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RÉSUMÉ
Objectif. Le but de cette étude était d’examiner l’impact des cancers gynécologiques (col et sein) et de leur traitement sur la vie du couple. Méthodologie. Nous avons réalisé une étude prospective au service de radiothérapie de l’hôpital du Mali sur une période allant de janvier 2015 à janvier 2020. Résultats. Douze femmes ont été incluses dans l’étude. Leur âge moyen était de 43,42 ans (33-66 ans). Sept patientes (58%) étaient non scolarisées et les autres cinq (42%) avaient un niveau d’étude ≤ 9 ans. Huit partenaires (67%) étaient non scolarisés et 4 (33%) avaient un niveau universitaire. Quatre-vingt-trois pourcent (n=10) des patientes souffraient de cancer du col utérin et 7% (n=2) de cancer du sein. Après traitement, 42% (n=5) des partenaires avaient abandonné leur conjointe, 17% (n=2) des partenaires se sont remariés. En outre, 33% (n=4) des couples avaient divorcé à la demande du partenaire. Huit pour cent (n=1) des patientes avait opté pour une distanciation physique. La peur de la contamination du conjoint, la considération de ces types de cancer comme une maladie sexuellement transmissible, la baisse de la libido, la dyspareunie ainsi que la sècheresse vaginale étaient en cause dans ces troubles de la vie du couple. Conclusion. La prise en charge des cancers du col utérin et du sein a un impact sur la sexualité du couple. Cet impact peut aller du repli sur soi jusqu’au divorce.
ABSTRACT
Introduction. The purpose of our study was to assess the impact of treatments of cervical and breast cancer on the couple's sexuality. Patients and methods. We conducted a prospective study in the radiotherapy department of the National hospital of Mali from January 2015 to January 2020. Results. Twelve women were studied. Their mean age was 43.42 years (33-66 years). Seven patients (58%) were of low education level, while 5 (42%) had a level of education ≤ 9 years. Eight partners (67%) were of low education level while 4 (33%) had university level. Ten (eighty-three percent) patients had cervical cancer and 2 (7%) had breast cancer. After treatment, 5 partners (42%) had abandoned their partner, 2 (17%2) partners remarried and 4 (33%) couples had divorced at the partner's request. One patient (eight percent) had opted for physical distancing. The fear of contamination of the spouse, consideration of these cancers as a sexually transmitted disease, decreased libido, dyspareunia as well as vaginal dryness were determining factors in the couple's life. Conclusion. The management of cervical and breast cancer has an impact on the couple's sexuality. It can range from withdrawal to divorce.

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K, D. ., M, D., A, K. ., MF, S. ., M, B. ., F, C. ., S, C. ., & S, S. . (2021). Cancers Gynécologiques et Vie du Couple: The Couple’s Life with Gynecological and Breast Cancers. HEALTH SCIENCES AND DISEASE, 22(9). https://doi.org/10.5281/hsd.v22i9.2958
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