Skip to main content
Erschienen in: Journal für Urologie und Urogynäkologie/Österreich 3/2023

19.06.2023 | Originalien

Krebserkrankungen und deren Auswirkungen auf die weibliche Sexualität – eine Übersicht mit Fallbeispielen

verfasst von: PD Dr. med. Désirée Louise Dräger, M. A., Julia Nolting, Oliver Hakenberg

Erschienen in: Journal für Urologie und Urogynäkologie/Österreich | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Zusammenfassung

Ein äußerst wichtiger und oft vernachlässigter Aspekt der Krebsbehandlung ist die Sexualität. Sexualität ist von Natur aus ein menschliches Bedürfnis, dies hört auch nach einer Krebsdiagnose nicht auf. Sexualität umfasst mehrere Domänen, und alle sind durch eine Krebserkrankung und deren Behandlung gefährdet. Trotz der Bedeutung der sexuellen Gesundheit stellt diese immer noch ein selten beachtetes Bedürfnis dar. Veränderungen der Sexualität und des sexuellen Wohlbefindens sind negative Langzeitfolgen von Krebs und Krebsbehandlungen. Diese Veränderungen können sich auch negativ auf das psychische Wohlbefinden, die Lebensqualität und die Paarbeziehung auswirken. Ärzte sollten zu jedem Zeitpunkt der Krebsbehandlung (Diagnose, Behandlung, Nachsorge) nach sexuellen Gesundheitsproblemen fragen, v. a. bei Frauen.
Literatur
2.
Zurück zum Zitat Taylor J et al (2020) Sexual health toxicity in cancer survivors: is there a gender disparity in physician evaluation and intervention? Int J Radiat Oncol Biol Phys 108:S136 Taylor J et al (2020) Sexual health toxicity in cancer survivors: is there a gender disparity in physician evaluation and intervention? Int J Radiat Oncol Biol Phys 108:S136
3.
Zurück zum Zitat Perz J et al (2014) Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer. BMC Cancer 14:228PubMedPubMedCentral Perz J et al (2014) Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer. BMC Cancer 14:228PubMedPubMedCentral
4.
Zurück zum Zitat Ussher J, al at (2015) Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer 15:268PubMedPubMedCentral Ussher J, al at (2015) Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer 15:268PubMedPubMedCentral
5.
Zurück zum Zitat Hodges LJ et al (2005) A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med 60(1):1–12PubMed Hodges LJ et al (2005) A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med 60(1):1–12PubMed
6.
Zurück zum Zitat World Health Organisation (1995) The world health organisation quality of life assessment (whoqol) position paper. Soc Sci Med 41:1403–1409 World Health Organisation (1995) The world health organisation quality of life assessment (whoqol) position paper. Soc Sci Med 41:1403–1409
7.
Zurück zum Zitat Arrington R et al (2004) Questionnaires to measure sexual quality of life. Qual Life Res 13(10):1643–1658PubMed Arrington R et al (2004) Questionnaires to measure sexual quality of life. Qual Life Res 13(10):1643–1658PubMed
8.
Zurück zum Zitat Anderson BL et al (2000) Sexual self-concept for the women with cancer. Cancer and the family. John Wiley & Sons Anderson BL et al (2000) Sexual self-concept for the women with cancer. Cancer and the family. John Wiley & Sons
9.
Zurück zum Zitat De Groot JM et al (2005) The psychosocial impact of cervical cancer among affected women and their partners. Int J Gynecol Cancer 15:918–925PubMed De Groot JM et al (2005) The psychosocial impact of cervical cancer among affected women and their partners. Int J Gynecol Cancer 15:918–925PubMed
10.
Zurück zum Zitat Bertero C et al (2007) Breast cancer diagnosis and its treatment affecting the self. Cancer Nurs 30(3):194–202PubMed Bertero C et al (2007) Breast cancer diagnosis and its treatment affecting the self. Cancer Nurs 30(3):194–202PubMed
11.
Zurück zum Zitat Andersen BL (2009) In sickness and in health: Maintaining intimacy after breast cancer recurrence. Cancer J 15(1):70–73PubMedPubMedCentral Andersen BL (2009) In sickness and in health: Maintaining intimacy after breast cancer recurrence. Cancer J 15(1):70–73PubMedPubMedCentral
12.
Zurück zum Zitat Gilbert E et al (2010) Sexuality after breast cancer: a review. Maturitas 66:397–407PubMed Gilbert E et al (2010) Sexuality after breast cancer: a review. Maturitas 66:397–407PubMed
13.
Zurück zum Zitat Gilbert E et al (2011) Sexuality after gynaecological cancer: a review of the material, intrapsychic, and discursive aspects of treatment on women’s sexual-wellbeing. Maturitas 70(1):42–57PubMed Gilbert E et al (2011) Sexuality after gynaecological cancer: a review of the material, intrapsychic, and discursive aspects of treatment on women’s sexual-wellbeing. Maturitas 70(1):42–57PubMed
14.
Zurück zum Zitat Carter J et al (2013) The physical consequences of gynecologic cancer surgery and their impact on sexual, emotional, and quality of life issues. J Sex Med 10:21–34PubMed Carter J et al (2013) The physical consequences of gynecologic cancer surgery and their impact on sexual, emotional, and quality of life issues. J Sex Med 10:21–34PubMed
15.
Zurück zum Zitat Basson R (2010) Sexual function of women with chronic illness and cancer. Womens Health 6(3):407–429 Basson R (2010) Sexual function of women with chronic illness and cancer. Womens Health 6(3):407–429
16.
Zurück zum Zitat Holmes L (2005) Sexuality in gynaecological cancer patients. Cancer Nurs Pract 4(6):35–39 Holmes L (2005) Sexuality in gynaecological cancer patients. Cancer Nurs Pract 4(6):35–39
17.
Zurück zum Zitat Ussher JM et al (2012) Changes to sexual well-being and intimacy after breast cancer. Cancer Nurs 35(6):456–464PubMed Ussher JM et al (2012) Changes to sexual well-being and intimacy after breast cancer. Cancer Nurs 35(6):456–464PubMed
18.
Zurück zum Zitat Bergmark K et al (1999) Vaginal changes and sexuality in women with a history of cervical cancer. N Engl J Med 340(18):1383–1389PubMed Bergmark K et al (1999) Vaginal changes and sexuality in women with a history of cervical cancer. N Engl J Med 340(18):1383–1389PubMed
19.
Zurück zum Zitat Safarinejad MR et al (2013) Quality of life and sexual functioning in young women with early stage breast cancer 1 year after lumpectomy. Psychooncology 22(6):1242–1248PubMed Safarinejad MR et al (2013) Quality of life and sexual functioning in young women with early stage breast cancer 1 year after lumpectomy. Psychooncology 22(6):1242–1248PubMed
20.
Zurück zum Zitat Stead ML et al (2007) Psychosexual function and impact of gynaecological cancer. Best Pract Res Clin Obstet Gynaecol 21(2):309–320PubMed Stead ML et al (2007) Psychosexual function and impact of gynaecological cancer. Best Pract Res Clin Obstet Gynaecol 21(2):309–320PubMed
21.
Zurück zum Zitat Lamb MA et al (1994) The sexual adaptation of women treated for endometrial cancer. Cancer Pract 2(2):103–113PubMed Lamb MA et al (1994) The sexual adaptation of women treated for endometrial cancer. Cancer Pract 2(2):103–113PubMed
22.
Zurück zum Zitat Plotti F et al (2011) Quality of life and sexual function after type C2/type III radical hysterectomy for locally advanced cervical cancer: a prospective study. J Sex Med 8(3):894–904PubMed Plotti F et al (2011) Quality of life and sexual function after type C2/type III radical hysterectomy for locally advanced cervical cancer: a prospective study. J Sex Med 8(3):894–904PubMed
23.
Zurück zum Zitat Fobair P et al (2006) Body image and sexual problems in young women with breast cancer. Psychooncology 15(7):579–594PubMed Fobair P et al (2006) Body image and sexual problems in young women with breast cancer. Psychooncology 15(7):579–594PubMed
24.
Zurück zum Zitat Archibald S et al (2006) Chemically-induced menopause and the sexual functioning of breast cancer survivors. Women Ther 29(1/2):83–106 Archibald S et al (2006) Chemically-induced menopause and the sexual functioning of breast cancer survivors. Women Ther 29(1/2):83–106
25.
Zurück zum Zitat Wilmoth MC (2001) The aftermath of breast cancer: an altered sexual self. Cancer Nurs 24(4):278–286PubMed Wilmoth MC (2001) The aftermath of breast cancer: an altered sexual self. Cancer Nurs 24(4):278–286PubMed
26.
Zurück zum Zitat Green MS et al (2000) Sexual dysfunction following vulvectomy. Gynecol Oncol 77(1):73–77PubMed Green MS et al (2000) Sexual dysfunction following vulvectomy. Gynecol Oncol 77(1):73–77PubMed
27.
Zurück zum Zitat Meyerowitz B et al (1999) Sexuality following breast cancer. J Sex Marital Ther 25:237–250PubMed Meyerowitz B et al (1999) Sexuality following breast cancer. J Sex Marital Ther 25:237–250PubMed
28.
Zurück zum Zitat Juraskova I et al (2013) Sexual adjustment following early stage cervical and endometrial cancer: prospective controlled multi-centre study. Psychooncology 22(1):153–159PubMed Juraskova I et al (2013) Sexual adjustment following early stage cervical and endometrial cancer: prospective controlled multi-centre study. Psychooncology 22(1):153–159PubMed
29.
Zurück zum Zitat Milbury K et al (2013) The association between psychosocial and medical factors with long-term sexual dysfunction after treatment for colorectal cancer. Support Care Cancer 21(3):793–802PubMed Milbury K et al (2013) The association between psychosocial and medical factors with long-term sexual dysfunction after treatment for colorectal cancer. Support Care Cancer 21(3):793–802PubMed
30.
Zurück zum Zitat Traa MJ et al (2012) Sexual (dys)function and the quality of sexual life in patients with colorectal cancer: a systematic review. Ann Oncol 23(1):19–27PubMed Traa MJ et al (2012) Sexual (dys)function and the quality of sexual life in patients with colorectal cancer: a systematic review. Ann Oncol 23(1):19–27PubMed
31.
Zurück zum Zitat Donovan KA et al (2010) Sexual function in colorectal cancer survivors. Cancer Control 17(1):44–51PubMed Donovan KA et al (2010) Sexual function in colorectal cancer survivors. Cancer Control 17(1):44–51PubMed
32.
Zurück zum Zitat van der Horst-Schrivers ANA et al (2009) Sexual function in patients with metastatic midgut carcinoid tumours. Neuroendocrinology 89(2):231–236PubMed van der Horst-Schrivers ANA et al (2009) Sexual function in patients with metastatic midgut carcinoid tumours. Neuroendocrinology 89(2):231–236PubMed
33.
Zurück zum Zitat Low C et al (2009) Issues of intimacy and sexual dysfunction following major head and neck cancer treatment. Oral Oncol 45(10):898–903PubMed Low C et al (2009) Issues of intimacy and sexual dysfunction following major head and neck cancer treatment. Oral Oncol 45(10):898–903PubMed
34.
Zurück zum Zitat Monga U et al (1997) Sexuality in head and neck cancer patients. Arch Phys Med Rehabil 78(3):298–304PubMed Monga U et al (1997) Sexuality in head and neck cancer patients. Arch Phys Med Rehabil 78(3):298–304PubMed
35.
Zurück zum Zitat Salem HK (2007) Radical cystectomy with preservation of sexual function and fertility in patients with transitional cell carcinoma of the bladder: new technique. Int J Urol 14:294–298PubMed Salem HK (2007) Radical cystectomy with preservation of sexual function and fertility in patients with transitional cell carcinoma of the bladder: new technique. Int J Urol 14:294–298PubMed
36.
Zurück zum Zitat Jonker-Pool G et al (2004) Male sexuality after cancer treatment-needs for information and support: testicular cancer compared to malignant lymphoma. Patient Educ Couns 52(2):143–150PubMed Jonker-Pool G et al (2004) Male sexuality after cancer treatment-needs for information and support: testicular cancer compared to malignant lymphoma. Patient Educ Couns 52(2):143–150PubMed
37.
Zurück zum Zitat Jarden M et al (2012) The impact of hematopoietic stem cell transplantation on sexuality: a systematic review of the literature. Bone Marrow Transplant 47:716PubMed Jarden M et al (2012) The impact of hematopoietic stem cell transplantation on sexuality: a systematic review of the literature. Bone Marrow Transplant 47:716PubMed
38.
Zurück zum Zitat Shell JA et al (2008) The longitudinal effects of cancer treatment on sexuality in individuals with lung cancer. Oncol Nurs Forum 35(1):73–79PubMed Shell JA et al (2008) The longitudinal effects of cancer treatment on sexuality in individuals with lung cancer. Oncol Nurs Forum 35(1):73–79PubMed
39.
Zurück zum Zitat Galbraith ME et al (2008) Alterations of sexual function in men with cancer. Semin Oncol Nurs 24(2):102–114PubMed Galbraith ME et al (2008) Alterations of sexual function in men with cancer. Semin Oncol Nurs 24(2):102–114PubMed
40.
Zurück zum Zitat Greenfield DM et al (2010) Quality of life, self-esteem, fatigue, and sexual function in young men after cancer: a controlled cross-sectional study. Cancer 116(6):1592–1601PubMed Greenfield DM et al (2010) Quality of life, self-esteem, fatigue, and sexual function in young men after cancer: a controlled cross-sectional study. Cancer 116(6):1592–1601PubMed
41.
Zurück zum Zitat Bober SL et al (2013) Sexual function in childhood cancer survivors: a report from project REACH. J Sex Med 10(8):2084–2093PubMed Bober SL et al (2013) Sexual function in childhood cancer survivors: a report from project REACH. J Sex Med 10(8):2084–2093PubMed
42.
Zurück zum Zitat Zebrack BJ et al (2010) Sexual functioning in young adult survivors of childhood cancer. Psychooncology 19(8):814–822PubMedPubMedCentral Zebrack BJ et al (2010) Sexual functioning in young adult survivors of childhood cancer. Psychooncology 19(8):814–822PubMedPubMedCentral
43.
Zurück zum Zitat Australian Institute of Health and Welfare (2014) Cancer in Australia: an overview 2014. AIHW, Canberra Australian Institute of Health and Welfare (2014) Cancer in Australia: an overview 2014. AIHW, Canberra
44.
Zurück zum Zitat Mercadante S et al (2010) Sexual issues in early and late stage cancer: a review. Support Care Cancer 18(6):659–665PubMed Mercadante S et al (2010) Sexual issues in early and late stage cancer: a review. Support Care Cancer 18(6):659–665PubMed
45.
Zurück zum Zitat Frumovitz M et al (2005) Quality of life and sexual functioning in cervical cancer survivors. J Clin Oncol 23(30):7428–7436PubMed Frumovitz M et al (2005) Quality of life and sexual functioning in cervical cancer survivors. J Clin Oncol 23(30):7428–7436PubMed
46.
Zurück zum Zitat Kim KR et al (2012) Body image, sexual function and depression in Korean patients with breast cancer: modification by 5‑HTT polymorphism. Support Care Cancer 20(9):2177–2182PubMed Kim KR et al (2012) Body image, sexual function and depression in Korean patients with breast cancer: modification by 5‑HTT polymorphism. Support Care Cancer 20(9):2177–2182PubMed
47.
Zurück zum Zitat Den Oudsten B et al (2010) Clinical factors are not the best predictors of quality of sexual life and sexual functioning in women with early stage breast cancer. Psychooncology 19:646–656 Den Oudsten B et al (2010) Clinical factors are not the best predictors of quality of sexual life and sexual functioning in women with early stage breast cancer. Psychooncology 19:646–656
48.
Zurück zum Zitat Rouanne M et al (2013) Evaluation of sexuality, health-related quality-of-life and depression in advanced cancer patients: a prospective study in a Phase I clinical trial unit of predominantly targeted anticancer drugs. Eur J Cancer 49(2):431–438PubMed Rouanne M et al (2013) Evaluation of sexuality, health-related quality-of-life and depression in advanced cancer patients: a prospective study in a Phase I clinical trial unit of predominantly targeted anticancer drugs. Eur J Cancer 49(2):431–438PubMed
49.
Zurück zum Zitat Biglia N et al (2010) Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight. J Sex Med 7(5):1891–1900PubMed Biglia N et al (2010) Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight. J Sex Med 7(5):1891–1900PubMed
50.
Zurück zum Zitat Orsini RG et al (2013) Quality of life of older rectal cancer patients is not impaired by a permanent stoma. Eur J Surg Oncol 39(2):164–170PubMed Orsini RG et al (2013) Quality of life of older rectal cancer patients is not impaired by a permanent stoma. Eur J Surg Oncol 39(2):164–170PubMed
51.
Zurück zum Zitat Grant M et al (2011) Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum 38(5):587–596PubMedPubMedCentral Grant M et al (2011) Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum 38(5):587–596PubMedPubMedCentral
52.
Zurück zum Zitat Traa MJ et al (2014) Measuring the health-related quality of life and sexual functioning of patients with rectal cancer: Does type of treatment matter? Int J Cancer 134(4):979–987PubMed Traa MJ et al (2014) Measuring the health-related quality of life and sexual functioning of patients with rectal cancer: Does type of treatment matter? Int J Cancer 134(4):979–987PubMed
53.
Zurück zum Zitat Kleinplatz PJ (2012) New directions in sex therapy: Innovations and alternatives, 2. Aufl. Brunner-Routledge, Philadelphia Kleinplatz PJ (2012) New directions in sex therapy: Innovations and alternatives, 2. Aufl. Brunner-Routledge, Philadelphia
54.
Zurück zum Zitat Alder J et al (2008) Sexual dysfunction after premenopausal stage I and II breast cancer: Do androgens play a role? J Sex Med 5:1898–1906PubMed Alder J et al (2008) Sexual dysfunction after premenopausal stage I and II breast cancer: Do androgens play a role? J Sex Med 5:1898–1906PubMed
55.
Zurück zum Zitat Manne S et al (2006) Cancer-related relationship communication in couples with early stage breast cancer. Psychooncology 15(3):234–247PubMed Manne S et al (2006) Cancer-related relationship communication in couples with early stage breast cancer. Psychooncology 15(3):234–247PubMed
56.
Zurück zum Zitat Badr H et al (2008) Does talking about their relationship affect couples’ marital and psychological adjustment to lung cancer? J Cancer Surviv 2(1):53–64PubMed Badr H et al (2008) Does talking about their relationship affect couples’ marital and psychological adjustment to lung cancer? J Cancer Surviv 2(1):53–64PubMed
57.
Zurück zum Zitat Zunkel G (2002) Relational coping processes: couples’ response to a diagnosis of early stage breast cancer. J Psychosoc Oncol 20(4):39–55PubMed Zunkel G (2002) Relational coping processes: couples’ response to a diagnosis of early stage breast cancer. J Psychosoc Oncol 20(4):39–55PubMed
58.
Zurück zum Zitat Kayser K et al (2007) Cancer as a ‚we-disease‘: examining the process of coping from a relational perspective. Fam Syst Health 25(4):404–418 Kayser K et al (2007) Cancer as a ‚we-disease‘: examining the process of coping from a relational perspective. Fam Syst Health 25(4):404–418
59.
Zurück zum Zitat Manne S et al (2004) Posttraumatic growth after breast cancer: patient, partner, and couple perspectives. Psychosom Med 66(3):442–454PubMed Manne S et al (2004) Posttraumatic growth after breast cancer: patient, partner, and couple perspectives. Psychosom Med 66(3):442–454PubMed
60.
Zurück zum Zitat Kuijer RG et al (2000) Active engagement, protective buffering and overprotection: three ways of giving support by intimate partners of patients with cancer. J Soc Clin Psychol 19(2):256–275 Kuijer RG et al (2000) Active engagement, protective buffering and overprotection: three ways of giving support by intimate partners of patients with cancer. J Soc Clin Psychol 19(2):256–275
61.
Zurück zum Zitat Badr H et al (2006) Social constraints and spousal communication in lung cancer. Psychooncology 15(8):673–683PubMed Badr H et al (2006) Social constraints and spousal communication in lung cancer. Psychooncology 15(8):673–683PubMed
62.
Zurück zum Zitat Jack DC (1991) Silencing the self: Women and depression. Harvard University Press, Cambridge Jack DC (1991) Silencing the self: Women and depression. Harvard University Press, Cambridge
63.
Zurück zum Zitat Whiffen VE et al (2007) Self-silencing mediates the link between marital conflict and depression. J Soc Pers Relat 24(6):993–1006 Whiffen VE et al (2007) Self-silencing mediates the link between marital conflict and depression. J Soc Pers Relat 24(6):993–1006
Metadaten
Titel
Krebserkrankungen und deren Auswirkungen auf die weibliche Sexualität – eine Übersicht mit Fallbeispielen
verfasst von
PD Dr. med. Désirée Louise Dräger, M. A.
Julia Nolting
Oliver Hakenberg
Publikationsdatum
19.06.2023
Verlag
Springer Vienna
Erschienen in
Journal für Urologie und Urogynäkologie/Österreich / Ausgabe 3/2023
Print ISSN: 1023-6090
Elektronische ISSN: 1680-9424
DOI
https://doi.org/10.1007/s41972-023-00202-3

Weitere Artikel der Ausgabe 3/2023

Journal für Urologie und Urogynäkologie/Österreich 3/2023 Zur Ausgabe