title: Sexual health in women treated for cervical cancer: characteristics and correlates.
abstract: OBJECTIVE
  A large proportion of women with a history of cervical cancer experience sexual problems as a result of treatment. The present study examined whether differences in sexual health between cervical cancer survivors and women with no history of cervical cancer could be explained by selected demographic, clinical, and psychosocial and physical factors.
  
  
  METHODS
  Women treated between 1 and 5 years previously for stage 0 to II cervical cancer and age- and education-matched women with no history of cancer undergoing routine cervical cancer screening were recruited to participate. All participants had a partner with whom they had ever been sexually active. Women completed measures of sexual health, vaginal changes, partner relationship quality, perceived physical appearance, and sexual self-concept.
  
  
  RESULTS
  Cervical cancer survivors reported significantly (p<.05) less sexual interest, more sexual dysfunction, and lower sexual satisfaction. The most consistent predictors of sexual health after treatment among survivors were time since diagnosis, receipt of radiotherapy, partner relations, and perceived physical appearance, as well as vaginal changes. These variables accounted for about 50% of the variance in sexual health outcomes.
  
  
  CONCLUSIONS
  The findings suggest that efforts to improve sexual health in women with a history of cervical cancer must move beyond the direct effects of cancer treatment on vaginal anatomy and physiology. Sexual rehabilitation interventions should consider partner relationships, perceived physical appearance, and women's attitudes toward themselves as sexual beings, in addition to vaginal changes. Future research should use prospective longitudinal research designs incorporating appropriate comparison groups to further explore this issue.
authors.affiliation: Health Outcomes and Behavior Program, Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA. donovaka@moffitt.usf.edu
authors.forename: Kristine A
authors.initials: KA
authors.lastname: Donovan
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Taliaferro
authors.forename: Evelyn M
authors.initials: EM
authors.lastname: Alvarez
authors.forename: Paul B
authors.initials: PB
authors.lastname: Jacobsen
authors.forename: Richard G
authors.initials: RG
authors.lastname: Roetzheim
authors.forename: Robert M
authors.initials: RM
authors.lastname: Wenham
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007989:Libido; D008875:Middle Aged; D011584:Psychology; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000209:etiology; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000523:psychology* / Q000628:therapy