Table 4.

The key findings in sexual problems of CCSs.

References	Sample	Key findings
42	Cross-sectional study of 60 CCSs	□One-third never experienced sexual intercourse. □41.4% experienced no sexual attraction. □44.8% seldom or never satisfied with sexual lives. □23.3% seldom or never felt a sense of really female or male. □44.2% rarely or never feeling sexually attractive.
23	Cross-sectional study of 291 CCSs	□30% lack of interest in sex. □24% were difficulty enjoying sex. □23% were difficulty being aroused.
30	Cross-sectional study of 224 survivors	□19% of males were difficulties with erections. □29% of females had problems achieving orgasm.
10	Cohort study of 712 female CCSs	□18.4% lack of interest/desire. □16.5% inability to achieve orgasm. □Some physical discomfort such as vaginal dryness (15.7%) and vaginal tightness (18.0%).
34	Multicenter cohort study of 2178 female CCSs	□CCSs had significantly lower sexual interest, desire, arousal, satisfaction, and activity compared with siblings (no specific incidence).