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The sexual impact of having cancer and its treatments have long been a taboo topic in clinical settings in Morocco.
In addition our findings show that the worst suffering may not be from physical manifestations of the fistula, but rather from the social, psychological and sexual impact [ 16].
A similar argument was made in a Moroccan study that clearly described sexual impact in breast cancer as a taboo in the clinical setting [ 26].
Based on the lack of research in sexual functioning issues among Moroccan female cancer survivors and on views in the research that interpret "sexual activity" as limited to penis-in-vagina intercourse, the authors decided to focus on the sexual impact of breast cancer treatments on Moroccan women.
In addition, a high post-treatment recurrence rate of GW has been reported (40%) [ 4] and this characteristic of GW imposes a considerable sociopsychological burden (such as worries and concerns, negative emotional and sexual impact, shame or stigma, and worse interactions with partner and/or doctors [ 5, 6]) and economic burden [ 7] on the patients.
This lack of focus on the couple relationship in consultations mirrors findings from biomedical literature, with only a minority of gynaecological studies (Van De Wiel et al, 1990; DeGroot et al, 2005) specifically exploring the sexual impact of cancer treatment on the partner or couple.
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The work of psychologist Roy Baumeister, for example, supports that the sexual revolution impacted women's lives much more than it did those of men.
We focus here on how mate availability, a key variable generating differential sexual selection, impacts male and female behaviour during the search for mates.
Information on the specific contexts and forms of selection on phenotypes, and genetic basis of phenotypic variation in each sex, are thus ultimately required for a thorough understanding of how sexual antagonism impacts human health and disease.
"But for someone who actually has some understanding of the lifelong impact sexual violence has on its survivors, it is extremely disappointing".
Overall, there are few existing research studies that study how incarceration might impact sexual risk behaviors, and all of these studies have focused exclusively on incarcerated men.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com