Comment on: “The consequences of gynaecological cancer in patients and their partners from the sexual and psychological perspective”

We read with great interest the review by Iżycki et al. [1] about the sexual, psychological, and social consequences of gynaecological cancer in patients and their partners. We agree that the impact of gynaecological cancer on mental health, sexual functioning, and emotional wellbeing of affected women and their partners is considerable, and it is important to investigate this topic in order to ensure that gynaecological cancer patients receive optimal care [2]. Although we appreciated the reported methodology, we would like to take this opportunity to point out several elements that would let us further realise the results of this study. In our opinion, it would have been more appropriate to further differentiate sexual and psychological consequences according to the type of gynaecological cancer and the type of treatment. Indeed, the literature about this topic underlined that the type of cancer (endometrial, cervical, ovarian, or vulvar cancer) and the type of treatment (such as simple or radical hysterectomy, radiotherapy, and/or chemotherapy) may have different effects on the sexual health and quality of life of affected women [2, 3]. For example, ovarian cancer is responsible for more deaths than any other cancer of the female reproductive system, and the majority of patients present with advanced-stage disease [3-5]; therefore, it is associated with more serious consequences from a psychological point of view. Moreover, it has been demonstrated that radical surgery and radiation therapy may affect sexual functioning more negatively than less radical surgery [2, 6-8]. For these reasons, we believe that it would be appropriate to take into account several factors, such as type and stage of cancer and treatment modality, in orComment on: “The consequences of gynaecological cancer in patients and their partners from the sexual and psychological perspective”