Sexuality in Women Recovering from Gynaecological Cancer


  • Angela Boggett Tees, Esk & Wear Valleys NHS Foundation Trust, Department of Mental Health, Friarage Hospital, Northallerton, DL6 1JG, UK
  • Luke Graham School of Social Sciences and Law, Teesside University, Middlesbrough, TS1 3BA, UK
  • Anna van Wersch School of Social Sciences and Law, Teesside University, Middlesbrough, TS1 3BA, UK



Sexuality, intimate relations, gynaecological cancer, psychological factors, quality of life.


Objective: The clinical radical treatment of gynecological cancer has been characterised as defeminising women, with ignoring impacts on sexual functioning in intimate relationships. This research examined the psychological factors regarding this disease and its treatment for women and their sexuality across four main cancer types two years after recovering from gynecological cancer. Methods: Seventy-five cancer patients with a mean age at diagnosis of 51 (SD=15.3) gave their consent. Of these, eighteen participants (24%) had experienced endometrial, 25(33%) ovarian, 11(15%) vulva and 21(28%) cervical cancer. Sexual and relationship satisfaction were assessed with Golombok Rust Inventory of Sexual Satisfaction (GRISS) and the Relationship Assessment Scale (RAS). Results: Of the 53 women in intimate relationships who completed full datasets, only 4 (8%) returned to normal sexual activity and were sexually satisfied, 49 (92%) were not. Nonetheless, 50 (86%) of participants reported their relationship as satisfactory. The cancer effecting sexual activity the most was endometrial, which effects have been reported as anorgasmia and vaginismus, however all groups were dissatisfied with the lack of frequency of sexual activity.

Although cancer needs urgent treatment with the most desirable outcome in terms of physical heath, more emphasis is needed on caring for women's sexuality in the recovering process.


Popkin BM. The nutrition transition in the developing world. Dev Policy Rev 2003; 21(5-6): 581-97.

Popkin BM. Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. Am J Clin Nutr 2006; 84(2): 289-98.

Corney R, Everett H, Howells A, Crowther M. The care of patients undergoing surgery for gynaecological cancer: the need for information, emotional support and counselling. J Adv Nurs I992; 17(6): 667-71.

Chow KM, Chan CC, Chan JC. Effects of psychoeducational interventions on sexual functioning, quality of life and psychological outcomes in patients with gynaecological cancer: A systematic review. The JBI Database of Systematic Reviews and Implementation Reports 2012; 10(58): 4077-164.

Bergmark K, Åvall-Lundqvist E, Dickman PW, Henningsohn L, Steineck G. Vaginal changes and sexuality in women with a history of cervical cancer. N Engl J Med 1999; 340(18): 1383-89.

Andersen BL. Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer. Cancer 1993; 71 (4): 1678-90.

Purdie DM, Green AC. Epidemiology of endometrial cancer. Best Pract Res Cl Obstet Gynecol 2001; 15(3): 341-54. 6 International Journal of Gynecological and Obstetrical Research, 2015, Vol. 3, No. 1 Boggett et al.

Arbyn M, Castellsague X, De Sanjose S, Bruni L, Saraiya M, Bray F, et al. J. Worldwide burden of cervical cancer in 2008. Ann Oncol 2011; 22(12): 2675-86.

Baum A, Posluszny DM. Health psychology: mapping biobehavioral contributions to health and illness. Ann Rev Psychol 1999; 50(1): 137-163.

Rust J, Golombok S. The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav 1986; 15(2): 157-165.

Hendrick SS, Hendrick C, Adler NL. Romantic relationships: Love, satisfaction, and staying together. J Pers Soc Psychol 1988; 54(6): 980.

Vaughn MJ, Matyastik Baier ME Reliability and validity of the relationship assessment scale. Am J Fam Ther 1999; 27(2): 137-147.

De Visser RO, Badcock PB, Simpson JM, Grulich AE, Smith AM, Richters J, Rissel C. Attitudes toward sex and relationships: the Second Australian Study of Health and Relationships. Sex Health 2014; 11(5): 397-405.

Antfolk J, Salo B, Alanko K, Bergen E, Corander J, Sandnabba NK, et al. Women's and men's sexual preferences and activities with respect to the partner's age: evidence for female choice. Evol Hum Behav 2014; 36(1): 73-79.