子宮頚癌放射線治療後の性生活の変化

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  • CHANGES OF SEXUAL ACTIVITY IN PATIENTS WITH UTERINE CERVICAL CARCINOMA TREATED WITH RADIATION THERAPY

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Purpose: A change of sexuality in patients with uterine cervical carcinoma treated with radiation was investigated.<BR>Materials and methods: The data were collected from 33 patients who received radiation therapy. Inclusion criteria were that patients had partners when they were treated, and they knew their malignant disease themselves. Average age at the treatment was 50.5 years old (26.1-80.5 years), and average age at the observation was 54.3 years old (31.3-80.9 years). Clinical stage of uterine cervical cancer was 8 in stage I, 14 in stage II, 9 in stage III and 2 in stage IV. Twenty cases were treated with radiation therapy alone, and 13 cases were treated with an initial operation plus postoperative radiation therapy.<BR>Results: Except for 5 cases with no sexual activity, frequency of sexual intercourse decreased in 21, no change in 5, and increased in 2 cases. Patients who received radiation alone showed lesser sexual activity than those with postoperative radiation. From the psychological aspect, diminished desire due to an experience of cervical cancer was observed in 21 (65.6%) cases. Nine (31.0%) cases thought that the partners disliked or hesitated at sexual intercourse, whereas 9 (32.1%) cases accepted the requirement from the partner unless the women's desire. Seventeen (63.0%) cases noted that vaginal penetration was difficult, and 24 (75.0%) cases were concerned for the contact bleeding. Seventeen (63.0%) cases noted vaginal pain during the penetration, however, only 3 cases noted intolerable pain. As a result, 13 (52.0%) cases noted orgasmic dysfunction after the treatment for the cervical cancer.<BR>Conclusion: Decreased frequency of intercourse was observed in many patients with uterine cervical carcinoma treated with radiation. The main reasons were not only organ dysfunction such as difficult penetration, contact bleeding or pain, but also an emotional response, such as loss of desire due to cancer history.

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