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abstract
Discussing Sexuality With Women Considering Risk-Reducing Salpingo-oophorectomy: An International Survey of Current Practice in Gynecologic Oncology
Objective: To determine how frequently gynecologic oncologists
discuss sexuality with women considering risk-reducing
salpingo-oophorectomy. Secondary objectives were to assess the
availability of resources, and the barriers to discussing sexuality.
Methods: Members of the Australian Society of
Gynaecologic Oncologists, International Gynecologic Cancer Society, and
Society of Gynecologic Oncology were invited to complete an online
survey. Questions addressed frequency of, and barriers to, discussing
sexuality, and availability of resources related to sexual issues.
Results: Three hundred eighty-eight physicians in 43
countries responded from 4,006 email invitations (9.7%). Ninety-one
percent reported discussing sexuality preoperatively, and 61% discuss it
with every patient. Factors associated with higher rates of discussion
were female sex, higher level of training, time
in practice, and consulting more risk-reducing
salpingo-oophorectomy patients per month. Commonly discussed
issues were vasomotor menopausal symptoms (91%) and vaginal dryness
(85%). Eighty-eight percent of respondents believed that sexuality
should be discussed preoperatively, and most felt that it is their
responsibility (82%). Fear of causing distress was the most common
barrier to discussing sexuality (49%). Twenty-four percent felt that
they did not have adequate training to discuss sexual function.
Conclusions: Although most respondents believed that
discussing sexuality should occur preoperatively, only 61% discuss this
with every patient. Resources specifically relating to sexuality are
limited. The most common barrier to discussing sexuality was fear of
causing distress. Nearly one quarter of gynecologic oncologists felt
inadequately trained to discuss sexual function.
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