Manual Therapy, Posturology & Rehabilitation Journal
https://app.periodikos.com.br/journal/mtprehab/article/doi/10.17784/mtprehabjournal.2017.15.462
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Pelvic floor muscles contraction and sexual function are associated with hormonal treatment in women after breast cancer?

Conceição, Thais Martins Albanaz da; Roza, Thuane da; Santos, Keyla Mara dos; Luz, Soraia Cristina Tonon da; Luz, Clarissa Medeiros da

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Abstract

Introduction: Breast cancer has a high prevalence among women. It is known that breast cancer survivors can undergo a several alterations due to the treatment, including sexual dysfunction. Objective: This study aimed to determine the incidence of sexual dysfunction in women after breast cancer surgery, and assess the relationship between sexual dysfunctions and pelvic floor muscles (PFM) contraction, as well to verify if hormone therapy caused long-term occurrence of PFM weakness or sexual dysfunction. Methods: The sample was composed by 26 women with 48.4 ± 6.8 years which using hormone therapy treatment at least six months. Data on sexual dysfunction were collected through the Female Sexual Function Index- FSFI questionnaire and a section composed by demographic information. Furthermore, the PFM contraction was assessed using the PERFECT scale. Results: The results demonstrated a high rate of sexual dysfunction (64.3%) and a weak PFM contraction (2.31±1.3) among the women. In addition, a long-term hormone therapy had a negative association with PFM endurance and with the orgasm and satisfaction domains of the FSFI questionnaire. Conclusion: women using hormone therapy after breast cancer surgery had a high rate of sexual dysfunction and the long-term treatment of hormone treatment can be associated with a worsening of orgasm and sexual satisfaction in these women. Also, the use at long-term of hormone therapy had a negative association with the PFM endurance.

Keywords

Sexual Dysfunction, Pelvic Floor, Breast cancer, Physiotherapy.

References

1. Câncer INd. Estimativa 2014. Incidência de Câncer no Brasil. Rio de Janeiro: Minitério da Saúde; 2014.

2. Lee BL, Liedke PE, Barrios CH, Simon SD, Finkelstein DM, Goss PE. Breast cancer in Brazil: present status and future goals. Lancet Oncol. 2012;13(3):95-102.

3. Rosa LMd, Radünz V. Taxa de sobrevida na mulher com câncer de mama: estudo de revisão. Texto Contexto Enferm. 2012;21:980-9.

4. Gilbert E, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66(4):397-407.

5. Garrusi B, Faezee H. How do Iranian Women with Breast Cancer Conceptualize Sex and Body Image? Sex Disabil. 2008;26(3):159-65.

6. Archibald S, S. L, Byers SE, Tamlyn K, Worth J. Chemically-Induced Menopause and the Sexual Functioning of Breast Cancer Survivors. Women Ther. 2006;29(1-2):83-106.

7. Panjari M, Bell RJ, Davis SR. Sexual function after breast cancer. J Sex Med. 2011;8(1):294-302.

8. Macéa JR, Maceá MIM. Anatomia e fisiologia da resposta sexual feminina. In: Etienne MDA, Waitman MC, editors. Disfunções sexuais femininas: a fisioterapia como recurso terepêutico. 1 ed. São Paulo: Livraria Médica Paulista; 2006. p. 25-54.

9. Ganz PA, Rowland JH, Desmond K, Meyerowitz BE, Wyatt GE. Life after breast cancer: understanding women’s health-related quality of life and sexual functioning. J Clin Oncol. 1998;16(2):501-14.

10. Schover LR, Yetman RJ, Tuason LJ, Meisler E, Esselstyn CB, Hermann RE, et al. Partial mastectomy and breast reconstruction. A comparison of their effects on psychosocial adjustment, body image, and sexuality. Cancer. 1995;75(1):54-64.

11. Alicikus ZA, Gorken IB, Sen RC, Kentli S, Kinay M, Alanyali H, et al. Psychosexual and body image aspects of quality of life in Turkish breast cancer patients: a comparison of breast conserving treatment and mastectomy. Tumori. 2009;95(2):212-8.

12. Avis NE, Crawford S, Manuel J. Psychosocial problems among younger women with breast cancer. Psychooncology. 2004;13(5):295-308.

13. Speer JJ, Hillenberg B, Sugrue DP, Blacker C, Kresge CL, Decker VB, et al. Study of sexual functioning determinants in breast cancer survivors. Breast J. 2005;11(6):440-7.

14. Graber B, Kline-Graber G. Female orgasm: role of pubococcygeus muscle. J Clin Psychiatry. 1979;40(8):348-51.

15. Shafik A. The role of the levator ani muscle in evacuation, sexual performance and pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(6):361-76.

16. Kanter G, Rogers RG, Pauls RN, Kammerer-Doak D, Thakar R. A strong pelvic floor is associated with higher rates of sexual activity in women with pelvic floor disorders. Int Urogynecol J. 2015;26(7):991-6.

17. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20.

18. Thiel RdRC, Dambros M, Palma PCR, Thiel M, Riccetto CLZ, Ramos MdF. Tradução para português, adaptação cultural e validação do Female Sexual Function Index. Rev Bras Ginecol Obstet. 2008;30:504-10.

19. Laycock J, Jerwood D. Pelvic floor muscle assessment: the perfect scheme. Physiotherapy. 2001;87(12):631–42.

20. Ortiz OC, Nuñez FC, Ibañez G. Evaluación funcional del piso pelviano femenino: classificación funcional. Bol Soc Latinoam Uroginecol Cir Vaginal. 1994;1(2):7-9.

21. Alder J, Zanetti R, Wight E, Urech C, Fink N, Bitzer J. Sexual dysfunction after premenopausal stage I and II breast cancer: do androgens play a role? J Sex Med. 2008;5(8):1898-906.

22. Blumel JE, Chedraui P, Baron G, Belzares E, Bencosme A, Calle A, et al. Aj large multinational study of vasomotor symptom prevalence, duration, and impact on quality of life in middle-aged women. Menopause. 2011;18(7):778-85.

23. Kedde H, van de Wiel HB, Weijmar Schultz WC, Wijsen C. Sexual dysfunction in young women with breast cancer. Support Care Cancer. 2013;21(1):271-80.

24. Mourits MJ, Bockermann I, de Vries EG, van der Zee AG, ten Hoor KA, van der Graaf WT, et al. Tamoxifen effects on subjective and psychosexual well-being, in a randomised breast cancer study comparing high-dose and standard-dose chemotherapy. Br J Cancer. 2002;86(10):1546-50.

25. Tamanini JTN, D’Ancona CAL, Botega NJ, Rodrigues Netto Jr N. Validação do “King’s Health Questionnaire” para o português em mulheres com incontinência urinária. Rev Saude Publica. 2003;37:203-11.

26. Beji NK, Yalcin O, Erkan HA. The effect of pelvic floor training on sexual function of treated patients. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(4):234-8; discussion 8.

27. Ma Y, Qin H. Pelvic floor muscle exercises may improve female sexual function. Med Hypotheses. 2009;72(2):223.

28. Chambless DL, Sultan FE, Stern TE, O’Neill C, Garrison S, Jackson A. Effect of pubococcygeal exercise on coital orgasm in women. J Consult Clin Psychol. 1984;52(1):114-8.

29. Aukee P, Penttinen J, Airaksinen O. The effect of aging on the electromyographic activity of pelvic floor muscles. A comparative study among stress incontinent patients and asymptomatic women. Maturitas. 2003;44(4):253-7.

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