QUALITY OF LIFE AFTER GYNECOLOGICAL CANCER
MENOPAUSIA Y FUNCIÓN SEXUAL
DOI:
https://doi.org/10.35919/rbsh.v30i1.67Keywords:
Female genital neoplasms., Menopause, SexualityAbstract
Many women with gynecological malignancies will be cured or become long-term survivors. Different treatments (surgery, radiationtherapy, chemotherapy) for gynecological cancers can cause ovarian failure or increase in menopausal symptoms in addition to short-term and long-term negative effects on sexual health and quality of life (QoL). Management of menopausal symptoms and sexual dysfunction is important in efforts to optimize QoL in these women. The aim of this article is to present a comprehensive view of the sexual health of gynecological cancer survivors and to discuss evidence-based treatment options. Method:This is a descriptive study with a qualitative approach to verify the hormone therapy’s benefit and safety in these patients as well as the common sexual health problems and the options for their management. Results: Available data suggest that the use of hormonal therapy in patients with gynecological cancers does not have a negative impact on the oncological result andresults inan improvement in the vasomotor and genitourinary symptoms of menopause. Evidence regarding the safety of hormone therapy in women with estrogendependent neoplasias is rare. Sexual dysfunction is prevalent among survivors of gynecological cancer as a result of their treatment, negatively impacting on QoL. Many patients expect health professionals to start a discussion about sexuality, but most have never discussed sexual health issues with their doctors. Conclusions: Oncology professionals may have a significant impact on the QOL of gynecological cancer survivors by addressing menopausal symptoms and sexual health concerns. Candidates for hormone therapy in gynecological oncology include women with induced menopause or menopausal symptoms diagnosed with low-grade, early-stage endometrial cancer and cancers of the uterine cervix, vulva, vagina and ovary. Simple strategies can be implemented in clinical practice to address sexual issues. Referral to specialized sexual health providers may be necessary in the setting of more complex problems.