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740 Sexual dysfunction in gynecological cancer survivors in Sinagpore: a qualitative sstudy
  1. Hui He,
  2. Grace Wenqian Su,
  3. Ravichandran Nadarajah and
  4. Joella Xiaohong Ang
  1. Singapore General Hospital, Singapore, Singapore


Introduction/Background The impact of gynecological cancer diagnosis and treatment on sexual health is well known in western countries. However, there are limited studies done in Singapore and sexual health is often neglected.

The aim of this study is to explore women’s lived experience to understand the factors affecting their sexual health post gynecological cancer treatment in Singapore.

Methodology Data collection took place at a gynecological oncology follow up clinic at a public-sector tertiary hospital in Singapore.

A descriptive, exploratory study design was adopted. Women aged 21 years and above, who are diagnosed with gynecological cancer and completed treatments for more than 6 months were recruited.

Individual, semi-structed interview were conducted. A thematic analysis approach was used.

Results Total 9 participants, age ranges from 43 to 70 years old, were recruited. The participants were between 14 months to 11 years post treatment.

6 themes emerged from the analysis: 1) Reduced sexual desire due to change of focus in life after cancer diagnosis, hormonal changes, and fear; 2) Fear that sexual activities would affect their recovery and/or increase risk of cancer recurrence; 3) Desire for more information on sexual health at diagnosis; 4) Relationship with partner. Most of them (6 out of 9) feel that their relationship with their partners were not affected. 3 of them felt pressure to satisfy their partners. 5) Lack of resumption of sexual activity, 2 out of 3 women did not resume sexual activity; 6) All women who resumed sexual activity complains of vaginal dryness and dyspareunia.

Conclusion Overall, patients experienced a range of sexual issues after gynecological cancer treatments.

More information regarding sexual health should be provided at cancer diagnosis. Further research should be done to explore the experience of their partners.

Disclosures The authors declare no conflict of interests.

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