Sexual Satisfaction and Sexual Function in Women with Gynecological Cancer in Taiwan
Introduction: Sexual satisfaction is a vital component of well-being for cancer survivors. However, the cancer treatment affects both physical and psychosexual functioning which may lead to decreased sexual satisfaction, especially for gynecological cancer survivors. The study was to examine sexual satisfaction and sexual functioning among women with gynecological cancers by comparing these women with those without cancers. 
Methods: A cross-sectional survey was conducted on 209 women, in which 106 were with gynecological cancer and 103 were age- and education-matched women with no history of cancer undergoing routine cervical cancer screening. Self-evaluations included the Female Sexual Function Index (FSFI) and Sexual Satisfaction Scale for Women (SSS-W). ANOVA was conducted for group comparison on sexual satisfaction and sexual functioning.
Results: The women with gynecological cancer reported significantly (p < .001) more sexual dysfunction, and lower sexual satisfaction. There are polarized score distributions in sexual satisfaction as a result of sexual functionality status among women with cancer which revealed the larger mean differences of sexual satisfaction between sexually functional and sexually dysfunctional women with gynecological cancer than those obtained from women without cancer.
Conclusions: This study provided evidence that gynecological cancer and its treatments can have significant consequences for women’s sexual functional and sexual satisfaction in Taiwan. Besides, sexual functioning determines whether women are sexually satisfied, rather than suffering from cancer. These results highlight the need for interventions to teach patients effective sexual communication after sexual changes due to cancer treatment.

19 - SEXUAL SATISFACTION AND SEXUAL FUNCTION IN WOMEN WITH GYNECOLOGICAL CANCER IN TAIWAN