Abstract：
BACKGROUND: Gynecologic cancer has a negative impact on the sexuality of women who are or have been affected by this disease. In fact, gynecologic cancers cause negative changes in female sexuality, affecting body image and psychophysical well-being, with serious consequences for women\'s sex lives.
OBJECTIVE: The aim of this study is to analyze the differences in sexuality among women who have or have had gynecologic cancer in Europe and in the Middle East and North Africa (MENA). We also explored possible factors that may influence women\'s sexuality in the 2 populations compared.
METHODS: The literature search was carried out using PubMed and Google Scholar, considering the 10-year period of 2013 to 2023. Studies were initially selected according to the criterion that the title and abstract were in English. We then reviewed all the articles selected in the first phase and analyzed the following information: author, year of publication, type of gynecologic cancer, country in which the study was conducted, design, and materials used. Finally, we defined the inclusion criteria for the present paper: women 18 years of age or older, diagnosed with gynecologic cancer, and who had undergone treatment (surgery, chemotherapy, radiotherapy). The studies reviewed were conducted between 2013 and 2023 in Europe and MENA, and all analyzed sexual function after the disease, understood as a general dimension that includes physiological and psychological aspects.
RESULTS: The results of this research show that patients in both geographical areas (Europe and MENA) report changes in sexuality as a result of the cancer. Studies show that cancer reduces, interrupts, and impairs women\'s sexual activity, resulting in experiences of discomfort, anxiety, guilt, inadequacy, pain, and poorer quality of life.
CONCLUSIONS: The data analyzed in this review show that cancer causes changes and deterioration in sexuality in both populations studied. No cultural or social factors were found to cause differences between the variables studied in the 2 populations. In the future, it may be interesting to carry out further studies to improve the treatment of women with gynecologic cancer, as sexuality is a very important part of a person\'s life.
OBJECTIVE: The aim of this study is to analyze the differences in sexuality among women who have or have had gynecologic cancer in Europe and in the Middle East and North Africa (MENA). We also explored possible factors that may influence women\'s sexuality in the 2 populations compared.
METHODS: The literature search was carried out using PubMed and Google Scholar, considering the 10-year period of 2013 to 2023. Studies were initially selected according to the criterion that the title and abstract were in English. We then reviewed all the articles selected in the first phase and analyzed the following information: author, year of publication, type of gynecologic cancer, country in which the study was conducted, design, and materials used. Finally, we defined the inclusion criteria for the present paper: women 18 years of age or older, diagnosed with gynecologic cancer, and who had undergone treatment (surgery, chemotherapy, radiotherapy). The studies reviewed were conducted between 2013 and 2023 in Europe and MENA, and all analyzed sexual function after the disease, understood as a general dimension that includes physiological and psychological aspects.
RESULTS: The results of this research show that patients in both geographical areas (Europe and MENA) report changes in sexuality as a result of the cancer. Studies show that cancer reduces, interrupts, and impairs women\'s sexual activity, resulting in experiences of discomfort, anxiety, guilt, inadequacy, pain, and poorer quality of life.
CONCLUSIONS: The data analyzed in this review show that cancer causes changes and deterioration in sexuality in both populations studied. No cultural or social factors were found to cause differences between the variables studied in the 2 populations. In the future, it may be interesting to carry out further studies to improve the treatment of women with gynecologic cancer, as sexuality is a very important part of a person\'s life.
摘要：
背景：妇科癌症对患有或曾经患有这种疾病的女性的性行为有负面影响。事实上,妇科癌症会导致女性性行为的负面变化，影响身体形象和心理生理健康，对女性的性生活造成严重后果。
目的：本研究的目的是分析在欧洲、中东和北非（MENA）患有或曾经患有妇科癌症的女性之间的性别差异。我们还探讨了在比较的两个人群中可能影响女性性行为的可能因素。
方法：使用PubMed和GoogleScholar进行文献检索，考虑到2013年至2023年的10年期间。研究最初是根据标题和摘要是英文的标准选择的。然后，我们回顾了第一阶段选择的所有文章，并分析了以下信息：作者，出版年份,妇科癌症的类型，进行研究的国家，设计,和使用的材料。最后,我们定义了本论文的纳入标准：18岁或以上的女性，被诊断为妇科癌症,接受过治疗(手术，化疗,放射治疗）。审查的研究是2013年至2023年在欧洲和MENA进行的，都分析了疾病后的性功能，理解为包括生理和心理方面的一般维度。
结果：这项研究的结果表明，两个地理区域（欧洲和MENA）的患者都报告了由于癌症而导致的性行为变化。研究表明，癌症减少，中断,损害女性的性活动，导致不适的经历，焦虑,内疚，内疚不足,疼痛,和较差的生活质量。
结论：这篇综述中分析的数据显示，癌症在所研究的两个人群中都会导致性行为的改变和恶化。没有发现文化或社会因素导致两个人群中研究的变量之间的差异。在未来,进行进一步的研究以改善妇科癌症妇女的治疗可能会很有趣，因为性是一个人生活中非常重要的一部分。
目的：本研究的目的是分析在欧洲、中东和北非（MENA）患有或曾经患有妇科癌症的女性之间的性别差异。我们还探讨了在比较的两个人群中可能影响女性性行为的可能因素。
方法：使用PubMed和GoogleScholar进行文献检索，考虑到2013年至2023年的10年期间。研究最初是根据标题和摘要是英文的标准选择的。然后，我们回顾了第一阶段选择的所有文章，并分析了以下信息：作者，出版年份,妇科癌症的类型，进行研究的国家，设计,和使用的材料。最后,我们定义了本论文的纳入标准：18岁或以上的女性，被诊断为妇科癌症,接受过治疗(手术，化疗,放射治疗）。审查的研究是2013年至2023年在欧洲和MENA进行的，都分析了疾病后的性功能，理解为包括生理和心理方面的一般维度。
结果：这项研究的结果表明，两个地理区域（欧洲和MENA）的患者都报告了由于癌症而导致的性行为变化。研究表明，癌症减少，中断,损害女性的性活动，导致不适的经历，焦虑,内疚，内疚不足,疼痛,和较差的生活质量。
结论：这篇综述中分析的数据显示，癌症在所研究的两个人群中都会导致性行为的改变和恶化。没有发现文化或社会因素导致两个人群中研究的变量之间的差异。在未来,进行进一步的研究以改善妇科癌症妇女的治疗可能会很有趣，因为性是一个人生活中非常重要的一部分。
