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Sexual dysfunction in women with locally advanced or metastatic cancer – a cross sectional study

Campos, L1; Caldas, J2; De Nardi, S3; Hackner, I3; Dos Santos, C4; Barros, N4

1: Hospital Conceição, Universidade do Porto, Brazil; 2: Universidade do Porto, Portugal; 3: Hospital Nossa Senhora da Conceição, Brazil; 4: Hospital Nossa Senhora da Conceição

Objective: To evaluate sexual dysfuncion rate in women with breast, gynecologic and colorectal advanced or metastatic cancer.

Material and Methods: Sexual dysfunction was evaluated by Female Sexual Function Index (FSFI), a multidimensional instrument. Thirty five patients who had been diagnosed locally advanced or metastatic cancer from june 2017 to october 2017 were included.  

Results: Age: 57.6 ± 10.64; cancer type: cervical: 2 (5.7%), colorectal: 11 (31.4%), endometrial: 1 (2.9%), breast: 16 (45.7%), ovary: 5 (14.3%). Seven patients (20%) underwent colostomy or ileostomy. Nineteen patients (54.29%) had sexual partner and among them, seven reported no sexual intercourse in the last 30 days. Six women in the group who had sexual partner and two in the group who didn’t reported masturbation practive. The median FSFI final score for patients who had sexual partner was 18.5 p25% 2.8 and p75%: 26.10. Only five patients didn’t present sexual dysfunction (FSFI cutoff score >= 26)

Conclusion: Sexuality is an importante issue for quality of life. Health professionals should be prepared to bring up this subject in a natural way, referring patients to sexual or psychological therapy when necessary.


Work supported by industry: no.

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