الفهرس | Only 14 pages are availabe for public view |
Abstract Cancer is a disease that causes mixed and dramatic emotions in the suffers and their families. The most common sexual problems after cancer treatment include loss of desire for sex in women or men, pain with sexual activity in women, erectile dysfunction (ED) in men. Although difficulty reaching orgasm can occur, it typically is secondary to lack of desire and pleasure during sexual activity rather than a primary result of damage to sensory nerves, Cancer treatments may damage one or more of the physiological systems needed for a healthy sexual response, including hormonal, vascular, neurologic, and psychological elements of sexual function. Treatment also may entail removal or direct damage to parts of the reproductive organs.In women the autonomic nerves that direct blood flow into the genital area with sexual arousal may also be affected by pelvic surgery, but the impact on sexual function is unclear. Wellcontrolled studies of large populations of women have shown that benign hysterectomy, including removal of the cervix, does not impair women’s sexual pleasure or capacity to reach orgasm.After radical hysterectomy alone for cervical cancer, most sexual problems with pain or difficulty reaching orgasm resolve by a year after surgery. The only enduring difference between cancer survivors and matched controls is some loss of desire for sex and reduced vaginal lubrication, In contrast to men, women who have radical cystectomy or surgery to remove rectal cancer have similar sexual function to healthy controls, If pelvic surgery impairs vaginal expansion and lubrication, it seems that women can compensate by using estrogen replacement or water-based lubricants. After radiation therapy in fields that include the genital area, women fare more poorly than men. Young women treated with radiation therapy for cervical cancer are significantly more likely to have problems with dyspareunia and other aspects of sexual function than matched controls. Women treated with both hysterectomy and postoperative radiation for endometrial cancer has rates of vaginal stenosis as high as 55%, causing significant sexual problems. The aim of the present study, therefore, was to identify what is the sexual dysfunction in patients who had treatment of gynecological cancer? and awareness of medical staff toward the References 101 sexual dysfunction in patients who had treatment of gynecological cancer. To achieve this goal, 200 women were treated for malignant disease. These women were subjected for assessment by constructed questionnaire to be answered in two sittings. 1st sitting: information about sexual cycle, the aim of the study and the questionnaire. 2nd sitting: to answer the questionnaire. Lack of communication about sex has been cited by patients as a major problem. Because so many women with gynecologic cancer have problems with sex after diagnosis and treatment, it is important for them to have an opportunity to discuss these potential problems. For any rational discussion to take place and for informed consent to treatment that may affect their sexuality, women have to be given information on which to base their consent. This information should be comprehensive, but above all, the information should be available! Several studies have highlighted a lack of information on sex for cancer patients in particular. Lack of information has been cited as one of the main difficulties women have in dealing with the effect of the cancer on their sexuality, together with changes infeelings about their femininity and problems in communicating these emotions to their partner. |