The diagnosis and clinical course of gynaecologic cancers can have immediate as well as lasting impact on the quality of a relationship, intimacy, sexuality and overall life of women and their partners. In spite of its rising awareness as an integral part of holistic health, sexual concerns in this isolated group are often neglected and underserved by the medical fraternity. Being the second most common type of cancer following carcinoma of the breast, gynaecological cancers have a devastating effect on both the physical as well as the emotional well-being of affected women.
The three subtypes of gynaecological cancers (uterine corpus, cervix and ovary) constitute about 15% of all-cancer risk in women. Studies indicate that sexual readjustment or rehabilitation is a major challenge with a collective prevalence of female sexual dysfunction (FSD) in about 15%–90% of women in this subpopulation. Classical forms of FSD comprising desire, arousal or orgasmic disorders may occur together with hormonal irregularities, fear, anxiety and stress before diagnosis, together with a likelihood of worsening of symptoms during and following therapy. Furthermore, patients may experience altered genital sensations ranging from pain to numbness; psycho-emotional issues would also result from body-image concerns and sexual role/relationship conflicts.
Further challenges may be imposed by therapy-mediated ovarian failure, hormonal derangements or premature menopause. Together with the recent advances in diagnosis and treatment, there is significant improvement in long-term survival and post-treatment life expectancy for these patients. It is therefore imperative for health care professionals to identify interventional measures that will succeed in providing quality life for the patient as well as her partner. Identified modalities should incorporate a systematic assessment, referral (if necessary), intervention and follow-up of sexual problems within the gynaecological setting for a meaningful/lasting improvement on the overall symptoms of cancer patients and their partners.
The commonest male ejaculation disorder is Premature Ejaculation (PE). Inhibited or Delayed Ejaculation can be a more challenging condition to assess and treat. This discussion will focus on the diagnosis, investigations and management of ejaculation problems including an overview of the first medication specifically approved for the treatment of PE, dapoxetine, released under the trade name of Priligy™.
Unmarried women have not been a target group for cervical cancer prevention in Korea. This study was performed to identify the awareness of Pap testing in unmarried university students in Korea, and to investigate the factors associated with the intention to undergo Pap testing.
Spinal Cord Injury (SCI) is a traumatic event that results in a sudden life change that is difficult to conceptualise. No one can truly be prepared for such a huge shock. It impacts a person not just physically and neurologically, but also socially, emotionally and psychologically. Recovering from SCI has been likened to a “rebirth”. A person needs to reconstruct even the most basic activities of daily living. Sexuality, being an integral part of every person’s life, is also part of this reconstruction process.
According to previous studies, lesbian, gay, and bisexual (LGB) people report lower levels of mental health relative to heterosexuals. Young LGB people especially suffer from poorer psychological adjustment. However, it remains unclear whether different developmental identity patterns have implications for the psychological adjustment of LGB youths. There is a possibility that the development of sexual orientation identity is related to the better mental health among young LGB people. This study examines whether different patterns of LGB identity formation and integration are associated with psychological adjustment.
In this presentation, Dr Redelman reviews some strategies to improving therapeutic outcomes by considering partner characteristics, such as personality and coping style, and relationship dynamics.
Dr Anita Elias will present a practical assessment and management tool that helps patients understand the connection between their thoughts, emotions and physical sexual responses. This model considers
This presentation aims to discuss two well-known sexuality phenomena in Japan from the clinical and cultural perspective. The celibacy syndrome in young people and sexless marriages are becoming widely discussed issues, raising more and more concerns over the future of Japanese society.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent