Perceived Effects of Treatment Among Persons with Gynecological Cancers Attending Teaching Hospitals in Ekiti State

Gynecological cancers pose significant health and socio-economic challenges for affected individuals. This study explores the perceived effects of treatment among persons with gynecological cancers attending Teaching Hospitals in Ekiti State, Nigeria. The study employed a qualitative research design, utilising a phenomenological approach to capture participants' lived experiences. A total of 20 individuals diagnosed with gynecological cancers were purposively selected and interviewed using a structured interview guide. Data were transcribed, translated, and analysed thematically using NVivo 12 software. Findings revealed three major themes: bodily changes and altered body image, the burden of chemotherapy, and financial/economic hardship. Participants expressed concerns over physical transformations, including open wounds, disfigurement, and distressing bodily changes, which impacted their psychological well-being and self-image. The burden of chemotherapy emerged as a significant challenge, with adverse effects such as nausea, vomiting, weakness, and diarrhoea leading to non-adherence. Additionally, financial constraints posed a major barrier, with participants experiencing severe economic strain due to the high cost of cancer treatment, often resulting in asset liquidation and dependence on family support. The study concludes that treatment for gynecological cancers extends beyond medical intervention, significantly affecting patients' physical, emotional, and financial well-being. It recommends the implementation of financial support schemes, improved access to affordable cancer treatment, psychological counselling services, and increased awareness campaigns to support affected individuals. Keywords: Gynecological cancers, chemotherapy burden, body image, financial hardship, qualitative study, Ekiti State,