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1.
J Psychosom Obstet Gynaecol ; 34(1): 1-2, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23394406
2.
Support Care Cancer ; 21(7): 1993-2005, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23430012

ABSTRACT

OBJECTIVES: The aim of this study was to systematically describe the nature and context of subjective sexual well-being and sexual behavior in young women with breast cancer. METHODS: Data on sexual behavior and subjective sexual well-being were collected through an internet questionnaire. Respondents were included if they had been diagnosed with breast cancer within the past 6 years and were currently 45 years of age or younger. Results were compared with a representative sample of the general Dutch population. RESULTS: In comparison with the general Dutch population of women, young women still undergoing breast cancer treatment are less sexually active and have a more negative experience of sexuality. While women who had already finished their treatment had more or less the same amount of sexual activity as the general Dutch population, there were still major differences in their experience of sexuality. Particularly strong associations were found between these women's sexual well-being in relation to their relationship satisfaction, and sexual interaction competence. CONCLUSION: In the wake of breast cancer treatment, young women have difficulty enjoying sex; it is evidently hard for them to resume their sex lives after breast cancer. In particular, women who find it hard to discuss sexual wishes and the possibilities and impossibilities associated with breast cancer with their partner experience negative consequences when trying to resume their sex lives.


Subject(s)
Breast Neoplasms/psychology , Sexual Behavior/psychology , Sexuality/psychology , Adult , Breast Neoplasms/physiopathology , Breast Neoplasms/therapy , Female , Humans , Middle Aged , Sexual Behavior/physiology , Sexual Partners , Surveys and Questionnaires , Young Adult
3.
Support Care Cancer ; 21(1): 271-80, 2013 Jan.
Article in English | MEDLINE | ID: mdl-22714701

ABSTRACT

OBJECTIVES: The objective of this study was to determine the prevalence of sexual dysfunction in young women with breast cancer in the Netherlands, and to assess the relationship between sexual dysfunction, treatment methods and treatment-related complaints. Also, the interest among women with breast cancer in receiving care for sexual dysfunction was determined. METHODS: Data on sexual functioning were collected through an internet questionnaire. Respondents were included if they had been diagnosed with breast cancer within the past 6 years and were currently 45 years of age or younger. Results were compared with a representative sample of the general Dutch population RESULTS: Of the women who were still undergoing treatment, 64 % had a sexual dysfunction. In women who had completed treatment, this was 45 %. All assessed dysfunctions were more common among these young women with breast cancer in comparison with women in the Dutch population. Particularly, early menopause and hormone therapy caused long-term occurence of genital arousal disorder. Radical mastectomy caused long-term occurrence of female orgasmic disorder, and early menopause dyspareunia. Half of the women reported that the topic "changes in sexual functioning" had been brought up during treatment, mostly on the initiative of the health professional. Six out of 10 women with a sexual dysfunction who felt a need for care did not consult a health professional. CONCLUSION: Sexual dysfunctions are highly prevalent among young women with breast cancer. This appears to improve after treatment has been completed, but women are far from recovered. The initiative to discuss sexuality should lie with the health professional. Including sexuality within treatment guidelines will prevent women with breast cancer from being deprived of care.


Subject(s)
Breast Neoplasms/epidemiology , Sexual Dysfunction, Physiological/epidemiology , Sexual Dysfunctions, Psychological/epidemiology , Adult , Breast Neoplasms/therapy , Case-Control Studies , Comorbidity , Female , Humans , Logistic Models , Middle Aged , Netherlands/epidemiology , Prevalence , Risk Factors , Sexual Dysfunction, Physiological/prevention & control , Sexual Dysfunctions, Psychological/prevention & control , Young Adult
6.
J Psychosom Obstet Gynaecol ; 29(2): 79-82, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18484438

ABSTRACT

For over 30 years gynecological teaching associates have made a valuable contribution to undergraduate and postgraduate medical education, by allowing medical students to perform a pelvic examination on them. These women are skilled in giving detailed feedback to the medical students about their examination performance. In this study we describe a new training program: gynecological teaching associates act as simulated patients portraying a gynecological/sexual problem, in addition to allowing themselves to be examined by the students. This creates the opportunity of immediate feedback on the entire process of the consultation. Conditions are addressed that should be met to ensure the feasibility of this method.


Subject(s)
Diagnostic Techniques, Obstetrical and Gynecological , Education, Medical, Undergraduate/methods , Genital Diseases, Female/diagnosis , Gynecology/education , Patient Simulation , Sexual Dysfunction, Physiological/diagnosis , Clinical Clerkship , Clinical Competence , Curriculum , Feedback , Female , Humans , Male , Models, Educational , Pelvis , Physical Examination , Students, Medical
7.
Maturitas ; 58(2): 164-73, 2007 Oct 20.
Article in English | MEDLINE | ID: mdl-17870260

ABSTRACT

OBJECTIVES: Study to compare the effects of tibolone and raloxifene on health-related quality of life, sexuality and vaginal atrophy. METHODS: A double-blind, randomized study was conducted in 308 osteopenic, but otherwise healthy, postmenopausal women (mean age 66 years) who received tibolone 1.25mg/day or raloxifene 60 mg/day for 2 years. Health-related quality of life was assessed by the women's health questionnaire (WHQ), sexual function by the McCoy female sexuality questionnaire (MFSQ) and vaginal atrophy by assessing the karyopycnotic index (KI) and vaginal maturation (VM). RESULTS: At week 104, the tibolone group showed a trend towards an improved health-related quality of life (HRQoL) mean score in eight out of nine WHQ domains. HRQoL scores approximated values for premenopausal women, being pre-defined as "clinically relevant". The raloxifene group showed a trend to a diminished HRQoL mean score from baseline to week 104. No difference could be assessed between the tibolone and raloxifene group in mean total score and separate domains' scores of the MFSQ, except for the vaginal lubrication domain (p=0.037). The increase in KI and VM was statistically significantly greater with tibolone than with raloxifene (for both KI and VM p<0.0001). Tibolone and raloxifene were equally well tolerated. CONCLUSIONS: In older postmenopausal women, tibolone treatment showed a trend towards an improvement in quality of life and sexuality when compared to raloxifene.


Subject(s)
Estrogen Receptor Modulators/therapeutic use , Estrogen Replacement Therapy , Norpregnenes/therapeutic use , Postmenopause , Raloxifene Hydrochloride/therapeutic use , Vaginal Diseases/drug therapy , Aged , Double-Blind Method , Europe , Female , Humans , Middle Aged , Quality of Life , Sexuality , Surveys and Questionnaires , Treatment Outcome , United States , Vaginal Diseases/pathology
8.
Eur Urol ; 46(4): 421-6; discussion 426-7, 2004 Oct.
Article in English | MEDLINE | ID: mdl-15363553

ABSTRACT

During the last 40 years more and more myelomeningocele (MMC) patients have survived to adulthood and since the 1980s there is growing interest in sexual functioning of these patients. However, most of what is known about the impact of MMC on sexual functioning pertains to males. We have reviewed the literature pertaining to female sexuality and MMC with regard to sexual development, activity, dysfunction, sexual knowledge and education, pregnancy and delivery, as well as future trends.


Subject(s)
Meningomyelocele/physiopathology , Sexuality , Adolescent , Adult , Aged , Coitus , Female , Forecasting , Humans , Reproduction , Sex Education
10.
J Psychosom Obstet Gynaecol ; 25(3-4): 183-7, 2004.
Article in English | MEDLINE | ID: mdl-15715017

ABSTRACT

Posttraumatic stress disorder (PTSD) in connection with pregnancy was first described in the 1990s--initially in relation to childbirth but later more specifically to the mode of delivery. Instrumental vaginal delivery carries the highest risk of PTSD followed by emergency caesarean section and normal spontaneous delivery. Loss of pregnancy, spontaneous abortion or intrauterine death for example can also lead to PTSD. Little systematic research has been performed regarding the psychological consequences of severe preeclampsia or HELLP syndrome, although it would seem obvious that these conditions may have a great effect The combination of suffering a serious illness combined with an unexpected caesarean section or delivery, often of a premature child, is a heavy burden to bear both physically and psychologically. We describe here three patients who developed PTSD after pregnancies complicated by severe preeclampsia or HELLP syndrome. PTSD can develop after preeclampsia or HELLP syndrome.


Subject(s)
HELLP Syndrome/psychology , Pre-Eclampsia/psychology , Stress Disorders, Post-Traumatic/etiology , Adult , Female , Humans , Pregnancy , Pregnancy Complications , Stress Disorders, Post-Traumatic/diagnosis
11.
Eur Urol ; 42(5): 426-31, 2002 Nov.
Article in English | MEDLINE | ID: mdl-12429149

ABSTRACT

OBJECTIVE: A great deal of men consider that the size of the penis is directly proportional to its sexual power. Some men, who are worried that their penis is too small, wish to be considered for surgical lengthening or thickening procedures. The argumentation for this chiefly points in the direction of women. However, have women actually been asked about the extent to which they consider the size of the penis to be of importance from a sexual point of view? Or asked what they think about ideas surrounding the size of the penis in relation with actual sexual functioning? PATIENTS AND METHODS: To address these questions, 375 sexually active women who had recently given birth at the University Hospital Groningen were asked a number of questions about sexual functioning and the importance they attach to the size of their partner's penis. RESULTS: A total of 170 questionnaires were returned (response rate 45%); 20% of the women found the length of the penis important and 1% very important; 55% and 22% of the women found the length of the penis unimportant and totally unimportant, respectively. Opinions about the girth of the penis followed the same trend. Length was less important than girth: 21% and 32%, respectively. The women who found the girth of the penis important had the same opinion about the length of the penis (correlation 0.71, p=-0.001). Median division into two subgroups (girth important/unimportant; t-test) did not reveal any significant differences in relation with demographic data. Correlation analysis did not reveal any significant correlation between sexual functioning (measured with the NSF) and opinions about the girth of the penis. CONCLUSION: Although clearly in the minority, a nevertheless considerable percentage of the women respondents attached substantial importance to the size of the male sexual organ.


Subject(s)
Penis/anatomy & histology , Women/psychology , Anthropometry , Female , Humans , Male , Sexual Behavior , Surveys and Questionnaires
13.
Int J Gynecol Cancer ; 9(5): 387-395, 1999 Sep.
Article in English | MEDLINE | ID: mdl-11240799

ABSTRACT

Data are presented of a prospective, longitudinal study on the impact of early stage gynecological cancer on sexuality. Women with a partner (n = 58) completed self-report questionnaires following diagnosis but prior to treatment and then at 6 and 12 months post-treatment. A single assessment was also obtained from a healthy comparison group (n = 103). Pre-treatment cancer patients reported fewer and less trouble with sexual problems compared to healthy controls. Neither sexual satisfaction nor sexual activity changed from pre- to post-treatment and was comparable to that of healthy controls. Post-treatment, relatively minor sexual difficulties were shown; a notable difficulty for cancer patients concerned lubrication. At 12 months post-treatment, the sexual functioning of cancer patients was comparable to healthy controls.

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