title: Determination of sexual problems of Turkish patients receiving gynecologic cancer treatment: a cross-sectional study.
abstract: BACKGROUND
  The present study aimed to determine the prevalence and types of sexual problems of Turkish patients receiving gynecologic cancer treatment.
  
  
  METHODS
  A cross-sectional convenience sample of 168 women completed the Index of Female Sexual Function (IFSF) and a Patient Identification Form in a hospital in Ankara, Turkey. Mean IFSF scores of the patients were low (15.7±5.72, out of a possible 45), indicating high rates of sexual problems.
  
  
  RESULTS
  Women frequently reported problems with dyspareunia (97.1%), vaginal dryness (97.6%), decreased sexual desire (91.1%), and difficulties of sexual arousal (92.9%) related with the cancer treatment process. They reported increased sexual problems following the period of treatment as compared to before treatment (p<0.05). Sexual dysfunction was associated with low educational and income levels, advanced age, TAH-BSO-LND surgery (total abdominal hysterectomy-bilateral salphingoopherectomy- lymph node dissection), experiencing side effects of chemotherapy, receiving chemotherapy in addition to surgery and radiotherapy (CT+RT+Surgery), and having a large number of chemotherapy cycles (p<0.05).
  
  
  CONCLUSIONS
  Patients hoped for and expected counseling from healthcare professionals about their sexual functioning in relation to cancer treatments. Nurses and physicians can help to improve the overall quality of life for gynecologic cancer patients through sexual counseling.
authors.affiliation: Nursing Department, Faculty of Health Sciences, Yildirim Beyazit University, Ankara, Turkey E-mail : demirtas@health.ankara.edu.tr.
authors.forename: Basak
authors.initials: B
authors.lastname: Demirtas
authors.forename: Gul
authors.initials: G
authors.lastname: Pinar
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004414:Dyspareunia / Q000453:epidemiology*; D005260:Female; D005833:Genital Neoplasms, Female / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D007989:Libido; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012725:Sexual Behavior; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014421:Turkey