TY - JOUR
T1 - Survey of the desire to have children and engage in sexual activity after trachelectomy among young Japanese women with early-stage cervical cancer
AU - Yahata, Hideaki
AU - Sonoda, Kenzo
AU - Okugawa, Kaoru
AU - Yagi, Hiroshi
AU - Ohgami, Tatsuhiro
AU - Yasunaga, Masafumi
AU - Onoyama, Ichiro
AU - Kaneki, Eisuke
AU - Asanoma, Kazuo
AU - Kato, Kiyoko
N1 - Funding Information:
We thank all of the participating patients. This study was supported in part by a grant-in-aid for scientific research (C) from the Japan Society for the Promotion of Science (Number 19K09804).
Publisher Copyright:
© 2019 Japan Society of Obstetrics and Gynecology
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Aim: To evaluate how the desire to have children and engage in sexual activity change after trachelectomy in Japanese women with early-stage cervical cancer who strongly desired to have children before surgery. Methods: Desire to have children, coital pain, fear of sexual intercourse, sexual activity frequency and libido were assessed in cervical cancer patients who received follow-up after trachelectomy. An anonymous questionnaire survey was conducted via informed consent. Results: Of the 151 patients who underwent trachelectomy at Kyushu University Hospital between 2005 and 2015, 46 patients were evaluated; the response rate was 30%. The desire to have children disappeared in 13 of 46 (28%) patients, and 14 (30%) patients experienced increased coital pain. Moreover, 19 (41%) patients experienced fear of sexual intercourse, and sexual frequency decreased in 24 (52%) patients. Conclusion: Trachelectomy is an important fertility-sparing surgical method; however, this study revealed loss of the desire to have children and/or to engage in sexual activity in some patients after surgery. Counseling about these issues is important and should be addressed.
AB - Aim: To evaluate how the desire to have children and engage in sexual activity change after trachelectomy in Japanese women with early-stage cervical cancer who strongly desired to have children before surgery. Methods: Desire to have children, coital pain, fear of sexual intercourse, sexual activity frequency and libido were assessed in cervical cancer patients who received follow-up after trachelectomy. An anonymous questionnaire survey was conducted via informed consent. Results: Of the 151 patients who underwent trachelectomy at Kyushu University Hospital between 2005 and 2015, 46 patients were evaluated; the response rate was 30%. The desire to have children disappeared in 13 of 46 (28%) patients, and 14 (30%) patients experienced increased coital pain. Moreover, 19 (41%) patients experienced fear of sexual intercourse, and sexual frequency decreased in 24 (52%) patients. Conclusion: Trachelectomy is an important fertility-sparing surgical method; however, this study revealed loss of the desire to have children and/or to engage in sexual activity in some patients after surgery. Counseling about these issues is important and should be addressed.
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U2 - 10.1111/jog.14099
DO - 10.1111/jog.14099
M3 - Article
C2 - 31436874
AN - SCOPUS:85070889696
SN - 1341-8076
VL - 45
SP - 2255
EP - 2259
JO - Journal of Obstetrics and Gynaecology Research
JF - Journal of Obstetrics and Gynaecology Research
IS - 11
ER -
