Sexual Counseling in Gynecological Cancers: A Case Report

We present the sexual problems experienced by a patient undergoing gynecological cancer treatmentand the effectiveness of sexual counseling in the PLISSIT model direction. Gynecological cancer patientsbeing treated for a live presentation of cases where sexual problems and sexual counseling as describedin this direction have been made. A 31-year-old, nulliparous, married patient presented at the IstanbulUniversity Faculty of Medicine Gynecologic Oncology Outpatient Clinic with irregular menstruation.After pelvic examination was conducted, the patient who underwent conization process was diagnosedwith stage IB1 cervical cancer, according to FIGO staging. Then, the patient, undergoing radical trachelectomy,received three fractions of brachytherapy at the Institute of Oncology at Istanbul University.Vaginal fistula developed in the patient after the surgery. The patient was given face-to-face sexual counseling.As a result of sexual counseling, sexual function of the patient improved and her sexual satisfactionlevel increased.

PDF

___

Serçekuş P, Göral Türkcü S. Women Diagnosed with Gynecologic Cancer Sexuality Problems and Nursing Applications. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2015;8(1):36–8.
Pınar S, Algier L, Çolak M, Ayhan A. Jinekolojik Kanserli Hastalarda Yaşam Kalitesi. Uluslararası Hematoloji- Onkoloji Dergisi 2008;3(18):141–9.
Açıkgöz F. Cinsel sağlığa yönelik hemşirelik yaklaşım modelleri. Androloji Bülteni 2011;47:305–7.
Lamont J; CONTRIBUTING AUTHORS. Female sexual health consensus clinical guidelines. J Obstet Gynaecol Can 2012;34(8):769–75.
Tuğut N, Gölbaşı Z. Öğrenci hemşirelere yönelik cinselliği değerlendirme bilgi testi’nin geliştirilmesi, geçerlik ve güvenirliği. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2013;16(3):148–53.
Hawkins Y, Ussher J, Gilbert E, Perz J, Sandoval M, Sundquist K. Changes in sexuality and intimacy after the diagnosis and treatment of cancer: the experience of partners in a sexual relationship with a person with cancer. Cancer Nurs 2009;32(4):271–80.
Terzioğlu F, Alan H. The Effect of Some Psychological Problems Experienced During Gynecological Cancer Treatment Upon Women’s Sexual Life. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2015; 18(2):140–7.
Audette C, Waterman J. The sexual health of women after gynecologic malignancy. J Midwifery Womens Health 2010;55(4):357–62.
Cleary V, Hegarty J. Understanding sexuality in women with gynaecological cancer. Eur J Oncol Nurs 2011;15(1):38–45.
Tang CS, Lai BP, Chung TK. Influences of mastery, spousal support, and adaptive coping on sexual drive and satisfaction among chinese gynecologic cancer survivors. Arch Sex Behav 2010;39(5):1191–200.
Chun N. Effectiveness of PLISSIT model sexual program on female sexual function for women with gynecologic cancer. J Korean Acad Nurs 2011;41(4):471–80.
Nho JH. Effect of PLISSIT model sexual health enhancement program for women with gynecologic cancer and their husbands. J Korean Acad Nurs 2013;43(5):681–9.
Zargar Shoushtari S, Afshari P, Abedi P, Tabesh H. The effect of face-to-face with telephone-based counseling on sexual satisfaction among reproductive aged women in Iran. J Sex Marital Ther 2015;41(4):361–7.