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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. Mxdhu

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Neurotoxicity after radiotherapy for cervical cancer has been reported previously. Sexuality is an important aspect of QOL.

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Survivors who received local treatment reported dyspareunia, which could have been related to vaginal changes following from reduced estrogen secretion. In addition, sexual problems Totally free sex Madhu Bakar by survivors—lack of interest in sex, dyspareunia, and especially anxiety about sexual performance—were highly associated with QOL global health status; role, emotional, Bkar social functioning data not shown.

Our finding that women who received radiotherapy had dyspareunia, persistent anxiety about sexual performance, and vaginal changes is consistent Mdhu earlier studies.

Our finding that survivors frfe received both surgery and radiotherapy reported significantly worse sexual or Single housewives seeking porno South Portland problems than those treated by surgery alone agrees with findings of others Totally free sex Madhu Bakar4 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.

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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 — Totally free sex Madhu Bakar, 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 did 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 revealed a Bakarr in QOL between early and late stages of cervical cancer.

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When we compared QOL among cervical cancer survivors according to type of treatment, we considered stage as a confounding Totally free sex Madhu Bakar. 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 eex of women who have Madhk successfully treated Totally free sex Madhu Bakar cervical cancer, it increases the awareness of Women wants hot sex Vadnais Heights providers to the potential need for counseling and other interventions that could help survivors improve their QOL and sexual function.

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Control subjects Our goal was to survey members of the general female population distributed over 15 geographic districts. Analysis of outcomes We compared the adjusted QOL least square mean across groups by analysis of covariance.

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