女性癌症幸存者:性功能,心理困扰和剩余的生育能力
Elisabeth Reiser1, Bettina Böttcher2, Charlotte Ossig1
1Department of Gynecological Endocrinology and Reproductive Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Journal of assisted reproduction and genetics
|February 21, 2024
概括
女性癌症幸存者保留了生育能力可能会出现性功能障碍 (SD). 在癌症治疗和随访期间,患者应被告知潜在的SD风险,因为正常的月经周期可能会恢复,需要进行避孕讨论.
科学领域:
- 在瘤学瘤学.
- 生殖内分泌学 生殖内分泌学
- 性医学性医学性医学性医学
背景情况:
- 癌症的生存率正在增加,这给生活质量带来了挑战,包括性功能和生育能力.
- 保护生育能力是年轻患者癌症护理的关键方面.
- 性功能障碍 (SD) 是癌症幸存者的一个重要问题.
研究的目的:
- 为了评估性功能障碍 (SD) 和心理困扰在女性癌症幸存者谁之前接受了生育保护.
- 将这些幸存者的SD与已发表研究中的健康对照数据进行比较.
- 根据未来怀孕和计划生育完成的愿望,调查SD的差异.
主要方法:
- 一项前性研究包括了53名女性癌症幸存者,他们在2010-2020年期间接受了生育保护.
- 评估包括妇科检查,实验室测试和验证问卷 (FSFI,HADS) 在2022年.
- 数据与文献对照进行了比较,考虑了抗穆勒尔激素 (AMH) 水平,怀孕欲望和年龄.
主要成果:
- 在53名癌症幸存者的60.4%中检测到性功能障碍 (SD).
- 心理困扰 (焦虑/抑郁) 一般较低 (88.7%和94.3%的HADS正常得分).
- 在随访时,69.9%的女性恢复了正常的月经周期,52.6%的女性出现了卵巢储量下降 (AMH <1.1 ng/ml),28.3%的女性出现了不孕症.
结论:
- 女性癌症幸存者有显著的性功能障碍 (SD) 风险.
- 在诊断和随访期间,向癌症患者提供有关潜在SD的信息至关重要.
- 避孕咨询对于那些因潜在的生育能力回归而恢复正常月经周期的幸存者来说至关重要.
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