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Obstetrics & Gynecology 1983;62:457-462
© 1983 by The American College of Obstetricians and Gynecologists
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Psychosexual Adjustment After Vulvar Surgery

BARBARA L. ANDERSEN, PhD and NEVILLE F. HACKER, MD

From the Department of Psychology, The University of Iowa, Lowa City, Iowa; and the Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, UCLA School of Medicine, Los Angeles, California.

Fifteen patients treated surgically for vulvar cancer from two institutions participated in semistructured interviews and objective assessment to examine postoperative psychologic, social, marital, and sexual adjustment. Descriptive statistics indicate that after vulvar surgery patients report mild distress, but they report reasonable levels of and satisfaction with their free-time and social activities. Mild levels of marital distress may exist. Sexual functioning and body image appear to undergo major disruption despite the fact that intercourse remains possible. Women reported levels of sexual arousal at the eighth percentile and body image at the fourth percentile. Although replication of these findings is clearly necessary, this investigation provides the first substantive look at the posttreatment life circumstances for these patients and offers a data base for future investigation.




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