Sexual Health Status of Gynecological Cancer Survivors in King Chulalongkorn Memorial Hospital (KCMH)

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Lalita Kositworakitkun
Nipon Khemapech
Shina Oranratanaphan


Objectives: The primary objective was to evaluate sexual health status of gynecological cancer survivors. The secondary objective was to identify the benefits of sexual health counselling in cancer survivors.
Materials and Methods: A prospective study was performed from June 2019 to February 2020. Inclusion criteria were sexually active patients before diagnosis of gynecological cancer, aged 18 years or more and could understand Thai language. Patients who refused to participate or answer the questionnaire or had an active psychiatric disorder were excluded. The questionnaire was created and used as a tool to assess the sexual health status of gynecological cancer survivors. The questionnaire was tested for validity and reliability before use. Questionnaires were given to participants and the participants answered the questionnaire by themselves. Baseline characteristics and details of the questionnaire were collected.
Results: One hundred and five participants were recruited. Mean age was 50.31 ± 10.26 years. Sixty-one patients (58.1%) had anxiousness and sexual health concerns. More than half of the participants never received sexual health information from physicians. Menopausal symptoms occurred in 53% of women. Sixty-two patients (59%) resumed sexual activity after complete treatment with mean duration of 9.23 ± 7.13 months. Factors related to the resumption of sexual activity was pre-menopausal status before treatment.
Conclusion: More than half of gynecological cancer survivors have sexual health concerns and need counselling. Gynecologic oncologists should discuss this aspect with patients to improve the quality of life of the patients.


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1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394-424.
2. Cancer Registration at Hospital Level 2018. Bangkok :: National Cancer Institute; 2019.
3. Faubion SS, MacLaughlin KL, Long ME, Pruthi S, Casey PM. Surveillance and care of the gynecologic cancer survivor. J Womens Health (Larchmt) 2015;24:899-906.
4. Huffman LB, Hartenbach EM, Carter J, Rash JK, Kushner DM. Maintaining sexual health throughout gynecologic cancer survivorship: A comprehensive review and clinical guide. Gynecol Oncol 2016;140:359-68.
5. Research, D.o.R.H.a., in: W.H.Organization(Ed.). Developing Sexual health programmes, WHO Press, Geneva, Switzerland, 2010.
6. Eaton L, Kueck A, Maksut J, Gordon L, Metersky K, Miga A, et al. Sexual health, mental health, and beliefs about cancer treatments among women attending a gynecologic oncology clinic. Sex Med 2017;5:e175-83.
7. Carr SV. Psychosexual health in gynecological cancer. Int J Gynaecol Obstet 2015;131 Suppl 2:S159-63.
8. Cleary V, Hegarty J. Understanding sexuality in women with gynecological cancer. European journal of oncology nursing : the official journal of European Oncology Nursing Society 2011;15:38-45.
9. Tangjitgamol S, Manusirivithaya S, Hanprasertpong J, Kasemsarn P, Soonthornthum T, Leelahakorn S, et al. Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy. Int J Gynecol Cancer 2007;17:1104-12.
10. Stabile C, Goldfarb S, Baser RE, Goldfrank DJ, Abu-Rustum NR, Barakat RR, et al. Sexual health needs and educational intervention preferences for women with cancer. Breast Cancer Res Treat 2017;165:77-84.
11. Dizon DS, Suzin D, McIlvenna S. Sexual health as a survivorship issue for female cancer survivors. Oncologist 2014;19:202-10.
12. Schlumbrecht M, Sun C, Huang M, Milbourne A, Bodurka D. Gynecologic cancer survivor preferences for long-term surveillance. BMC Cancer 2018;18:375.