British Journal of Sexual Medicine

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How to advise patients on sex after gynaecological cancer
BJSM, Volume 32, Number 3.

A diagnosis of cancer is always distressing, but, for women, a diagnosis of gynaecological cancer is particularly stressful, as the uterus, ovaries, vagina and vulva are so closely linked to issues of femininity, childbearing and sexuality. Gynaecological cancer can have devastating effects on sexual functioning in women as a result of surgery, radiotherapy and chemotherapy. Effects may be physical and/or psycho-sexual, and there may also be associated relationship difficulties. However, it is still not common practice to discuss these issues with women who are due to undergo, or have undergone, gynaecological surgery. This article looks at how cancer can affect sexual functioning, how this issue can be addressed with patients, and how patients and doctors can access information on the subject.

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