• Adherence to vaginal dilation therapy after radiotherapy as measured by the Vaginal Dilation Adherence questionnaire [ Designated as safety issue: No ]
• Demographic, medical, & psychosocial factors assoc. with adherence to vaginal dilation by Vaginal Dilation Adherence questionnaire, Sexual Function-Vaginal Changes Questionnaire, & Physician/Nurse Recommendation of Vaginal Dilation questionnaire [ Designated as safety issue: No ]
• Sexual, marital, and non-marital dyadic functioning as measured by the Sexual Function-Vaginal Changes Questionnaire and the Dyadic Satisfaction questionnaire [ Designated as safety issue: No ]

RATIONALE: Understanding how well patients comply with their treatment regimen may help doctors determine best treatment and ongoing care for future patients.

PURPOSE: This phase I study is looking at compliance with vaginal dilation therapy in women who have undergone radiation therapy for stage IB, stage IIA, stage IIB, stage IIIA, or stage IIIB cervical cancer or stage IA, stage IB, stage IIA, or stage IIB endometrial cancer.

OBJECTIVES:

Primary

• To determine adherence to vaginal dilation therapy after radiotherapy in patients with early-stage IB grade 2-IIIB cervical cancer or stage IA grade 3-IIB endometrial cancer.
• To identify demographic, medical, and psychosocial factors associated with adherence to recommendations for vaginal dilation in these patients.
• To describe the sexual, marital, and non-marital dyadic functioning of these patients.

OUTLINE: Patients from the IMPAC registry in Radiation Oncology at the University Hospitals Case Medical Center, Ireland Cancer Center complete questionnaires online or by mail. Questionnaires include the Vaginal Dilation Adherence questionnaire, the Sexual Function-Vaginal Changes Questionnaire, the Dyadic Satisfaction questionnaire, and the Physician/Nurse Recommendation of Vaginal Dilation questionnaire.

• Cervical Cancer
• Endometrial Cancer
• Radiation Toxicity
• Sexuality and Reproductive Issues

• Behavioral: compliance monitoring
• Other: questionnaire administration
• Procedure: assessment of therapy complications
• Procedure: management of therapy complications
• Procedure: psychosocial assessment and care
• Radiation: radiation therapy

DISEASE CHARACTERISTICS:

• History of early-stage IB grade 2-IIIB cervical cancer or stage IA grade 3-IIB endometrial cancer

• Meets the following criteria:

  • Received radiotherapy for this disease
  • Treated within the last 3 years and followed for at least 6 months

PATIENT CHARACTERISTICS:

• Able to read and understand English
• Currently with or without a sexual partner
• No history of other cancers
• No other potentially life-threatening disease

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics