Survivorship and Sexuality in Ovarian Cancer
Sunday May 4, 2008
A recent Norwegian study looked at sexual functioning in ovarian cancer survivors aged 20-70 and who had survived at least 18 months since diagnosis. The study caught my eye because it tried to look a little more at true "function" as compared to a lot of other studies that merely note "activity". The two are not the same, since "function" looks more at the quality of sexual experience.
As you might imagine, sexual function was noted to be worse in survivors compared to the general population. This was mainly a survey type of study, so it has some limitations. The research team also measured estrogen levels. There are a few important takeaway points.
Those women who had low estrogen levels had more discomfort with sex and therefore less quality of life in this regard. Since giving low dose estrogen (vaginal cream, pills or patches) to ovarian cancer patients has never been shown to reduce a chance for cure, if you have sexual discomfort it may be related to vaginal dryness. Vaginal dryness can be improved by estrogen. Talk to your doctor about it. At the very least, if your doctor refuses to give you estrogen, some plant "estrogens" (they don't act the same way) like Black Cohosh have helped.
Sexual functioning was better in those with less depression and with stronger spousal relationship. This probably does not seem like a big discovery. However, what it means is the road you are traveling or have traveled is a very difficult one and it takes its toll. Do yourself a favor and ask your doctor for a referral for professional counseling. If you don't have that kind of relationship with your doctor, then ask a local support group for recommendations. There are counselors and psychologists who specialize in this area and can help you get the best quality of life you can, which you fully and richly deserve!!
As you might imagine, sexual function was noted to be worse in survivors compared to the general population. This was mainly a survey type of study, so it has some limitations. The research team also measured estrogen levels. There are a few important takeaway points.
Those women who had low estrogen levels had more discomfort with sex and therefore less quality of life in this regard. Since giving low dose estrogen (vaginal cream, pills or patches) to ovarian cancer patients has never been shown to reduce a chance for cure, if you have sexual discomfort it may be related to vaginal dryness. Vaginal dryness can be improved by estrogen. Talk to your doctor about it. At the very least, if your doctor refuses to give you estrogen, some plant "estrogens" (they don't act the same way) like Black Cohosh have helped.
Sexual functioning was better in those with less depression and with stronger spousal relationship. This probably does not seem like a big discovery. However, what it means is the road you are traveling or have traveled is a very difficult one and it takes its toll. Do yourself a favor and ask your doctor for a referral for professional counseling. If you don't have that kind of relationship with your doctor, then ask a local support group for recommendations. There are counselors and psychologists who specialize in this area and can help you get the best quality of life you can, which you fully and richly deserve!!


Comments
Thank you for your article on “Survivorship and Sexuality in Ovarian Cancer”. Several good points and useful suggestions. Sometimes this area is not addressed enough by patients and their physicians.