title: [The impact of gynaecological cancers on woman's sexuality and her couple].
abstract: This article, devoted specifically to gynaecological cancers and their impact on the sexual and marital lives, is a collaboration between the psychologists and onco-gynaecologist within a cancer center. In oncology, gynaecological cancers' treatments involve at the same time anatomical, physiological and functional modifications impacting, in a major way, on the sexual life of women. All the phases of the sexual answer can be touched. Beyond the physical and aesthetic consequences of the treatments, the sexual dysfunctions are generally caused by the deep psychological upheaval induced by the disease affecting a strongly invested female body. Female cancer is also a true test for the couple challenged in its emotional, functional and sexual cohesion: emotional distress, attachment link dysfunction, change of role within the couple, disordered state of communication. The couple cannot survive and find a harmonious intimate life without communication about sexual health between the medical team, the patient and her partner. All doctors and nurses must be able to initiate the subject throughout the course of care by respecting four prerequisites: to be aware of the importance to approach this subject, to create a climate of trust, to dare the questions and to respect the rhythm of the patient and her partner.
authors: CRLCC Oscar-Lambret, 3, rue Frédéric-Combemale, 59020 Lille, France. Electronic address: e-vanlerenberghe@o-lambret.fr.
authors: Edith
authors: E
authors: Vanlerenberghe
authors: CRLCC Oscar-Lambret, 3, rue Frédéric-Combemale, 59020 Lille, France.
authors: Anne-Laure
authors: AL
authors: Sedda
authors: CRLCC Oscar-Lambret, 3, rue Frédéric-Combemale, 59020 Lille, France.
authors: Fazya
authors: F
authors: Ait-Kaci
mesh_terms: D018931:Antineoplastic Agents, Hormonal / Q000009:adverse effects; D001943:Breast Neoplasms / Q000601:surgery; D004644:Emotions; D005260:Female; D005833:Genital Neoplasms, Female / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007398:Interpersonal Relations; D016462:Mammaplasty; D010052:Ovariectomy / Q000009:adverse effects; D011878:Radiotherapy / Q000009:adverse effects; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000209:etiology; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology; D019529:Sexuality; D018454:Spouses; D054047:Surgical Stomas / Q000009:adverse effects
chemical_list: D018931:Antineoplastic Agents, Hormonal
keywords: Breast cancer; Cancer du sein; Cancer féminin; Cancers gynécologiques; Communication; Couple; Female cancer; Gynaecological cancers; Sexual disorder; Sexuality; Sexualité; Trouble sexuel