Prevalence and associated factors of sexual dysfunction in cervical cancer patients

Journal of Sexual Medicine

Volumn 8, Issue 6, 2011, Pages 1789-1796

  Tsai, Tzung Yi ^a   Chen, Shu Yi ^a   Tsai, Mei Huei ^a   Su, Yi Lin ^a   Ho, Chih Ming ^a   Su, Hui Fang ^b  

^a CATHAY GENERAL HOSPITAL   (Taiwan)

^b NATIONAL TAIPEI UNIVERSITY OF NURSING AND HEALTH SCIENCES   (Taiwan)

Author keywords

Cervical Cancer; Gynecological Cancer; Prevalence; Sexual Dysfunction

Indexed keywords

ADULT; ARTICLE; CANCER REHABILITATION; CANCER STAGING; CHI SQUARE TEST; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DATA ANALYSIS; DATA COLLECTION METHOD; DEMOGRAPHY; DISEASE ASSOCIATION; DISEASE PREDISPOSITION; EDUCATIONAL STATUS; FEMALE; HEALTH CARE PERSONNEL; HEALTH SERVICE; HOSPITAL; HUMAN; MAJOR CLINICAL STUDY; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; PREDICTOR VARIABLE; PREVALENCE; PRIORITY JOURNAL; SAMPLING; SEXUAL COUNSELING; SEXUAL DYSFUNCTION; STANDARDIZATION; STATISTICS; STRUCTURED QUESTIONNAIRE; STUDENT T TEST; STUDY DESIGN; TAIWAN; UTERINE CERVIX CANCER;

EID: 79957903147     PISSN: 17436095     EISSN: 17436109     Source Type: Journal    
DOI: 10.1111/j.1743-6109.2010.01745.x     Document Type: Article

References (44)

1. Donovan KA, Taliaferro LA, Alvarez EM, Jacobsen PB, Roetzheim RG, Wenham RM. Sexual health in women treated for cervical cancer: Characteristics and correlates. Gynecol Oncol 2007;104:428-34.
2. World Health Organization. Preparing for the introduction of HPV vaccines: Policy and programme guidance for countries. 2006. Available at: (accessed June 25, 2006).
3. National Department of Health. The statistic of cause of death in 2006. 2006. Available at: (accessed July 20, 2008).
4. Serati M, Salvatore S, Uccella S, Laterza RM, Cromi A, Ghezzi F, Bolis P. Sexual function after radical hysterectomy for early-stage cervical cancer: Is there a difference between laparoscopy and laparotomy? J Sex Med 2009;6:2516-22.
5. Ganz PA. Monitoring the physical health of cancer survivors: A survivorship-focused medical history. J Clin Oncol 2006;24:5105-11.
6. Sood AK, Abu-Rustum NR, Barakat RR, Bodurka DC, Brown J, Donato ML, Poynor EA, Wolf JK, Gershenson DM. Fifth international conference on ovarian cancer: Challenges and opportunities. Gynecol Oncol 2005;97:916-23.
7. Vistad I, Foss SD, Dahl AA. A critical review of patient-rated quality of life studies of long-term survivors of cervical cancer. Gynecol Oncol 2006;102:563-72.
8. Frumovitz M, Sun CC, Schover LR, Munsell MF, Jhingran A, Wharton JT, Eifel P, Bevers TB, Levenback CF, Gershenson DM, Bodurka DC. Quality of life and sexual functioning in cervical cancer survivors. J Clin Oncol 2005;23:7428-36.
9. Tangjitgamol S, Manusirivithaya S, Hanprasertpong J, Kasemsarn P, Soonthornthum T, Leelahakorn S, Thawaramara T, Lapcharoen O. Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy. Int J Gynecol Cancer 2007;17:1104-12.
10. Safarinejad MR. Female sexual dysfunction in a population-based study in Iran: Prevalence and associated risk factors. Int J Impot Res 2006;18:382-95.
11. Hsu WC, Chung NN, Chen YC, Ting LL, Wang PM, Hsieh PC, Chan SC. Comparison of surgery or radiotherapy on complications and quality of life in patients with the stage IB and IIA uterine cervical cancer. Gynecol Oncol 2009;115:41-5.
12. Chen YP, Yeh SH, Kung FT, Ho MY. A correlational study of symptom distress, depression and quality of life in hospitalized cervical cancer patients. J Evid Based Nurs 2007;3:89-98.
13. Chen CA, Hsieh CY. Recent advances and problems in primary therapy for cervical cancer in Taiwan. J Formos Med Assoc 2004;103:511-8.
14. Tsai YJ, Tsai YJ, Chuan MT, Hu SL. The combination of tripe palms, acanthosis nigricans and florid cutaneous papillomatosis in a patient with metastatic cervical cancer. Dermatolog Sin 2004;22:142-7.
15. Chen TI, Lee YL, You SL, Chen CJ, Hsieh CY, Chen SC. Utilization factors and effects of national health insurance on cervical pap smear tests in Taiwan. Taiwan J Public Health 2005;24:440-51.
16. Cohen J. Quantitative methods in psychology: A power primer. Psychol Bull 1992;112:155-9.
17. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsign R, Ferguson D, D'Agostino R Jr. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208.
18. Meston CM, Derogatis LR. Validated instruments for assessing female sexual dysfunction. J Sex Marital Ther 2005;28(1 suppl):155-64.
19. Nappi RE, Albani F, Vaccaro P, Gardella B, Salonia A, Chiovato L, Spinillo A, Polatti F. Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol 2008;24:214-9.
20. Nappi RE. New attitudes to sexuality in the menopause: Clinical evaluation and diagnosis. Climacteric 2007;10(2 suppl):105-8.
21. Jones LR. The use of validated questionnaires to assess female sexual dysfunction. World J Urol 2002;20:89-92.
22. Sidi H, Abdullah N, Puteh SE, Midin M. The Female Sexual Function Index (FSFI): Validation of the Malay version. J Sex Med 2007;4:1642-54.
23. Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol 2006;175:654-8.
24. Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cut off scores. J Sex Marital Ther 2005;31:1-20.
25. Doumas M, Tsiodras S, Tsakiris A, Douma S, Chounta A, Papadopoulos A, Kanellakopoulou K, Giamarellou H. Female sexual dysfunction in essential hypertension: A common problem being uncovered. J Hypertens 2006;24:2387-92.
26. Kuo MC, Chang L, Chen SM, Hsu CS, Chang CW, Chen SS, Chiang HS. Female sexual function of 940 women in 4 outpatient gynecological clinics in Taiwan. Formos J Sex 2004;10:1-12.
27. National Department of Health. Health statistics indicators in 2008. 2008. Available at: (accessed December 5, 2008).
28. Lau JT, Kim JH, Tsui HY. Prevalence and factors of sexual problems in Chinese males and females having sex with the same-sex partner in Hong Kong: A population-based study. Int J Impot Res 2005;18:130-40.
29. Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: Prevalence and risk factors. Eur Urol 2005;174:366-74.
30. Lindau ST, Gavrilova N, Anderson D. Sexual morbidity in very long term survivors of vaginal and cervical cancer: A comparison to national norms. Gynecol Oncol 2007;106:413-8.
31. Hayes R, Dennerstein L. The impact of aging on sexual function and sexual dysfunction in women: A review of population-based studies. J Sex Med 2005;2:317-30.
32. Bancroft JHJ. Sex and aging. N Engl J Med 2007;357:820-2.
33. Bodurka DC, Sun CC. Sexual function after gynecologic cancer. Obstet Gynecol Clin North Am 2006;33:621-30.
34. Quinn MA. Sexual function after treatment of gynaecological cancer. Sex 2007;16:286-91.
35. Billups KL. The role of mechanical devices in treating female sexual dysfunction and enhancing the female sexual response. World J Urol 2002;20:137-41.
36. Schroder M, Mell LK, Hurteau JA, Collins YC, Rotmensch J, Waggoner SE, Yamada SD, Small W Jr, Mundt AJ. Clitoral therapy device for treatment of sexual dysfunction in irradiated cervical cancer patients. Int J Radiat Oncol Biol Phys 2005;61:1078-86.
37. White ID. The assessment and management of sexual difficulties after treatment of cervical and endometrial malignancies. Clin Oncol 2008;20:488-96.
38. Brotto LA, Heiman JR, Goff B, Greer B, Lentz GM, Swisher E, Tamimi H, Van Blaricom A. A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Arch Sex Behav 2008;37:317-29.
39. Albano JD, Ward E, Jemal A, Anderson R, Cokkinides VE, Murray T, Henley J, Liff J, Thun MJ. Cancer mortality in the United States by education level and race. J Natl Cancer Inst 2007;99:1384-94.
40. Greenwald HP, McCorkle R. Sexuality and sexual function in long-term survivors of cervical cancer. J Womens Health 2008;17:955-63.
41. Misono S, Weiss NS, Fann JR, Redman M, Yueh B. Incidence of suicide in persons with cancer. J Clin Oncol 2008;26:4731-8.
42. Stead ML, Brown JM, Fallowfield L, Selby P. Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. Br J Cancer 2003;88:666-71.
43. Bachmann G. Female sexuality and sexual dysfunction: Are we stuck on the learning curve? J Sex Med 2006;3:639-45.
44. Amsterdam A, Krychman ML. Sexual dysfunction in patients with gynecologic neoplasms: A retrospective pilot study. J Sex Med 2006;3:646-9.