The difference of sexual function of cervical cancer survivor post radical hysterectomy with and without chemoradiotherapy according to FSFI scores

Abstract

This study was analytical observasional with cross sectional design. From 2017 to 2021, 45 cervical cancer survivors who had radical hysterectomy were enrolled. The subjects were divided into four groups: radical hysterectomy only, hysterectomy combined chemotherapy, hysterectomy combined chemoradiotherapy, hysterectomy combined radiotherapy. The Female Sexual Funxtion Index questionnaire were used to collect data of sexual activity including desire, arousal, lubrication, satisfaction, orgasm and dyspareunia. The mean age was 46.29 (SD± 7.6). The FSFI between four groups were significantly difference in desire (p 0.006), arousal (p0.003), lubrication (p0.001), and sexual satisfaction (p0.033). Mann-Whitney test is used to analyze associations between two groups. The most affected domain between radical hysterectomy and radical hysterectomy combined radiotherapy were desire (p 0.006), sexual satisfaction (0.013). Domain arousal was significant difference between radical hysterectomy and radical hysterectomy combined chemotherapy (p 0.005). Lubrication was difference between radical hysterectomy and radical hysterectomy combined chemoradiotherapy.