Reduced vaginal elasticity, reduced lubrication, and deep and superficial dyspareunia in irradiated gynecological cancer survivors

Acta Oncologica
Karin Stinesen KollbergGunnar Steineck

Abstract

The purpose of this study was to examine whether or not vaginal elasticity or lack of lubrication is associated with deep or superficial dyspareunia. We investigated gynecological cancer survivors treated with radiation therapy. In a population-based study with 616 women answering a questionnaire (participation rate 78%) and who were treated with radiotherapy for gynecological cancer, we analyzed information from 243 women (39%) who reported that they had had intercourse during the previous six months. Analyses included log-binomial regression (relative risks) and multiple imputations by chained equations in combination with Bayesian Model Averaging, yielding a posterior probability value. Age range of this cancer recurrent-free group of women was 29-80. Dyspareunia affected 164 of 243 of the women (67%). One hundred thirty-four women (55%) reported superficial pain, 97 women (40%) reported deep pain, and 87 women (36%) reported both types of dyspareunia. The relative risk (RR) of deep dyspareunia was 1.87 (CI 1.41-2.49) with impaired vaginal elasticity compared to normal vaginal elasticity. Age and lower abdominal swelling were separate risk factors for deep dyspareunia. However, effects remain after adjusting for these factor...Continue Reading

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Citations

Apr 25, 2015·Acta Oncologica·Christoffer Johansen, Susanne Oksbjerg Dalton
Nov 27, 2015·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·C PisaniM Krengli
Jan 27, 2018·Journal of Adolescent and Young Adult Oncology·Maria OlssonMarianne Jarfelt
Mar 7, 2018·Journal of Cancer Survivorship : Research and Practice·Maria OlssonMarianne Jarfelt
Nov 22, 2018·Journal of Clinical Nursing·Ragnhild Johanne Tveit SekseLene Seibaek
Sep 3, 2019·Climacteric : the Journal of the International Menopause Society·S AthanasiouD Loutradis
Sep 2, 2017·Nursing·Lisa Astalos Chism, Morris A Magnan
Jul 30, 2015·Current Opinion in Oncology·Andreia FernandesAlexandra Taylor
Sep 7, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·John M StahlShari Damast
Feb 3, 2021·The Journal of Sexual Medicine·Natalia Carion HaddadMario Bernardo-Filho
May 1, 2021·International Journal of Environmental Research and Public Health·Adrianna WierzbickaMarcin Mardas
May 20, 2021·American Society of Clinical Oncology Educational Book·Ammoren DohmSarah Hoffe

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