Psychosexual problems after gynaecological cancer.

Sexual difficulties commonly arise following a diagnosis of cancer, sometimes as a consequence of treatment, but may persist long after the cancer has successfully been treated. Sexual function is sensitive to the effects of trauma, both physical and emotional, and this is particularly the case for patients whose cancer affects their genitals. Gynaecological cancer frequently affects a woman's body image and often to some degree evokes a fear of dying; together, these two factors are likely to have a profound effect on sexual functioning. A couple's sexual relationship is also likely to be adversely affected in a number of ways, for example if a change occurs in its dynamic from partners/lovers to 'patient and carer'.