American Journal of Nursing Research. 2018, 6(2), 39-46
DOI: 10.12691/AJNR-6-2-1
Original Research

Sexual Function Disorders Affecting Quality of Life of Women with Gynecological Cancer at Al-Fayoum University Hospital

Mervat Amin Sayed1, and Ayat Masoud Omar Masoud2

1Lecturer of Community Health Nursing - Fayoum University

2Lecturer of Maternity and Neonatal Health Nursing, Faculty of Nursing, Al-Fayoum University

Pub. Date: February 28, 2018

Cite this paper

Mervat Amin Sayed and Ayat Masoud Omar Masoud. Sexual Function Disorders Affecting Quality of Life of Women with Gynecological Cancer at Al-Fayoum University Hospital. American Journal of Nursing Research. 2018; 6(2):39-46. doi: 10.12691/AJNR-6-2-1


Gynecological cancer is still considered as an important cause of maternal morbidities over the world and most of women who are suffering from gynecological cancers experience a variety of sexual dysfunction disorders, and psychological and social problems that affect negatively on their quality of life. Aim: The aim of this study was to assess the sexual function disorders affecting quality of life of women with gynecological cancer at Al-Fayoum University Hospital. Research design: A descriptive study design was adapted. Setting: The present study was conducted at the Oncological Gynecology Outpatient Clinic in Al-Fayoum University Hospital. Sample: A sample of 114 women with different types of gynecological cancer was chosen according to inclusive criteria. Tools: Four tools were used including: I: A structured interviewing questionnaire, II: Female Sexual Function Index (FSFI), III: The Revised Dyadic Adjustment Scale (RDAS), and IV: A questionnaire for assessing the general quality of life of gynecological women. Results & Conclusion: The results of current study revealed that the mean age of women with gynecological cancer was 50.8 ± 5.57, less than half had cancer uterus, while one third were cancer cervix, The prevalence of the sexual problems shows the sexual function in each domain, the lowest mean score was noted in the domain of desire. There was a statistically significant difference in couple’s satisfaction with a mean of 66.23±10.74 and there was a statistically significant correlation between female sexual function index (FSFI) and QOL of gynecological women, and it was significantly higher with women who performed surgery than those who did not. Recommendation: It is recommended to prepare a secure environment in the hospital outpatient clinic to discuss sexual problems with women freely as well as increasing the number of specialized trained counselor nurses for sex therapy and establish strategies to facilitate the husband's understanding and support the potential impact of treatment related to gynecological cancer on women.


female sexual function disorders, gynecological cancer, QOL


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[1]  American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, (5th ed.). American Psychiatric Association, Arlington, VA.
[2]  Parkin, D.M., Bray, F., Ferlay, J., & Pisani, P. (2014). Global cancer statistics, 2012. CA Cancer J Clin; 55:74-108.
[3]  Jensen, P.T., Groenvold, M., Klee, M.C., Thranov, I., Petersen, M.A., & Machin, D. (2014). Early-stage cervical carcinoma, radical hysterectomy, and sexual function. A longitudinal study. Cancer; 100: 97-106.
[4]  WHO QOL Group. (2013). Development of the World Health Organization WHO QOL-BREF quality of life assessment. Psychol Med; 28: 551-558.
[5]  Frumovitz, M., Sun, C.C., Schover, L.R., Munsell, M.F., Jhingran, A., Wharton, J.T., Eifel, P., Bevers, T.B., Levenback, C.F., Gershenson, D.M., & Bodurka, D.C. (2015) Quality of life and sexual functioning in cervical cancer survivors. J Clin Oncol; 23: 7428-7436.
[6]  Southard, N.Z., & Jill, K. (2009). The importance of assessing sexuality: A patient perspective. Oncology Nursing Society; 13: 2.
[7]  Bergmark, K., Avall-Lundqvist, E., Dickman, P.W., Henningsohn, L., & Steineck, G. (2013). Vaginal changes and sexuality in women with a history of cancer. N Engl J Med; 340: 1383-1389.
[8]  Andersen, B.L. (2015). Quality of life for women with gynecologic cancer. Curr Opin Obstet Gynecol; 7: 69-76.
[9]  Ishak, I.H., Low, W.Y., & Othman, S. (2014). Prevalence, risk factors and predictors of female sexual dysfunction in a primary care setting: A survey finding. J Sex Med; 7: 3080-3085.
[10]  Ramezani, T.F., Farahmand, M., Mehrabi, Y., Malek, A.H., & Abedini, M. (2014). Sexual disorders and related factors: community based study of urban area in four provinces. Payesh J; 11: 869-897.
[11]  Abd El-Aziz, N.A., Mersal, F.A., & Taha, N.M. (2014). Nursing intervention program for early detection and prevention of cancer among working women. Journal of American Science, 7(1): 450-459.
[12]  Statistical report of hospital (2016). Alfayoum University Hospital
[13]  Bakewell, T.R., & Volker, D.L. (2015). Sexual dysfunction related to the treatment of young women with breast cancer. Clinical Journal of Oncology Nursing; 9(6): 697-702.
[14]  Wiegel, M., Meston, C., & Rosen, R. (2005). The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther; 31: 1-20.
[15]  Crane, D.R., Middleton, K.C., & Bean, R.A. (2010). Establishing criterion scores for the Marital Satisfaction Scale and the revised dyadic adjustment scale. American Journal of Family Therapy; 28(1): 53-60.
[16]  Fayers, P.M., Aaronson, N., & Bjordal, K. (2013). The EORTC QLQC30 scoring manual. (3rd ed). Brussels: European Organization for Research and Treatment of Cancer.
[17]  Krebs, L.U. (2014). Sexual health during cancer treatment. Advanced Experimental Medical Biology; 732: 61-76.
[18]  Gauri, B., Hadeel, A., Sameeksha, B., Cynthia, V., Judie, R., & Goodman, S.T. (2014). Impact of breast cancer diagnosis and treatment on sexual dysfunction. Journal of Clinical Oncology; 32: 15-21.
[19]  Rapiti, E., Fioretta, G., Verkooijen, H.M., Vlastos, G., Schafer, P., Sappino, A.P., Kurtz, J., Neyroud-Caspar, I., & Bouchardy, C. (2014). Survival of young and older breast cancer patients in Geneva from to2010, European Journal of Cancer., 41(10): 1446-52.
[20]  Biglia, N., Moggio, G., Peano, E., Sgandurra, P., Ponzone, R., Nappi, R.E., & Sismondi, P. (2010). Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight. International Society for Sexual Medicine; pp: 1-10.
[21]  Sbitti, Y. (2010). Cancer treatment and sexual dysfunction: Moroccan women's perception. BMC Women's Health; 11:29.
[22]  Arora, N.K., Gustafson, D.H., Hawkins, R.P., Mctavish, F., Cella, D.F., Pingree, S., Mendenhall, J.H., & Mahvi, D.M. (2010). Impact of surgery and chemotherapy on the quality of life of younger women with breast carcinoma: A prospective study. Cancer; 92 (5): 1288-98.
[23]  Hashemi, S., Ramezani, T.F., Simbar, M., Abedini, M., Bahreinian, H., & Gholami, R. (2013). Evaluation of sexual attitude and sexual function in menopausal age; a population based cross-sectional study. Iran J Reprod Med; 11: 631-636.
[24]  Shiahna, M.D. (2012). Factors affecting the impact of breast cancer on body image and sexual functioning, thesis, pp. 1-29.
[25]  Nazarpour, S., Simbar, M., Ramezani, T.F., & Tohidi, M., & Alavi, M.H. (2015). Iranian study on the correlation between serum androgens and sexual function in post-menopausal women. J Endocrinol Metab; 17: 13-22.
[26]  Knapstein, S., Fusshoeller, C., Franz, C., Trautmann, K., Schmidt, M., Pilch, H., Schoenefuss, G., Kelleher, D., Vavpel, P., & Knapstein, P. (2013). The impact of treatment for genital cancer on quality of life and body image - results of a prospective longitudinal 10-years study. Gynecology; 94; 398-403.
[27]  Speer, J.J., Hillenberg, B., & Sugrue, S. (2014). Study of sexual functioning determinants in breast cancer survivors. The Breast Journal; 11(6): 440-447.
[28]  Michael, Y.L. (2010). The persistent impact of breast carcinoma on functional health status: prospective evidence from the nurses' health study. Cancer; 89 (11): 2176-86.
[29]  Ganz, P.A. (2012). Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study. Journal National Cancer Institute; 94(1): 39-49.
[30]  Arman, S., Fahami, F., & Hassan, Z.R. (2014). Comparison of sexual dysfunction before and after menopause among women. J Arak Univ Med Sci; 8: 1-7.
[31]  Davison, S.L., & Davis, S.R. (2011). Androgenic hormones and aging--the link with female sexual function. Horm Behav; 59: 745-753.
[32]  DeSantis, C.E., Lin, C.C., & Mariotto, A.B. (2014). Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin; 64: 252.
[33]  Fobair, P., Stewart, S.L., & Chang, S. (2013). Body image and sexual problems in young women with gynecological cancer. Psychooncology; 15: 579-94.
[34]  Kim, S.I., Lee, Y., & Lim, M.C. (2015). Quality of life and sexuality comparison between sexually active ovarian cancer survivors and healthy women. J Gynecol Oncol; 26:148-54.
[35]  Krantarat, T.L., Karanrat, S., Thanapun, C.H., & Penchit, M. (2015). Sexual functioning in post menopausal women not taking hormone therapy in the gynecological and menopause clinic, Songklanagarind Hospital measured by female sexual function index questionnaire. J Med Assoc Thai; 91: 625-632.
[36]  Levin, A.O., Carpenter, K.M., & Fowler, J.M. (2013). Sexual morbidity associated with poorer psychological adjustment among gynecological cancer survivors. Int J Gynecol Cancer; 20:461-70.
[37]  Lindau, S.T., Schumm, L.P., Laumann, E.O., Levinson, W., O’Muircheartaigh, C.A., & Waite, L.J. (2014). A study of sexuality and health among older adults in the United States. N Engl J Med; 357: 762-774.
[38]  Lutgendorf, S.K., Anderson, B., & Rothrock, N. (2014). Quality of life and mood in women receiving extensive chemotherapy for gynecologic cancer. Cancer; 89: 1402-11.
[39]  National Breast Cancer Center. (2012). Psychosocial impact in the areas of body image and sexuality for women with cancer; pp. 1-67.
[40]  Omidvar, S., Bakouie, F., & Amiri, F.N. (2011). Sexual function among married menopausal women in Amol (Iran). J Mid-life Health; 2: 77-80.
[41]  Tierney, D.K. (2008). Sexuality: A quality-of-life issue for cancer survivors. Semin Oncology Nurse; 24: 719.