Quality of life and sexual functioning in gynecological cancer patients: results from quantitative and qualitaty data. Eur. J. Oncol. Nurs. 14, 137–146 (2010)

    Article  PubMed  Google Scholar 

  28. Katz, A.: The sound of silence: sexuality information for cancer patiens. J. Clin. Oncol. 23, 238–241 (2005)

    Article  PubMed  Google Scholar 

  29. Bal, M.D., Yilmaz, S.D., Beji, N.K.: Sexual health in patients with gynecological cancer: a qualitative study. Sex. Disabil. l31, 83–92 (2013)

    Article  Google Scholar 

  30. Sekse, R.J., Raaheim, M., Blaaka, G., Gjengedal, E.: Life beyond cancer: women’s experiences 5 years after treatment for gynaecological cancer. Scand. J. Caring Sci. 24, 799–807 (2010)

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Nursing, Faculty of Health Sciences, Yildirim Beyazit University, Ankara, Turkey

    Gul Pinar, Sena Kaplan, Ayse Akalin, Halime Abay, Ali Ayhan & Yavuz Ayhan

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  1. Gul Pinar
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  2. Sena Kaplan
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  3. Ayse Akalin
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  4. Halime Abay
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  5. Ali Ayhan
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  6. Yavuz Ayhan
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Correspondence to Gul Pinar.

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Pinar, G., Kaplan, S., Akalin, A. et al. Evaluation of Sexual Dysfunction and Affecting Factors in Turkish Women with Gynecological Cancer. Sex Disabil 34, 49–62 (2016). https://doi.org/10.1007/s11195-015-9411-y

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