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Sexual Dysfunction among Gynaecological Cancer Survivors: A Descriptive Cross-Sectional Study in Malaysia
Akmal Muzamir Mohamad Muhit1, Luke Sy-Cherng Woon1, Nik Sumayyah Nik Mhd Nor2
1Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur 56000, Malaysia.
International Journal of Environmental Research and Public Health
|December 11, 2022
Summary
Sexual dysfunction affects 60% of Malaysian gynaecological cancer survivors, particularly those with lower education and non-Malay ethnicity. Treatment combinations involving surgery and radiation or chemoradiation also increase risk.
Area of Science:
- Oncology
- Gynaecology
- Sexual Health
Background:
- Sexual dysfunction is a significant challenge for gynaecological cancer survivors.
- Understanding its prevalence and risk factors in Malaysia is crucial for targeted interventions.
Purpose of the Study:
- To evaluate the prevalence of sexual dysfunction among gynaecological cancer survivors in Malaysia.
- To identify sociodemographic and clinical risk factors associated with sexual dysfunction in this population.
Main Methods:
- A cross-sectional study involving 116 married gynaecological cancer survivors at Universiti Kebangsaan Malaysia Medical Centre.
- Data collected on sociodemographics and clinical factors; sexual dysfunction assessed using the Malay Version Female Sexual Function Index (MVFSFI).
- Univariate and multivariate logistic regression analyses were employed to determine risk factors.
Main Results:
- The prevalence of sexual dysfunction was 60%, with sexual dissatisfaction being the most common issue (68.1%).
- Lower education levels (Primary and Secondary) and non-Malay ethnicity were significantly associated with higher odds of sexual dysfunction.
- Treatment combinations of surgery with radiotherapy or chemoradiation also showed a significant association with sexual dysfunction.
Conclusions:
- Gynaecological cancer survivors with lower education, non-Malay ethnicity, and specific treatment combinations (surgery + radiotherapy/chemoradiation) face a higher risk of sexual dysfunction.
- A comprehensive, holistic approach is necessary to address the multifaceted sociocultural and clinical issues contributing to sexual dysfunction in these survivors.
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