Sexual function of women surviving cervical cancer.
OBJECTIVE
The objective of this study was to evaluate the sexual function of survivors of cervical cancer (CC) in comparison to the control group of women without a history of cancer.


METHODS
This was an observational, analytical, case-control study. In the cancer group, women subjected to CC treatment of at least 3 months in the past were included (n = 37). For each survivor, one random selection from a base population control group was made (n = 37) of a woman without a history of cancer and with similar socioeconomic and demographic characteristics. The sexual function was evaluated through the female sex function index (FSFI) instrument. Data collection occurred through the application of questions in a face-to-face interview.


RESULTS
In the cancer group, 64.9 % related vaginal stenosis or shortening; 59.5 % were not sexually active and of those which had sexual relations, 80 % showed dysfunction. The total FSFI score varied between 9.60 and 35.10 in the cancer group and 23.90 and 36.00 in the control group. The means of the cancer group were statistically inferior (P < 0.05) to the control group in all the FSFI domains and in the total score. The mean total score was 21.72 in the cancer group, classified as sexual dysfunction when considering a score of 26 as the cutoff point.


CONCLUSIONS
CC treatment was found to have a negative impact on the sexual function of women. Further, sexual function should be monitored routinely by interdisciplinary teams to provide comprehensive care with the objective of an improved quality of life post-cancer.
Faculty of Medicine, Federal University of Juiz de Fora-(UFJF), Av. Eugênio do Nascimento, s/n - Dom Orione, Juiz de Fora, MG, 36038-330, Brazil. milacorrea@yahoo.com.br.
Camila Soares Lima
http://orcid.org/0000-0001-6856-6666
CS
Corrêa
Department of Collective Health, Faculty of Medicine, Federal University of Juiz de Fora-(UFJF), Juiz de Fora, MG, Brazil.
Isabel Cristina Gonçalves
IC
Leite
Faculty of Medicine, Federal University of Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil.
Anna Paula Silva
AP
Andrade
Department of Oncology, University Hospital of the Federal University of Juiz de Fora-(UFJF), Juiz de Fora, MG, Brazil.
Adriana
A
de Souza Sérgio Ferreira
Faculty of Physiotherapy, Federal University of Juiz de Fora-(UFJF), Juiz de Fora, MG, Brazil.
Simone Meira
SM
Carvalho
Department of Collective Health, Faculty of Medicine, Federal University of Juiz de Fora-(UFJF), Juiz de Fora, MG, Brazil.
Maximiliano Ribeiro
MR
Guerra
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological; D020018:Sexual Dysfunctions, Psychological; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D002583:Uterine Cervical Neoplasms / Q000523:psychology* / Q000628:therapy
Cervical cancer; Psychological sexual dysfunctions; Quality of life; Survivors