Advances in Sexual Medicine, 2014, 4, 65-70
Published Online October 2014 in SciRes. http://www.scirp.org/journal/asm
http://dx.doi.org/10.4236/asm.2014.44010
How to cite this paper: Martinez, A.M., Sroga, J.M., Ressler, I.B., Ayensu-Coker, L., Thomas, M.A. and Lindheim, S.R. (2014)
Sexual Satisfaction Is Reduced in the Female Patient and Sexually Intimate Partners Following Cancer Therapy. Advances in
Sexual Medicine, 4, 65-70. http://dx.doi.org/10.4236/asm.2014.44010
Sexual Satisfaction Is Reduced in the Female
Patient and Sexually Intimate Partners
Following Cancer Therapy
Alan M. Martinez
1
, Julie M. Sroga
1
, Ilana B. Ressler
2
, Leslie Ayensu-Coker
3
,
Michael A. Thomas
1
, Steven R. Lindheim
4
1
Department of Obstetrics & Gynecology, University of Cincinnati, Cincinnati, USA
2
New York Fertility Services, New York, USA
3
Department of Obstetrics & Gynecology, University of Kentucky, Lexington, USA
4
Department of Obstetrics & Gynecology, Wright State University, Dayton, USA
Email: martinezalan@hotmail.com , srogaje@ucmail.uc.edu , Iressler@nyfsb.com , thomasma@ucmail.uc.edu ,
doclalalindheim@yahoo.com
Received 22 August 2014; revised 22 September 2014; accepted 7 October 2014
Copyright © 2014 by authors and Scientific Research Publishing Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
http://creativecommons.org/licenses/by/4.0/
Abstract
As cancer survival has continued to improve, cancer patients and their sexually intimate partner
(SIP) are confronted with a number of issues including sexual function and overall sexual health.
Our study objective was to assess changes in sexual function in women undergoing cancer treat-
ment and their SIP, and attempt to identify areas of needed support and improvement. In this
questionnaire-based observational study, females (n = 11) completed a Female Sexual Function
Index (FSFI) and for SIP’s (n = 11), a Brief Sexual Function Inventory (BSFI). Level of satisfaction
prior to and within 3 months following treatment with surgery, chemotherapy and/or radiation
was compared. Mean pre- and post-treatment total (30.7 ± 2.7 vs. 23.2 ± 3.7, p < 0.001) and indi-
vidual FSFI domains were significantly different for desire (4.2 ± 0.6 vs. 2.6 ± 0.6, p < 0.001),
arousal (4.9 ± 0.4 vs. 3.5 ± 0.7, p = 0.001), lubrication (5.5 ± 0.4 vs. 4.5 ± 0.8, p = 0.006), orgasm
(5.0 ± 0.6 vs. 3.8 ± 0.7, p = 0.001), satisfaction (5.3 ± 0.6 vs. 3.5 ± 0.9, p < 0.001), though no differ-
ences were noted with dyspareunia. For SIP’s, BSFI domain scores for level of satisfaction were
significantly lower following partner treatment of SIPs (3.5 ± 5.2 vs. 2.5 ± 5.2, p = 0.004). Overall,
female sexual dysfunction was identified in 9% of patients prior to cancer treatment and 91% (n =
11, p < 0.001) following treatment. In conclusion, cancer treatment significantly affects sexual
function in female cancer patients and their SIPs. While long term effects on sexual dysfunction
are still unclear, short-term health care strategies including treatment, counseling, and appropri-
ate referral for cancer patients and their SIPs should not be overlooked.