Body Image, Sexuality, and Sexual Functioning in Women With Gynecologic Cancer: An Integrative Review of the Literature and Implications for Research.

It is a review of descriptive and qualitative studies, not a test of any treatment or communication strategy. It excluded intervention and instrument-development studies, so it cannot tell nurses which method works. It covered only invasive cervical and uterine cancer, not ovarian, vaginal, vulvar, or colorectal cancer. Most included studies focused on heterosexual women, so experiences of lesbian women and other groups are not well described. Studies used many different measures, and some used terms incorrectly or did not use a framework. Quantitative studies had methodological problems such as retrospective designs, small samples, unequal comparison groups, lower retention, and skewed data. Only English-language studies were included, and the review did not report a total number of women across studies.

The authors declared no conflicts of interest.

Do not treat this review as proof that nurse-led sexual health conversations improve outcomes. It reports women's experiences and information gaps, but it excluded intervention studies and tested no communication method.