Sexual quality of life after the treatment of gynecologic cancer: what women want

J. L. Hubbs, E. L. Dickson Michelson, R. I. Vogel, C. L. Rivard, D. G.K. Teoh, Melissa A. Geller

Research output: Contribution to journalArticle

Abstract

Purpose: While the incidence of sexual dysfunction after treatment for gynecologic malignancies is well documented, few studies describe how patients want healthcare providers to address these concerns. The objective of this study was to evaluate changes in sexual function and describe patient preferences regarding healthcare provider roles in addressing and treating sexual dysfunction in gynecologic cancer survivors. Methods: Patients undergoing gynecologic cancer treatment from 2013 to 2014 at a single University-based Gynecologic Cancer clinic were surveyed using a modified Changes in Sexual Function Questionnaire (CSFQ), along with questions relating to healthcare provider interactions and preferences. Results: Among 277 eligible patients approached to participate, 85 (30.7%) completed the survey. The mean age was 52.2 ± 12.3 years; most were non-Hispanic White (78.8%), partnered (73.2%), had endometrial or ovarian cancer (30.6% and 44.7%, respectively), and were in surveillance (57.3%). Most women (64.7%) reported much or great sexual enjoyment 1 year prior to cancer treatment which decreased to 27.4% currently; 33.3% report only rare sexual activity. There were no statistically significant differences in mean total CSFQ scores by treatment modality. A minority wanted healthcare providers to initiate sexual health discussions (25.3%); the remaining reported not wanting sexual health addressed or preferred raising the issue themselves. The most commonly cited barrier to communication was the feeling that there are more important issues to discuss with their oncology providers (46.2%). Conclusions: While gynecologic cancer patients report changes in sexual function following cancer therapy, many believe there are other issues more paramount to be addressed. Further studies are warranted to develop better strategies for addressing sexual health in women receiving treatment for gynecologic cancers.

Original languageEnglish (US)
Pages (from-to)4649-4654
Number of pages6
JournalSupportive Care in Cancer
Volume27
Issue number12
DOIs
StatePublished - Dec 1 2019

Fingerprint

Quality of Life
Health Personnel
Neoplasms
Reproductive Health
Therapeutics
Communication Barriers
Patient Preference
Endometrial Neoplasms
Sexual Behavior
Ovarian Neoplasms
Survivors
Emotions
Incidence
Surveys and Questionnaires

Keywords

  • Gynecologic cancer
  • Quality of life
  • Sexual dysfunction
  • Sexual health

Cite this

Sexual quality of life after the treatment of gynecologic cancer : what women want. / Hubbs, J. L.; Dickson Michelson, E. L.; Vogel, R. I.; Rivard, C. L.; Teoh, D. G.K.; Geller, Melissa A.

In: Supportive Care in Cancer, Vol. 27, No. 12, 01.12.2019, p. 4649-4654.

Research output: Contribution to journalArticle

@article{328acd08b669445493e85d835b1d38ff,
title = "Sexual quality of life after the treatment of gynecologic cancer: what women want",
abstract = "Purpose: While the incidence of sexual dysfunction after treatment for gynecologic malignancies is well documented, few studies describe how patients want healthcare providers to address these concerns. The objective of this study was to evaluate changes in sexual function and describe patient preferences regarding healthcare provider roles in addressing and treating sexual dysfunction in gynecologic cancer survivors. Methods: Patients undergoing gynecologic cancer treatment from 2013 to 2014 at a single University-based Gynecologic Cancer clinic were surveyed using a modified Changes in Sexual Function Questionnaire (CSFQ), along with questions relating to healthcare provider interactions and preferences. Results: Among 277 eligible patients approached to participate, 85 (30.7{\%}) completed the survey. The mean age was 52.2 ± 12.3 years; most were non-Hispanic White (78.8{\%}), partnered (73.2{\%}), had endometrial or ovarian cancer (30.6{\%} and 44.7{\%}, respectively), and were in surveillance (57.3{\%}). Most women (64.7{\%}) reported much or great sexual enjoyment 1 year prior to cancer treatment which decreased to 27.4{\%} currently; 33.3{\%} report only rare sexual activity. There were no statistically significant differences in mean total CSFQ scores by treatment modality. A minority wanted healthcare providers to initiate sexual health discussions (25.3{\%}); the remaining reported not wanting sexual health addressed or preferred raising the issue themselves. The most commonly cited barrier to communication was the feeling that there are more important issues to discuss with their oncology providers (46.2{\%}). Conclusions: While gynecologic cancer patients report changes in sexual function following cancer therapy, many believe there are other issues more paramount to be addressed. Further studies are warranted to develop better strategies for addressing sexual health in women receiving treatment for gynecologic cancers.",
keywords = "Gynecologic cancer, Quality of life, Sexual dysfunction, Sexual health",
author = "Hubbs, {J. L.} and {Dickson Michelson}, {E. L.} and Vogel, {R. I.} and Rivard, {C. L.} and Teoh, {D. G.K.} and Geller, {Melissa A.}",
year = "2019",
month = "12",
day = "1",
doi = "10.1007/s00520-019-04756-7",
language = "English (US)",
volume = "27",
pages = "4649--4654",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",
number = "12",

}

TY - JOUR

T1 - Sexual quality of life after the treatment of gynecologic cancer

T2 - what women want

AU - Hubbs, J. L.

AU - Dickson Michelson, E. L.

AU - Vogel, R. I.

AU - Rivard, C. L.

AU - Teoh, D. G.K.

AU - Geller, Melissa A.

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Purpose: While the incidence of sexual dysfunction after treatment for gynecologic malignancies is well documented, few studies describe how patients want healthcare providers to address these concerns. The objective of this study was to evaluate changes in sexual function and describe patient preferences regarding healthcare provider roles in addressing and treating sexual dysfunction in gynecologic cancer survivors. Methods: Patients undergoing gynecologic cancer treatment from 2013 to 2014 at a single University-based Gynecologic Cancer clinic were surveyed using a modified Changes in Sexual Function Questionnaire (CSFQ), along with questions relating to healthcare provider interactions and preferences. Results: Among 277 eligible patients approached to participate, 85 (30.7%) completed the survey. The mean age was 52.2 ± 12.3 years; most were non-Hispanic White (78.8%), partnered (73.2%), had endometrial or ovarian cancer (30.6% and 44.7%, respectively), and were in surveillance (57.3%). Most women (64.7%) reported much or great sexual enjoyment 1 year prior to cancer treatment which decreased to 27.4% currently; 33.3% report only rare sexual activity. There were no statistically significant differences in mean total CSFQ scores by treatment modality. A minority wanted healthcare providers to initiate sexual health discussions (25.3%); the remaining reported not wanting sexual health addressed or preferred raising the issue themselves. The most commonly cited barrier to communication was the feeling that there are more important issues to discuss with their oncology providers (46.2%). Conclusions: While gynecologic cancer patients report changes in sexual function following cancer therapy, many believe there are other issues more paramount to be addressed. Further studies are warranted to develop better strategies for addressing sexual health in women receiving treatment for gynecologic cancers.

AB - Purpose: While the incidence of sexual dysfunction after treatment for gynecologic malignancies is well documented, few studies describe how patients want healthcare providers to address these concerns. The objective of this study was to evaluate changes in sexual function and describe patient preferences regarding healthcare provider roles in addressing and treating sexual dysfunction in gynecologic cancer survivors. Methods: Patients undergoing gynecologic cancer treatment from 2013 to 2014 at a single University-based Gynecologic Cancer clinic were surveyed using a modified Changes in Sexual Function Questionnaire (CSFQ), along with questions relating to healthcare provider interactions and preferences. Results: Among 277 eligible patients approached to participate, 85 (30.7%) completed the survey. The mean age was 52.2 ± 12.3 years; most were non-Hispanic White (78.8%), partnered (73.2%), had endometrial or ovarian cancer (30.6% and 44.7%, respectively), and were in surveillance (57.3%). Most women (64.7%) reported much or great sexual enjoyment 1 year prior to cancer treatment which decreased to 27.4% currently; 33.3% report only rare sexual activity. There were no statistically significant differences in mean total CSFQ scores by treatment modality. A minority wanted healthcare providers to initiate sexual health discussions (25.3%); the remaining reported not wanting sexual health addressed or preferred raising the issue themselves. The most commonly cited barrier to communication was the feeling that there are more important issues to discuss with their oncology providers (46.2%). Conclusions: While gynecologic cancer patients report changes in sexual function following cancer therapy, many believe there are other issues more paramount to be addressed. Further studies are warranted to develop better strategies for addressing sexual health in women receiving treatment for gynecologic cancers.

KW - Gynecologic cancer

KW - Quality of life

KW - Sexual dysfunction

KW - Sexual health

UR - http://www.scopus.com/inward/record.url?scp=85064244999&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064244999&partnerID=8YFLogxK

U2 - 10.1007/s00520-019-04756-7

DO - 10.1007/s00520-019-04756-7

M3 - Article

C2 - 30941579

AN - SCOPUS:85064244999

VL - 27

SP - 4649

EP - 4654

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 12

ER -