Repair of the Threatened Feminine Identity

Experience of Women With Cervical Cancer Undergoing Fertility Preservation Surgery

Hiroko Komatsu, PhD, RN; Kaori Yagasaki, MSN, RN; Rie Shoda, RN; Younghui Chung, RN; Takashi Iwata, PhD, MD; Juri Sugiyama, MD; Takuma Fujii, PhD, MD


Cancer Nurs. 2014;37(1):75-82. 

In This Article


There were some methodological limitations that may affect the interpretation of the present findings. This qualitative study does not claim to be representative of the views of all women. The purposive sampling did not represent the actual proportions of pregnancy and childbirth in the total patients at the participating institution. The interviews were conducted in Japanese. There may be translation limitations. Although the identity process was the same in women who had not conceived and those who had conceived after trachelectomy, we did not compare themes between these 2 groups because the number of successful cases was limited, and there were privacy concerns. If we had focused on women who had conceived, different themes might have emerged. The reasons of suboptimal reproductive outcomes despite successful fertility preservation surgery were not fully elucidated in this study. Some of the participants were not sexually active because of concerns about the effects of complications and fear of recurrence. We need to study how sexuality is associated with feminine identity and reproductive outcomes in future studies. Finally, we did not confirm themes with the study participants.