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Sexual health in Belgian cervical cancer survivors : an exploratory qualitative study

(2024) QUALITY OF LIFE RESEARCH. 33(5). p.1401-1414
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Abstract
PurposeTo assess experiences of sexuality and of receiving sexual healthcare in cervical cancer (CC) survivors.MethodsA qualitative phenomenological study using semistructured one-on-one interviews was conducted with 15 Belgian CC survivors recruited in 5 hospitals from August 2021 to February 2022. The interviews were audiotaped and transcribed verbatim. Data were analyzed using inductive thematic analysis. COREQ and SRQR reporting guidelines were applied.ResultsMost participants experienced an altered sexuality after CC treatment with often long-term loss/lack of sex drive, little/no spontaneity, limitation of positions to avoid dyspareunia, less intense orgasms, or no sexual activity at all. In some cases, emotional intimacy became more prominent. Physical (vaginal bleeding, vaginal dryness, dyspareunia, menopausal symptoms) and psychological consequences (guilt, changed self-image) were at the root of the altered sexuality. Treatment-induced menopause reduced sex drive. In premenopausal patients, treatment and/or treatment-induced menopause resulted in the sudden elimination of family planning. Most participants highlighted the need to discuss their altered sexual experience with their partner to grow together toward a new interpretation of sexuality. To facilitate this discussion, most of the participants emphasized the need for greater partner involvement by healthcare providers (HPs). The oncology nurse or sexologist was the preferred HP with whom to discuss sexual health. The preferred timing for information about the sexual consequences of treatment was at treatment completion or during early follow-up.ConclusionBoth treatment-induced physical and psychological experiences were prominent and altered sexuality. Overall, there was a need for HPs to adopt proactive patient-tailored approaches to discuss sexual health.
Keywords
Public Health, Environmental and Occupational Health, Sexual health, Qualitative research, Psychosexual support, Communication, Cervical cancer, OF-LIFE, WOMEN, RADIOTHERAPY, PARTNERS, IB

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MLA
Naert, Eline, et al. “Sexual Health in Belgian Cervical Cancer Survivors : An Exploratory Qualitative Study.” QUALITY OF LIFE RESEARCH, vol. 33, no. 5, 2024, pp. 1401–14, doi:10.1007/s11136-024-03603-5.
APA
Naert, E., Van Hulle, H., De Jaeghere, E., Orije, M., Roels, S., Salihi, R., … Denys, H. (2024). Sexual health in Belgian cervical cancer survivors : an exploratory qualitative study. QUALITY OF LIFE RESEARCH, 33(5), 1401–1414. https://doi.org/10.1007/s11136-024-03603-5
Chicago author-date
Naert, Eline, Hans Van Hulle, Emiel De Jaeghere, Marjolein Orije, Sarah Roels, Rawand Salihi, Koen J. Traen, et al. 2024. “Sexual Health in Belgian Cervical Cancer Survivors : An Exploratory Qualitative Study.” QUALITY OF LIFE RESEARCH 33 (5): 1401–14. https://doi.org/10.1007/s11136-024-03603-5.
Chicago author-date (all authors)
Naert, Eline, Hans Van Hulle, Emiel De Jaeghere, Marjolein Orije, Sarah Roels, Rawand Salihi, Koen J. Traen, Kristien Watty, Lise-Marie Kinnaer, Hans Verstraelen, Philippe Tummers, Katrien Vandecasteele, and Hannelore Denys. 2024. “Sexual Health in Belgian Cervical Cancer Survivors : An Exploratory Qualitative Study.” QUALITY OF LIFE RESEARCH 33 (5): 1401–1414. doi:10.1007/s11136-024-03603-5.
Vancouver
1.
Naert E, Van Hulle H, De Jaeghere E, Orije M, Roels S, Salihi R, et al. Sexual health in Belgian cervical cancer survivors : an exploratory qualitative study. QUALITY OF LIFE RESEARCH. 2024;33(5):1401–14.
IEEE
[1]
E. Naert et al., “Sexual health in Belgian cervical cancer survivors : an exploratory qualitative study,” QUALITY OF LIFE RESEARCH, vol. 33, no. 5, pp. 1401–1414, 2024.
@article{01HSK43RK86ADFA2AD4XTGK84F,
  abstract     = {{PurposeTo assess experiences of sexuality and of receiving sexual healthcare in cervical cancer (CC) survivors.MethodsA qualitative phenomenological study using semistructured one-on-one interviews was conducted with 15 Belgian CC survivors recruited in 5 hospitals from August 2021 to February 2022. The interviews were audiotaped and transcribed verbatim. Data were analyzed using inductive thematic analysis. COREQ and SRQR reporting guidelines were applied.ResultsMost participants experienced an altered sexuality after CC treatment with often long-term loss/lack of sex drive, little/no spontaneity, limitation of positions to avoid dyspareunia, less intense orgasms, or no sexual activity at all. In some cases, emotional intimacy became more prominent. Physical (vaginal bleeding, vaginal dryness, dyspareunia, menopausal symptoms) and psychological consequences (guilt, changed self-image) were at the root of the altered sexuality. Treatment-induced menopause reduced sex drive. In premenopausal patients, treatment and/or treatment-induced menopause resulted in the sudden elimination of family planning. Most participants highlighted the need to discuss their altered sexual experience with their partner to grow together toward a new interpretation of sexuality. To facilitate this discussion, most of the participants emphasized the need for greater partner involvement by healthcare providers (HPs). The oncology nurse or sexologist was the preferred HP with whom to discuss sexual health. The preferred timing for information about the sexual consequences of treatment was at treatment completion or during early follow-up.ConclusionBoth treatment-induced physical and psychological experiences were prominent and altered sexuality. Overall, there was a need for HPs to adopt proactive patient-tailored approaches to discuss sexual health.}},
  author       = {{Naert, Eline and Van Hulle, Hans and De Jaeghere, Emiel and Orije, Marjolein and Roels, Sarah and Salihi, Rawand and Traen, Koen J. and Watty, Kristien and Kinnaer, Lise-Marie and Verstraelen, Hans and Tummers, Philippe and Vandecasteele, Katrien and Denys, Hannelore}},
  issn         = {{0962-9343}},
  journal      = {{QUALITY OF LIFE RESEARCH}},
  keywords     = {{Public Health, Environmental and Occupational Health,Sexual health,Qualitative research,Psychosexual support,Communication,Cervical cancer,OF-LIFE,WOMEN,RADIOTHERAPY,PARTNERS,IB}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{1401--1414}},
  title        = {{Sexual health in Belgian cervical cancer survivors : an exploratory qualitative study}},
  url          = {{http://doi.org/10.1007/s11136-024-03603-5}},
  volume       = {{33}},
  year         = {{2024}},
}

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