Factors affecting women's sexual life after oncological treatment of breast cancer
DOI:
https://doi.org/10.12775/JEHS.2023.16.01.001Keywords
breast cancer, sexuality, mastectomy, self-acceptanceAbstract
Introduction and purpose: Breast cancer is the most common malignant tumor among Polish women. However, with the development of medicine, new methods of treating and detecting breast cancer are accessible. In consequence, there is a significant decrease in mortality and an increase in the number of detected cases. Therefore, the needs and difficulties faced by women with breast cancer, including those related to their sexuality, require a different approach. This paper aims to present the impact of breast cancer treatment on women's sexuality based on a review of the available literature.
Description of the state of knowledge: There are many methods of treating breast cancer, but mastectomy, one of the most radical therapies, is performed in almost half of the patients. There is a high percentage of psychological complications associated with this procedure, among others, since female breasts are perceived as attributes of femininity. Women diagnosed with breast cancer face concerns about self-esteem and body image. Breast cancer has a notable impact on sexuality, and cancer diagnosis and oncological cancer treatment are associated with several physical and psychosocial uncertainties. The lack of a native breast can cause a sense of imperfection, shame, and fear of rejection by the partner.
Summary: Health professionals should concentrate on the sexual health of women with breast cancer because it is frequently overlooked and assigned less priority. The return of sexual satisfaction and acceptance of the new body appearance should be a component of successful breast cancer treatment.
References
Katsura C, Ogunmwonyi I, Kankam HK, et al. Breast cancer: presentation, investigation and management. Br J Hosp Med Lond. 2022; 83(2): 1–7. https://doi.org/10.12968/hmed.2021.0459
Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. C CA Cancer J Clin. 2021; 71(3): 209-249. https://doi.org/10.3322/caac.21660
Burzyńska M, Maniecka-Bryła I, Pikala M. Trends of mortality due to breast cancer in Poland, 2000-2016. BMC Public Health. 2020; 20(1): 1–9. https://doi.org/10.1186/s12889-020-8256-1
Momenimovahed Z, Salehiniya H. Epidemiological characteristics of and risk factors for breast cancer in the world. Breast Cancer (Dove Med Press). 2019; 11: 151-164. https://doi.org/10.2147/BCTT.S176070
Liang Y, Zhang H, Song X, et al. Metastatic heterogeneity of breast cancer: Molecular mechanism and potential therapeutic targets. Semin Cancer Biol. 2020; 60: 14–27. https://doi.org/10.1016/j.semcancer.2019.08.012
Feng Y, Spezia M, Huang S, et al. Breast cancer development and progression: Risk factors, cancer stem cells, signaling pathways, genomics, and molecular pathogenesis. Genes Dis. 2018; 5(2): 77-106. https://doi.org/10.1016/j.gendis.2018.05.001
Majeed W, Aslam B, Javed I, et al. Breast Cancer: Major Risk Factors and Recent Developments in Treatment. Asian Pac J Cancer Prev. 2014; 15(8): 3353–3358. https://doi.org/10.7314/APJCP.2014.15.8.3353
Cornell LF, Mussallem DM, Gibson TC, et al. Trends in Sexual Function After Breast Cancer Surgery. Ann Surg Oncol. 2017; 24(9): 2526–2538. https://doi.org/10.1245/s10434-017-5894-3
Loibl S, Poortmans P, Morrow M, et al. Breast cancer. Lancet. 2021; 397(10286): 1750–1769. https://doi.org/10.1016/S0140-6736(20)32381-3
Vasconcelos De Oliveira C, Cavalcante FP, Valente Batista R, et al. Surgical treatment of breast cancer: data from a renowned institution in the Brazilian northeast. Mastology. 2017; 27(4): 320–323. https://doi.org/10.29289/2594539420170000167
Sun L, Ang E, Ang WHD, et al. Losing the breast: A meta-synthesis of the impact in women breast cancer survivors. Psychooncology. 2018; 27(2): 376–385. https://doi.org/10.1002/pon.4460
Sheppard LA, Ely S. Breast Cancer and Sexuality. Breast J. 2008; 14(2): 176–181. https://doi.org/10.1111/j.1524-4741.2007.00550.x
Hart AM, Pinell-White X, Losken A. The Psychosexual Impact of Postmastectomy Breast Reconstruction. Ann Plast Surg. 2016; 77(5): 517–522. https://doi.org/10.1097/SAP.0000000000000665
Gonsalves L, Cottler-Casanova S, VanTreeck K, et al. Results of a World Health Organization Scoping of Sexual Dysfunction–Related Guidelines: What Exists and What Is Needed. J Sex Med. 2020; 17(12): 2518–2521. https://doi.org/10.1016/j.jsxm.2020.08.022
Tounkel I, Nalubola S, Schulz A, et al. Sexual Health Screening for Gynecologic and Breast Cancer Survivors: A Review and Critical Analysis of Validated Screening Tools. Sex Med. 2022; 10(2): 100498. https://doi.org/10.1016/j.esxm.2022.100498
Fisusi FA, Akala EO. Drug Combinations in Breast Cancer Therapy. Pharm Nanotechnol. 2019; 7(1): 3–23. https://doi.org/10.2174/2211738507666190122111224.
Boswell EN, Dizon DS. Breast cancer and sexual function. Transl Androl Urol. 2015; 4(2): 160–168. https://doi.org/10.3978/j.issn.2223-4683.2014.12.04
Tsaras K, Papathanasiou IV, Mitsi D, et al. Assessment of Depression and Anxiety in Breast Cancer Patients: Prevalence and Associated Factors. Asian Pac J Cancer Prev APJCP. 2018; 19(6): 1661–1669. https://doi.org/10.22034/APJCP.2018.19.6.1661
Kowalczyk R, Nowosielski K, Cedrych I, et al. Factors Affecting Sexual Function and Body Image of Early-Stage Breast Cancer Survivors in Poland: A Short-Term Observation. Clin Breast Cancer. 2019; 19(1): e30–e39. https://doi.org/10.1016/j.clbc.2018.09.006
Miaja M, Platas A, Alejandra Martinez-Cannon B. Psychological Impact of Alterations in Sexuality, Fertility, and Body Image in Young Breast Cancer Patients and Their Partners. Rev Inves Clin. 2017; 69(4): 204–209. https://doi.org/10.24875/RIC.17002279
Fouladi N, Pourfarzi F, Dolattorkpour N, et al. Sexual life after mastectomy in breast cancer survivors: A qualitative study. Psychooncology. 2018; 27(2): 434–441. https://doi.org/10.1002/pon.4479
Rossi L, Mazzara C, Pagani O. Diagnosis and Treatment of Breast Cancer in Young Women. Curr Treat Options Oncol. 2019; 20(12): 86. https://doi.org/10.1007/s11864-019-0685-7
Kedde H, Van De Wiel HBM, Weijmar Schultz WCM, et al. Sexual dysfunction in young women with breast cancer. Support Care Cancer. 2013; 21(1): 271–280 https://doi.org/10.1007/s00520-012-1521-9
Champion VL, Wagner LI, Monahan PO, et al. Comparison of younger and older breast cancer survivors and age-matched controls on specific and overall quality of life domains. Cancer. 2014; 120(15): 2237–2246. https://doi.org/10.1002/cncr.28737
Rosenberg SM, Dominici LS, Gelber S, et al. Association of Breast Cancer Surgery With Quality of Life and Psychosocial Well-being in Young Breast Cancer Survivors. JAMA Surg. 2020; 155(11): 1035–1042. https://doi.org/10.1001/jamasurg.2020.3325.
Andrzejewski W, Kassolik K, Ochrymowicz M, et al. Ocena jakości życia kobiet po mastektomii zrzeszonych w Klubie Amazonek. Fizjoter Pol. 2008; 8(1):51-64
Mokhtari-Hessari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health Qual Life Outcomes. 2020; 18(1): 338. https://doi.org/10.1186/s12955-020-01591-x
Brandt-Salmeri A, Przybyla-Basista H. Decyzja o rekonstrukcji piersi u kobiet po mastektomii – motywy, obawy, percepcja efektów. Psychoonkologia. 2016; 20: 17–26.
Białek K, Bolek K, Kowalczyk R, et al. Seksualność i jakość życia kobiet badanych do 18 miesięcy i 5 lat po zabiegu mastektomii – analiza porównawcza. Państ Społ. 2015; XV(4): 121-129.
Tarkowska M, Głowacka-Mrotek I, Nowikiewicz T, et al. Sexual functioning and self-esteem in women after mastectomy - a single-centre, non-randomised, cross-sectional study. Contemp Oncol Poznan Pol. 2020; 24(2): 106–111. https://doi.org/10.5114/wo.2020.95876
Odigie VI, Tanaka R, Yusufu LMD, et al. Psychosocial effects of mastectomy on married African women in Northwestern Nigeria. Psychooncology. 2010;19(8): 893–897. https://doi.org/10.1002/pon.1675
Mathias C, Cardeal Mendes CM, Pondé de Sena E, et al. An open-label, fixed-dose study of bupropion effect on sexual function scores in women treated for breast cancer. Ann Oncol. 2006; 17(12): 1792–1796. https://doi.org/10.1093/annonc/mdl304
Gałka A, Świątoniowska NA, Kolasińska J, et al. Assessment of the quality of life of women with breast cancer depending on the surgical treatment method used. Palliat Med Pract. 2018; 12(2): 76–85.
Sisco M, Johnson DB, Wang C, et al. The quality-of-life benefits of breast reconstruction do not diminish with age. J Surg Oncol. 2015; 111(6): 663–668. https://doi.org/10.1002/jso.23864
Fanakidou I, Zyga S, Alikari V, et al. Mental health, loneliness, and illness perception outcomes in quality of life among young breast cancer patients after mastectomy: the role of breast reconstruction. Qual Life Res. 2018; 27(2): 539–543. https://doi.org/10.1007/s11136-017-1735-x
Neto MS, De Aguiar Menezes MV, Moreira JR, et al. Sexuality after breast reconstruction post mastectomy. Aesthetic Plast Surg. 2013; (3): 643–647. https://doi.org/10.1007/s00266-013-0082-8
Rzońca A, Fronczak A. The impact of breast reconstruction on the quality of life of women after mastectomy. J Educ Health Sport. 2017;7:481–488.
Dikmans REG, van de Grift TC, Bouman M-B, et al. Sexuality, a topic that surgeons should discuss with women before risk-reducing mastectomy and breast reconstruction. Breast. 2019; 43: 120–122. https://doi.org/10.1016/j.breast.2018.12.003
Rojas K, Onstad M, Raker C, et al. The impact of mastectomy type on the Female Sexual Function Index (FSFI), satisfaction with appearance, and the reconstructed breast’s role in intimacy. Breast Cancer Res Treat. 2017; 163(2): 273–279. https://doi.org/10.1007/s10549-017-4174-z
Konieczny M. Quality of life of women after mastectomy. J Educ Health Sport. 2022; 12:21–33. https://doi.org/10.12775/JEHS.2022.12.01.002
Reese JB, Sorice K, Lepore SJ, et al. Patient-clinician communication about sexual health in breast cancer: A mixed-methods analysis of clinic dialogue. Patient Educ Couns. 2019; 102(3): 436–442. https://doi.org/10.1016/j.pec.2018.10.003
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