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D. Goodwin, M. Krychman, M. Juravic, T. Rowen, 067 Vaginal Health for Cancer Survivors Undergoing Pelvic Radiation Therapy, The Journal of Sexual Medicine, Volume 16, Issue Supplement_3, June 2019, Pages S24–S25, https://doi.org/10.1016/j.jsxm.2019.03.509
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Introduction
Many women are sexually active and desire to remain so after their radiation treatment. However, pelvic radiation often Results in scarring leading to pain, bleeding, and an inability to tolerate vaginal penetration. While there are data supporting the use of vaginal dilators for women following radiation therapy, there is little guidance suggesting the type of dilator, frequency of use, or appropriate follow up for optimal vaginal health.
Objectives
The purpose of this study is to create a systematic way to address the importance of pelvic floor physical therapy and vaginal dilation in patients who are undergoing pelvic radiation treatment for cervical, endometrial cancer, anal, or rectal cancer.
Methods
We recruited patients undergoing pelvic radiation through Oncology clinics at a large academic institution. Patients are referred to a gynecologist within 4-6 weeks after starting radiation therapy, provided with free, modern, and high-quality dilators, and given initial surveys ascertaining their baseline vaginal health, dilator use, and sexual practices. A pelvic examination is performed at the intake visit, 4-6 weeks after radiation therapy ends, then every 3 months for 12 months after ending radiation. We measure vaginal length and caliber, dilator diameter, as well as pain with exams using systematic screening mechanisms.
