The Relationship Between Body Mass Index and Sexual Function in Endometrial Cancer

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OBJECTIVES:To explore the association between pretreatment body mass index (BMI) and post-treatment sexual function in women treated for endometrial cancer.SAMPLE & SETTING:28 postmenopausal women treated with vaginal brachytherapy (VBT) took part in this multisite exploratory secondary analysis at the University of Pennsylvania and Northwestern University.METHODS & VARIABLES:Secondary data analysis was used to determine if pretreatment BMI is associated with post-VBT sexual function in postmenopausal women treated for endometrial cancer at baseline and at six months post-treatment. Because of small sample size, participants were dichotomized according to enrollment BMI: 30 or greater (obese) and less than 30 (non-obese). The Female Sexual Function Index was used to assess sexual function, with total scores of 26.55 or less indicating sexual dysfunction.RESULTS:Both groups had poor sexual function at baseline. Although improved function was observed with time, neither group reached a score indicating healthy sexual function.IMPLICATIONS FOR NURSING:Understanding factors that influence sexual health in patients with gynecologic cancer can improve post-treatment quality of life.

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