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This study aimed to assess the rate of sexual function assessment in gynecologic cancer survivors following completion of treatment. The study found that despite survivors being at an increased risk for sexual dysfunction, prevention of vaginal stenosis and assessment of sexual dysfunction following pelvic cancer treatment is low. Increased counseling and treatment may improve survivors' quality of life and patient satisfaction, so it is important to advocate for sexual function assessments following cancer treatment.<br /><br />The study retrospectively reviewed the medical records of 232 gynecologic cancer patients treated between 2010 and 2015. The average age of the cohort was 54.97, and a majority of patients were diagnosed with cervical cancer. Only 46.3% of potential candidates for vaginal dilator use were advised to start regular dilation post-radiation, highlighting the low rate of prevention of vaginal stenosis. Additionally, only 37.9% of patients had a sexual function query in the post-treatment phase. <br /><br />The documentation of assessment of sexual function was associated with younger age, decreasing parity, being married, pre-menopausal status, cervical cancer diagnosis, and no chemotherapy exposure. Furthermore, assessment of sexual function was associated with a 4.77-fold increased chance of being prescribed vaginal estrogen cream. Factors associated with recommendation for vaginal estrogen use included younger age, being married, pre-menopausal status, diagnosis of diabetes, and no chemotherapy exposure. Marital status and chemotherapy exposure remained statistically significant on multivariable assessment.<br /><br />In conclusion, the study found that sexual function assessment and prevention of vaginal stenosis are low in gynecologic cancer survivors. It emphasizes the need for increased counseling and treatment to improve survivors' quality of life and patient satisfaction. It is important to continue advocating for sexual function assessments or "check-ins" following completion of cancer treatment.
Keywords
sexual function assessment
gynecologic cancer survivors
treatment completion
vaginal stenosis prevention
sexual dysfunction assessment
pelvic cancer treatment
counseling and treatment
quality of life
patient satisfaction
sexual function query
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