Perioperative sexual interest in women with suspected gynecologic malignancies

C E Bretschneider, C. Emi Bretschneider, Jeannette T. Bensen, Elizabeth J. Geller, Paola A. Gehrig, Jennifer M. Wu, Kemi M. Doll
Gynecologic Oncology · 2017 · vol. 146(1) , pp. 109–113 · doi:10.1016/j.ygyno.2017.04.001 · PMID:28410756 · W2607024815
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Younger women and those diagnosed with cancer experienced a greater decrease in sexual interest one month after gynecologic surgery compared to older women and those with benign disease.

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Abstract

OBJECTIVES: For women with gynecologic cancer, the impact of surgery on sexual interest and desire in the immediate and later postoperative period is not well characterized. The objective of this study was to report the perioperative trends of changing sexual interest and desire in a cohort of women undergoing surgery for suspected gynecologic malignancies. METHODS: This is an ancillary analysis of a cohort study analyzing health-related outcomes in women who underwent primary surgical management of a suspected gynecologic malignancy between 10/2013 and 10/2014. Subjects completed the Patient-Reported Outcomes Measurement Information System Sexual Function and Satisfaction Questionnaire (PROMIS-SFQ) preoperatively and questions on sexual interest and desire at one, three, and six months postoperatively. Bivariate tests and multiple linear regression were used to analyze data. RESULTS: Of 231 women who completed a baseline PROMIS-SFQ, 187 (81%) completed one-month, 170 (74%) three-month, and 174 (75%) six-month follow-up interviews. Following surgery, 71% of enrolled subjects were diagnosed with a malignancy. Women age 55 (-5.5±1.0 vs -2.3±0.9, p=0.02). In a multivariable analysis, age <55 remained associated with a larger decrease in sexual interest at one month postoperatively (-4.6, 95% CI: -1.8, -7.4), as did having cancer vs benign disease for women of all ages (-5.6, 95% CI: -9.6, -1.5). CONCLUSIONS: This study provides new data regarding the timing and magnitude of changes in sexual interest following gynecologic oncology procedures.

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MeSH descriptors

Genital Neoplasms, Female Genital Neoplasms, Female Sexual Behavior Sexuality Adult Aged Aged, 80 and over Cohort Studies Counseling Counseling Female Genital Neoplasms, Female Genital Neoplasms, Female Humans Middle Aged Perioperative Period Perioperative Period Quality of Life Sexual Behavior Sexual Behavior

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