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For example, medicines, surgery, psychological and physical therapies, diet and exercise changes. Morediscuss why this matters, what might help, and what we need to know. In a relationship? Not interested at the moment?
Looking for someone? Women want sex Cochrane or straight? Whoever we are, and at whatever stage in our personal lives, we need to feel comfortable with our bodies, accepted by ourselves and by others, and our attitudes to our sexuality and sexual lives are very important.
Sex impacts on our zest for life, how we view ourselves and our relationships. One in three of us will receive a diagnosis of cancer at some time in our lives. It often presents numerous challenges. Not only does our mortality death More come into sharper focus, but we may also begin to question our core values, our relationships and our sense of who we are. Dealing with the cancer often involves invasive, sometimes mutilating and often prolonged treatments and side effects.
Many of us go on to survive cancer but there may be long term impacts on our bodies. It is no wonder that sexual matters can come into this maelstrom of changes. However, in illness sex is often side-lined, regarded as a luxury in the face of life threatening events, and rarely considered or mentioned by professionals in charge of our care. Our partners too may Women want sex Cochrane confused and unsure how to help.
All cancers may affect our sex lives; some such as gynaecological or tumours elsewhere in the pelvic region may have a direct mechanical impact on how we function sexually. Breast cancer may particularly affect body image, and cancers affecting the head and neck can challenge how we look and feel attractive.
Suffering from any cancer may lead to a loss of desire for sex, a fear in resuming a sexual relationship, and loss of sexual satisfaction. These effects may be short lived, although sometimes they may persist for years. Cancer treatments may further impact on our sexual functioning. They often involve radiation, surgery, chemotherapy, and hormonal treatment. Any or all of these may cause damage to nerves and blood vessels or cause scar tissue to develop, or a reduction in hormone levels as the ovaries are affected.
Younger women face addressing potential loss of fertility and symptoms associated with an early menopause. Some gynaecological treatments lead to structural alterations in the pelvis, affecting pleasure from touch, or causing pain as the vagina has become too tight or dry. Cancer of the bowel may require temporary or permanent colostomy which may cause anxieties over feeling desirable, and potential for changes in body odour.
Many other tumours require invasive surgery that leaves ificant scarring.
When sick, people need to feel close to others, to feel loved and supported. Whether this involves sexual intercourse, or simply intimacy, how we feel about our sexuality and ourselves remains important, even in the face of the approach of death. While sexual problems may be common there are difficulties in talking about them. We may feel uneasy talking about problems with our sexual partner, let alone a health professional like a doctor or nurse.
We may feel too awkward to start such a discussion or fear embarrassment by exposing ourselves. Professionals too may be inhibited from initiating conversations that might help. There are many types of complementary therapies which may provide simple and supportive environments in which to boost our self-esteem.
Aromatherapy and massage may help us relearn how to relax by being touched and helping us to smell nice.
Other approaches may help to manage symptoms like hot flushes. Hormonal treatments may help increase sexual desire. Using hormonal treatments may be a way to get your sexual hormones back on track. These may make you feel better by increasing sexual desire and by dealing with menopausal symptoms. Other approaches deal with the mechanics of our bodies. Physical exercises can help strengthen the muscles of the pelvic floor, keeping the pelvic organs in place and helping with any anxieties we have about bladder function. Vibrators and clitoral stimulators may help increase sexual desire and arousal.
Sex therapy may help with facing challenges and making changes. Sex therapy is talking therapy where an experienced therapist works with an individual or couple. The focus is on sexual relationships, how we feel about ourselves and others. Sessions may focus on helping us to admit what we want and what we do not want, face the challenges of the future and make any changes we need. It may be particularly useful to have partners present so that they can learn more about our needs and express their own fears.
We undertook a Cochrane review of research papers that have been published Women want sex Cochrane. This review included papers reporting the of 11 clinical trials Clinical trials are research studies involving people who use healthcare services. They often compare a new or different treatment with the best treatment currently available. This is to test whether the new or different treatment is safe, effective and any better than what is currently used. No matter how promising a new treatment may appear during tests in a laboratory, it must go through clinical trials before its benefits and risks can really be known.
More of interventions to help women after treatments for cancer. In total 1, women were involved. These women had breast or gynaecological cancer. Eight of the interventions tested involved a sex therapy. Two involved topical creams: one was a cream containing testosterone, the other a gel especially deed to suit the natural pH of the vagina. The other intervention A treatment, procedure or programme of health care that has the potential to change the course of events of a healthcare condition. Examples include a drug, surgery, exercise or counselling. More tested was a set of exercises to strengthen the pelvic floor.
The studies of trials were mainly poorly deed; many of the trials were conducted with only small s of women and they measured benefit from the interventions in various different ways. Only a few of the trials considered whether there were any harmful effects of the interventions. Potential for harm is very important to measure, for instance for those having sex therapy, talking about personal sexual problems may cause emotional distress for Women want sex Cochrane people. The sexual dysfunction interventions in this review are not representative of the range that is available for women, or of the wider range of cancers in which treatments are known to increase the risk A way of expressing the chance of an event taking place, expressed as the of events divided by the total of observations or people.
This measure is good no matter the incidence of events i. More of sexual problems. The most important step is that women with cancer, those close to them, professionals and researchers begin to recognise that sexual problems after treatments for cancer are common. It may then be possible for us to discuss what the problems are and think carefully about what approaches may be helpful, both for the women affected by cancer and their partners.
Greater openness that these problems are common may support the testing of new interventions and encourage women and those close to them to take part in well deed and rigorous research. We are currently undertaking a review on interventions for sexual problems following treatments for cancer in men.
Our findings will be ready this year. What is striking in comparison with our review on these interventions for women is that the of trials for men is far greater. Interventions for sexual dysfunction following treatments for cancer in women. Cochrane Database of Systematic Reviews In systematic reviews we search for and summarize studies that answer a specific research question e. The studies are identified, assessed, and summarized by using a systematic and predefined approach. They inform recommendations for healthcare and research.
MoreIssue 2. DOI: Bridget Candy started her career as a nurse, she then went on to become a midwife. She swapped careers because she questioned the basis for current and varied care practices. She is interested in ways to better understand what is best practice.Women want sex Cochrane
email: [email protected] - phone:(129) 695-4506 x 4864
Sexual activity and vaginal symptoms in the postintervention phase of the Women’s Health Initiative Hormone Therapy Trials