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Scholars Journal of Medical Case Reports | Volume-13 | Issue-10
Beyond Survival: The Impact of Radiotherapy on the Sexual Quality of Life of Cervical Cancer Patients - The Moroccan Experience
Denise Edith Tatiana Ngbwa, Y. Rakii, C. Wandaogo, H. Nikiema, O. Robleh, F. Amoussou, F. Essa Assessa, K. Nouni, A. Lachgar, H. El Kacemi, T. Kebdani, K. Hassouni
Published: Oct. 6, 2025 | 45 27
Pages: 2220-2223
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Abstract
Introduction: Pelvic radiotherapy for cervical cancer is associated with genital toxicity that can significantly impair patients' sexual quality of life. We evaluated the extent and nature of these sequelae within a Moroccan cohort to better understand their repercussions. Materials and Methods: This retrospective study assessed sexual quality of life, measured by the FSFI questionnaire, in 187 patients treated for cervical cancer in 2023 at the National Institute of Oncology in Rabat. Factors associated with sexual dysfunction, such as age, FIGO stage, and genital toxicity, were analyzed. Results: The mean age of the patients was 53 years. 62% of patients were sexually active post-treatment. The mean FSFI score was 24.1, indicating sexual dysfunction. A negative correlation was observed between disease stage and sexual quality of life (p<0.05). Patients with advanced stages had significantly lower FSFI scores. Genital sequelae such as vaginal synechiae, post-coital bleeding, and vaginal dryness were frequent and contributed to the degradation of sexual function. Conclusion: Our results highlight the need for regular assessment of sexual well-being and comprehensive management to improve the quality of life of patients after treatment.