WEDNESDAY, Feb. 16 (HealthDay News) -- Many women who survive
breast or gynecologic cancers say they want help for sexual issues,
but few of them actually ask for it, according to a new study from
the University of Chicago Medical Center.
Few doctors have the expertise to discuss women's concerns about
the effect of cancer on their sexuality, although doctors routinely
bring up such questions among men treated for prostate cancer,
senior author Dr. Stacy Tessler Lindau, an associate professor of
obstetrics and gynecology, said in a medical center news
"It is critical that physicians caring for [female] cancer patients know that sexual concerns are often physical," she said. "The physical problems associated with cancer treatment can strain relationships, cause worry and stress, and can be very isolating -- many women come to us feeling ashamed, guilty, or alone. They feel like the problem is primarily in their head."
Pain, vaginal dryness, loss of desire, arousal and orgasm
difficulties, and body image concerns are among the sexual problems
experienced by these patients. Some have also reported feeling less
attractive after treatment.
The study involved 261 gynecologic and breast cancer survivors,
ages 21 to 88, with the average age of 55. Researchers found that
42 percent were interested in receiving medical help for sexual
issues, but only 7 percent asked for advice.
Women who had been out of cancer treatment for more than a year
were much more likely to want advice than those currently in
treatment -- 47 percent vs. 32 percent.
Younger women were more concerned about sexual issues than older
women, but more than 22 percent of women over 65 also said they
wanted medical care for their sexual issues, said the
The study was recently published online in the journal
"Some women have the courage to raise sexual concerns with their doctor, although repeated studies show they prefer the doctor to initiate the discussion," said Lindau.
"Physicians will often empathize with a patient's concerns, but struggle with a lack of knowledge about how to help," she added. She and other physicians in Illinois are working to establish a program to help both doctors and female cancer patients deal with these issues.
The American Cancer Society has more about
sexuality side effects of cancer treatment in