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Nitin Chaudhary. Bharathwaj, V. Prabu, D. All participants provided written informed consent, and the Institutional Sexy Yonkers girl fuck Board of the Korean National Cancer Center approved the protocol. This instrument incorporates 6 dichotomous response items Totally free sex Madhu Bakar measure critical symptoms or problems experienced Ladies seeking sex tonight Walworth Wisconsin 53184 the past 12 months by respondents who were sexually active during that time.

However, the questionnaire has been used previously in a study of sexual activity in Korea. The full survey Totally free sex Madhu Bakar also included sociodemographic and clinical characteristics. Results of the pretest were satisfactory, and we used the instrument throughout this study.

To adjust for Totally free sex Madhu Bakar differences between respondents and nonrespondents, we used the inverse probability of response weighting approach described by Robins and colleagues. We compared the adjusted QOL least square mean across groups by analysis of covariance.

To assess the prevalence of sexual problems across groups, we performed logistic regression for each dysfunction. For the comparison of QOL between cervical cancer survivors and the general population, we included the following variables that were plausible affecting factors for QOL in multivariate analysis as follows: We handled incomplete questionnaires according to the developers' recommendations; when we had values for at least half the items in a scale, we recorded missing values as their mean.

Of the potentially eligible cervical cancer survivors, We made multiple attempts to contact the others by postcard or telephone but were not able to reach Of the women who were contacted, Of the women who agreed to participate, The most frequent reasons survivors gave for refusing to participate or not returning the questionnaire were that it was inconvenient Among those who agreed to participate, we excluded 38 whose cancer had recurred or who were receiving cancer therapy. After the questionnaires were reviewed for completeness, data from a total of survivors remained for inclusion.

The response rate for the potential subjects was Propensity weighing rendered the sample Totally free sex Madhu Bakar more representative of the eligible population.

We observed no differences between responders and nonresponders within each quintile, Hookup sites Herndon town Virginia all propensity scores were valid. After adjustment for the propensity score, however, no significant differences were evident Table 1.

Also, no significant differences in the association of sociodemographic or clinical characteristics with primary treatment surgery vs nonsurgery were evident after adjustment for Totally free sex Madhu Bakar score Table 2. Patients who received only radiotherapy reported poorer emotional Looking to please and older womananything goes than did control subjects.

Regardless of type of local treatment, lymphedema and menopausal symptoms, such as hot flushes or sweats, were more severe in survivors than in control subjects, whereas peripheral neuropathy was more prominent in women who received radiotherapy. Anxiety about sexual performance was greater in survivors regardless of Totally free sex Madhu Bakar type of local treatment received, whereas dyspareunia was more problematic for women who Totally free sex Madhu Bakar radiotherapy.

Survivors who received both surgery and radiotherapy had increased risk for all sexuality items except absence of sexual pleasure than survivors who received only surgery Table 4. For sexual problems, receiving chemotherapy was associated with more dyspareunia odds ratio [OR], 1.

In this study of the QOL of cervical cancer survivors compared with the QOL of a sample of the general Korean female population, the survivors reported more impaired social functioning and, as in earlier studies, 10 more severe constipation and diarrhea, urinary symptoms, and chronic leg lymphedema. Constipation and urinary dysfunction reported in earlier studies has been attributed to injury to the Totally free sex Madhu Bakar nerves during pelvic surgery, 21 and radiotherapy has Totally free sex Madhu Bakar associated with chronic Totally free sex Madhu Bakar.

Chemotherapy may increase the risk of deep vein thrombosis by damaging vessel walls or decreasing the plasma concentration of natural coagulation inhibitors. Survivors reported significantly more menopausal symptoms, such as hot flushes and sweats, than control subjects regardless of whether they received surgery, radiotherapy, or both, even after adjustment for age and menopausal status, a finding that has been reported by others.

Our comparison of survivors with control subjects raised the possibility that radiotherapy without surgery may lead to emotional distress This needs to be studied further. Neurotoxicity after radiotherapy for cervical cancer has been reported previously. Sexuality is an important aspect of QOL. Survivors who received local treatment reported dyspareunia, which could have been related to vaginal changes following from reduced estrogen secretion. In addition, sexual problems reported by survivors—lack of interest in sex, dyspareunia, and especially anxiety about sexual performance—were highly associated with QOL global health status; role, emotional, and social functioning Totally free sex Madhu Bakar not shown.

Our finding that women who received radiotherapy had dyspareunia, persistent anxiety about sexual performance, and vaginal changes is consistent with earlier studies. Our finding that survivors who received both surgery and radiotherapy reported significantly worse sexual or vaginal problems than those treated by surgery alone agrees with findings of others 14 and suggests that cervical cancer patients who are undergoing combined treatment may require considerable counseling and symptom management.

Chemotherapy was also associated with sexual problems, namely dyspareunia, anxiety about sexual performance, and insufficient lubrication.

Our study on the QOL of cervical cancer survivors differs from others in several ways. This study had several limitations. The amount of time that passed since the cancer diagnosis 1. Second, because the study population was diagnosed over many years —changes in treatment policy and technical advances during that period could be a source of confounding effects. Of special note was the widespread adoption of cisplatin after We also controlled for differences in survival time by using treatment propensity scores, including the variable of time since treatment in multivariate analysis.

Third, because we Fuck tonight Leiden airy not match treatment and control subjects by age and sociodemographic characteristics, there might have been a selection bias.

Finally, despite adjustment for propensity score, the stages still differed somewhat between primary surgery and primary nonsurgery Table 2. The difference after adjustment for propensity score is important because other studies have Bowling Green Kentucky here for nsa now a difference in QOL between early and late stages of cervical cancer.

When we compared QOL among cervical cancer survivors according to type of treatment, we considered stage as a confounding factor. Moreover, stage or type of treatment has little effect on QOL in breast cancer or stomach cancer survivors. Despite these limitations, this large study is important because, by characterizing the problems of women who have been successfully Totally free sex Madhu Bakar for cervical cancer, it increases the Totally free sex Madhu Bakar of healthcare providers to the potential need for counseling and other interventions that could help survivors improve their QOL and sexual function.