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Fertility and sexual function in female H odgkin lymphoma survivors of reproductive age
Author(s) -
Eeltink Corien M,
Incrocci Luca,
Witte Birgit I,
Meurs Saskia,
Visser Otto,
Huijgens Peter,
Verdonckde Leeuw Irma M
Publication year - 2013
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12354
Subject(s) - fertility , infertility , medicine , sexual function , fertility preservation , sexual dysfunction , population , human sexuality , gynecology , young adult , demography , gerontology , pregnancy , gender studies , environmental health , sociology , biology , genetics
Aims and objectives To assess the perceived fertility status and to determine the association between perceived fertility status and sexual function, as reported by young female H odgkin lymphoma survivors. Background Young female H odgkin lymphoma survivors are at risk of infertility and impaired sexual function. However, little is known about their awareness of infertility and its association with sexual functioning. Design A descriptive questionnaire survey. Methods In this cross‐sectional study, a survey was completed by female H odgkin lymphoma survivors (< 40 years). Outcome measures included self‐reported fertility status and sexual problems and the internationally validated Female Sexual Function Index. Results In total, 36 survivors were included (mean age 32 years, SD 4). Eighteen women (50%) thought themselves fertile. Eight survivors (22%) who perceived themselves as being infertile were more often treated with alkylator‐based chemotherapy, and 63% reported sexual dysfunction. Ten survivors (28%) were not aware as to whether they were fertile or not; seven of these would like to have children. The reported fertility status was related to age and chemotherapy regimen. Regarding sexuality, 14 (39%) of the female Hodgkin lymphoma survivors reported one or more sexual problem and none reported recovery. Female sexual dysfunction according to the F emale S exual F unction I ndex was reported by 11 (31%) survivors. Conclusion Almost 30% of Hodgkin lymphoma survivors do not know whether they are fertile or not. Overall sexual dysfunction is common in Hodgkin lymphoma survivors and comparable to the general population. However, a lack of desire was significantly more often reported in female Hodgkin lymphoma survivors. Relevance to clinical practice To prevent assumed infertility and unintended childlessness by postponing parenthood in young female survivors, awareness of fertility status is needed. There is also a need to routinely assess sexual function and provide adequate interventions to improve arousal and lubrication problems.