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Impact of pelvic radiotherapy on female sexuality

dc.contributor.authorRodrigues, AC
dc.contributor.authorTeixeira, R
dc.contributor.authorTeixeira, T
dc.contributor.authorConde, S
dc.contributor.authorSoares, P
dc.contributor.authorTorgal, I
dc.date.accessioned2011-11-03T14:55:09Z
dc.date.available2011-11-03T14:55:09Z
dc.date.issued2011
dc.description.abstractPURPOSE: To assess physical and psychological morbidity, sexual functioning and social and relationship satisfaction among women treated with pelvic radiotherapy. METHODS: Observational (case-control) study of 199 women: 98 submitted to pelvic radiotherapy for the treatment of uterine, rectal or anal cancers and 101 without a personal history of cancer and similar socio-demographic variables. These completed a socio-demographic and clinical questionnaire, and validated measures of psychological health (DASS: Lovibond and Lovibond in Behav Res Ther 33:353-343, 1995), sexual function (FSFI: Rosen et al. in J Sex Marital Ther 26:191-208, 2007), social support (ESSS: Ribeiro in Analise Psicologica 3:547-558, 1999) and relationship satisfaction (IMS: Hudson in The WALMYR assessment scales scoring manual 1992). RESULTS: Women submitted to pelvic irradiation reported a higher rate of adverse physical symptoms in the last month: fatigue 59 versus 25% (p < 0.001), lack of strength 42 versus 20% (p = 0.001), diarrhoea 24 versus 12% (p = 0.032), vaginal discharge 17 versus 7% (p = 0.024), skin erythema 9 versus 2% (p = 0.026). Levels of depression, anxiety and stress were higher among radiotherapy patients, but only reach statistical significance for the stress parameter (6.1 vs. 4.0, p = 0.012). Also these women reported lower scores of satisfaction with social support (57.2 vs. 62.2, p = 0.005) and sexual function (8.5 vs. 13.5, p = 0.049). No statistically significant differences occurred between the two groups regarding scores of relationship satisfaction (20.8 vs. 19.9, p = n.s.). CONCLUSIONS: Our results suggested that pelvic radiotherapy had a negative impact on female sexuality. Thus, interventions that would help to reduce this impact need to be designed and integrated into routine clinical practice.por
dc.identifier.citationArch Gynecol Obstet. 2011 Jul 17. [Epub ahead of print]por
dc.identifier.urihttp://hdl.handle.net/10400.4/1103
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSpringerpor
dc.subjectDisfunção Sexual Fisiológicapor
dc.subjectRadioterapiapor
dc.subjectSexualidadepor
dc.subjectNeoplasias Genitais Femininaspor
dc.titleImpact of pelvic radiotherapy on female sexualitypor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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