Skip to main content
Home
Zeitschriften
Zeitungen
Podcast
Gesundheitspolitik
Praxis
Allerlei
Jobs
Fachgebiete
Allgemeinmedizin Anästhesiologie & Intensivmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kinder & Jugendheilkunde Neurologie & Psychiatrie Orthopädie & Unfallchirurgie Pflege Urologie Zahnmedizin Apotheke
Subfächer Innere Medizin
Diabetologie Gastroenterologie Infektiologie Kardiologie Onkologie und Hämatologie Pneumologie Rheumatologie
Fortbildungen
Überblick Fortbildungen DFP-Literaturstudium-Artikel DFP-Webcast Fortbildungen DFP-Podcasts
Erweiterte Suche
Anmelden
nach oben
Gynäkologie in der Praxis
Erschienen in: Journal für Gynäkologische Endokrinologie/Österreich 4/2023

14.11.2023 | 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: Gynäkologie in der Praxis | Ausgabe 4/2023

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.

Vorheriger Artikel Die Bedeutung der Ethik in einer zunehmend technisierten Medizin
Nächster Artikel PCOS in der Adoleszenz
Literatur
  1. Katz A et al (2022) Sexuality after cancer as an unmet need: addressing disparities, achieving equality. Symptoms and Surviorship. Am Soc Clin Oncol Educ Book. https://​doi.​org/​10.​1200/​EDBK_​100032
  2. 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:S136View Article
  3. Perz J et al (2014) Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer. BMC Cancer 14:228PubMedPubMed CentralView Article
  4. Ussher J, al at (2015) Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer 15:268PubMedPubMed CentralView Article
  5. 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):1–12PubMedView Article
  6. World Health Organisation (1995) The world health organisation quality of life assessment (whoqol) position paper. Soc Sci Med 41:1403–1409View Article
  7. Arrington R et al (2004) Questionnaires to measure sexual quality of life. Qual Life Res 13(10):1643–1658PubMedView Article
  8. Anderson BL et al (2000) Sexual self-concept for the women with cancer. Cancer and the family. John Wiley & Sons
  9. De Groot JM et al (2005) The psychosocial impact of cervical cancer among affected women and their partners. Int J Gynecol Cancer 15:918–925PubMedView Article
  10. Bertero C et al (2007) Breast cancer diagnosis and its treatment affecting the self. Cancer Nurs 30(3):194–202PubMedView Article
  11. Andersen BL (2009) In sickness and in health: Maintaining intimacy after breast cancer recurrence. Cancer J 15(1):70–73PubMedPubMed CentralView Article
  12. Gilbert E et al (2010) Sexuality after breast cancer: a review. Maturitas 66:397–407PubMedView Article
  13. 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):42–57PubMedView Article
  14. 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 10:21–34PubMedView Article
  15. Basson R (2010) Sexual function of women with chronic illness and cancer. Womens Health 6(3):407–429
  16. Holmes L (2005) Sexuality in gynaecological cancer patients. Cancer Nurs Pract 4(6):35–39View Article
  17. Ussher JM et al (2012) Changes to sexual well-being and intimacy after breast cancer. Cancer Nurs 35(6):456–464PubMedView Article
  18. Bergmark K et al (1999) Vaginal changes and sexuality in women with a history of cervical cancer. N Engl J Med 340(18):1383–1389PubMedView Article
  19. 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):1242–1248PubMedView Article
  20. Stead ML et al (2007) Psychosexual function and impact of gynaecological cancer. Best Pract Res Clin Obstet Gynaecol 21(2):309–320PubMedView Article
  21. Lamb MA et al (1994) The sexual adaptation of women treated for endometrial cancer. Cancer Pract 2(2):103–113PubMed
  22. 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):894–904PubMedView Article
  23. Fobair P et al (2006) Body image and sexual problems in young women with breast cancer. Psychooncology 15(7):579–594PubMedView Article
  24. Archibald S et al (2006) Chemically-induced menopause and the sexual functioning of breast cancer survivors. Women Ther 29(1/2):83–106View Article
  25. Wilmoth MC (2001) The aftermath of breast cancer: an altered sexual self. Cancer Nurs 24(4):278–286PubMedView Article
  26. Green MS et al (2000) Sexual dysfunction following vulvectomy. Gynecol Oncol 77(1):73–77PubMedView Article
  27. Meyerowitz B et al (1999) Sexuality following breast cancer. J Sex Marital Ther 25:237–250PubMedView Article
  28. Juraskova I et al (2013) Sexual adjustment following early stage cervical and endometrial cancer: prospective controlled multi-centre study. Psychooncology 22(1):153–159PubMedView Article
  29. 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):793–802PubMedView Article
  30. 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):19–27PubMedView Article
  31. Donovan KA et al (2010) Sexual function in colorectal cancer survivors. Cancer Control 17(1):44–51PubMedView Article
  32. van der Horst-Schrivers ANA et al (2009) Sexual function in patients with metastatic midgut carcinoid tumours. Neuroendocrinology 89(2):231–236PubMedView Article
  33. Low C et al (2009) Issues of intimacy and sexual dysfunction following major head and neck cancer treatment. Oral Oncol 45(10):898–903PubMedView Article
  34. Monga U et al (1997) Sexuality in head and neck cancer patients. Arch Phys Med Rehabil 78(3):298–304PubMedView Article
  35. 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 14:294–298PubMedView Article
  36. 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):143–150PubMedView Article
  37. Jarden M et al (2012) The impact of hematopoietic stem cell transplantation on sexuality: a systematic review of the literature. Bone Marrow Transplant 47:716PubMedView Article
  38. Shell JA et al (2008) The longitudinal effects of cancer treatment on sexuality in individuals with lung cancer. Oncol Nurs Forum 35(1):73–79PubMedView Article
  39. Galbraith ME et al (2008) Alterations of sexual function in men with cancer. Semin Oncol Nurs 24(2):102–114PubMedView Article
  40. 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):1592–1601PubMedView Article
  41. Bober SL et al (2013) Sexual function in childhood cancer survivors: a report from project REACH. J Sex Med 10(8):2084–2093PubMedView Article
  42. Zebrack BJ et al (2010) Sexual functioning in young adult survivors of childhood cancer. Psychooncology 19(8):814–822PubMedPubMed CentralView Article
  43. Australian Institute of Health and Welfare (2014) Cancer in Australia: an overview 2014. AIHW, Canberra
  44. Mercadante S et al (2010) Sexual issues in early and late stage cancer: a review. Support Care Cancer 18(6):659–665PubMedView Article
  45. Frumovitz M et al (2005) Quality of life and sexual functioning in cervical cancer survivors. J Clin Oncol 23(30):7428–7436PubMedView Article
  46. 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):2177–2182PubMedView Article
  47. 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 19:646–656View Article
  48. 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):431–438PubMedView Article
  49. 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):1891–1900PubMedView Article
  50. 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):164–170PubMedView Article
  51. Grant M et al (2011) Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum 38(5):587–596PubMedPubMed CentralView Article
  52. 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):979–987PubMedView Article
  53. Kleinplatz PJ (2012) New directions in sex therapy: Innovations and alternatives, 2. Aufl. Brunner-Routledge, PhiladelphiaView Article
  54. Alder J et al (2008) Sexual dysfunction after premenopausal stage I and II breast cancer: Do androgens play a role? J Sex Med 5:1898–1906PubMedView Article
  55. Manne S et al (2006) Cancer-related relationship communication in couples with early stage breast cancer. Psychooncology 15(3):234–247PubMedView Article
  56. Badr H et al (2008) Does talking about their relationship affect couples’ marital and psychological adjustment to lung cancer? J Cancer Surviv 2(1):53–64PubMedView Article
  57. Zunkel G (2002) Relational coping processes: couples’ response to a diagnosis of early stage breast cancer. J Psychosoc Oncol 20(4):39–55PubMedView Article
  58. Kayser K et al (2007) Cancer as a ‚we-disease‘: examining the process of coping from a relational perspective. Fam Syst Health 25(4):404–418View Article
  59. Manne S et al (2004) Posttraumatic growth after breast cancer: patient, partner, and couple perspectives. Psychosom Med 66(3):442–454PubMed
  60. 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):256–275View Article
  61. Badr H et al (2006) Social constraints and spousal communication in lung cancer. Psychooncology 15(8):673–683PubMedView Article
  62. Jack DC (1991) Silencing the self: Women and depression. Harvard University Press, Cambridge
  63. Whiffen VE et al (2007) Self-silencing mediates the link between marital conflict and depression. J Soc Pers Relat 24(6):993–1006View Article
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
14.11.2023
Verlag
Springer Vienna
Erschienen in
Gynäkologie in der Praxis / Ausgabe 4/2023
Print ISSN: 3005-0758
Elektronische ISSN: 3005-0766
DOI
https://doi.org/10.1007/s41974-023-00292-9

Weitere Artikel der Ausgabe 4/2023

Journal für Gynäkologische Endokrinologie/Österreich 4/2023 Zur Ausgabe

One Minute Wonder

PCOS in der Adoleszenz

Originalien

Die Bedeutung der Ethik in einer zunehmend technisierten Medizin

Mitteilungen der Österreichischen IVF-Gesellschaft

Mitteilungen der Österreichischen IVF-Gesellschaft

Originalien

Stellenwert der Insemination in der modernen Kinderwunschbehandlung

Medizin & Recht

Die vertragliche Gestaltung zwischen Arzt/Krankenanstalt und Patienten: der Behandlungsvertrag/der Krankenhausaufnahmevertrag

Die Mädchensprechstunde

Kontrazeption bei Jugendlichen mit komplexen Krankheitsbildern – Teil 2