Sexual Dysfunction Among Women With Breast Cancer in the Northeastern Part of West Malaysia

Ooi, Poh Siang; Draman, Nani; Muhamad, Rosediani; Yusoff, Siti Suhaila Mohd; Norhayati, Mohd Noor; Haron, Juhara; Hadi, Imi Sairi Ab

doi:10.1016/j.esxm.2021.100351

Cited by 19 publications

(20 citation statements)

References 52 publications

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“…The present study noted the experience of sexual violence in the reports of participants who highlighted coerced sexual practices, committed without consent, or motivated by fear of their partner. These results show how fundamental it is that health professionals take into consideration the complex interaction between the cultural, relational, and subjective aspects of the sexual experience after breast cancer in order to provide better care in the context of oncological assistance [ 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence against Mastectomized Women: Victims’ Experiences

et al. 2022

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Exposure to situations of domestic violence during the treatment for breast cancer may compromise the treatment and quality of life of women patients, so it is essential that health professionals act in tracking this phenomenon in the approach to and care of women with breast cancer. The purpose of this study was to examine experiences of violence against women by their intimate partners after mastectomy. This is an exploratory descriptive study, with a qualitative approach, carried out in the Rehabilitation Program for Mastectomized Women in a Brazilian reference hospital for oncological treatment. Semi-structured interviews were conducted with 16 mastectomized women. For data analysis, a content analysis technique was performed. The women interviewed were predominantly brown, with a minimum age of 44 years and maximum of 72 years. They presented with low education, were married, and had a mean period of five years of breast cancer diagnosis. The participants reported that after mastectomy, they experienced episodes of violence at a time when they were extremely vulnerable due to the various cancer treatments. Three major thematic categories emerged from interview data across the data collection: (1) experiences of psychological violence, (2) experiences of physical violence, and (3) experiences of sexual violence. Psychological violence took the form of humiliation and contempt for their condition. Physical violence involved assault and sexual violence in the form of forced sex by coercion. Violence was a phenomenon present after mastectomy, practiced in the domestic environment by the intimate partner. We emphasize the importance of health professionals in screening for this issue by listening to and welcoming women, recording cases, exposing this situation, and contributing to prevention.

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Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence against Mastectomized Women: Victims’ Experiences

et al. 2022

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“…Breasts play a significant role in a woman's body image, sexuality, and motherhood [41], and sexuality is one the most impaired domain of quality of life in women with breast cancer [17,42]. There is insufficient research in Croatia that studied sexual quality of life in women with breast cancer and sexual dysfunctions among mentioned women, so the main aim of this study was to determine the relationship between cancer treatment, anxiety and depression with sexual functioning in women with breast cancer and to determine the role of anxiety, depression and coping styles in the development of sexual dysfunctions.…”

Section: Discussionmentioning

confidence: 99%

“…[43]. Cancer is directly linked to the reduction of certain domains in sexual dysfunction, especially in psychological problems such as low desire and arousal, and it can reduce sexual function to a greater degree than problems of organic or functional nature (vaginismus, sexual pain) [41]. Recent research indicates that women with breast cancer report impaired sexual quality of life, and over time, sexual functioning and sexual quality of life become worse [42,44,45].…”

Section: Discussionmentioning

confidence: 99%

Sexual Functioning in Women with Breast Cancer: Role of Depression, Anxiety and Coping Styles

Brajković¹

2022

PBS

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Sexual dysfunction encompasses a broad spectrum of issues, all of which are susceptible to insult after treatment for cancer. Sexual dysfunction affects up to 90% of women treated for breast cancer, and sexual quality of life is a significant concern for breast cancer survivors. This study investigated role of depression, anxiety and coping styles in developing sexual dysfunctions in 210 women with breast cancer, one year after diagnosis. The median age was 58. Female Sexual Functioning Index (FSFI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Coping Inventory for Stressful Situations (CISS) were used for this purpose. All women stated that before breast cancer they did not have significant sexual problems that would interfere with sexual pleasure. It is noticeable that women included in this study report high levels of pain and discomfort during and after vaginal penetration have low levels of sexual arousal and have significant difficulty achieving orgasm and lubrication, which is significantly associated with high levels of anxiety and moderate to high levels of depression. They are more likely to use a task-oriented coping strategy, and within avoidance as a coping strategy, they are more likely to use a distraction. More frequent use of avoidant strategies and less propensity for emotion-oriented strategies is associated with greater sexual desire. Women who used emotion-oriented coping strategies have more pronounced symptoms of depression and anxiety. Lower levels of overall sexual function were found in women who had a mastectomy (total and partial). Breast reconstruction after mastectomy has a positive influence on sexual functioning, especially on sexual arousal and pleasure, and women who have not had a mastectomy report greater sexual desire and arousal, and less pain during sexual intercourse. Participants who were not exposed to radiotherapy during treatment expressed greater satisfaction with achieving orgasms and lubrication during sexual intercourse. Hierarchical regression analysis indicated that depression, anxiety and coping styles significantly contribute to all domains of sexual functioning. These results add to growing evidence that sexual quality of life is a multidimensional construct with aspects differentially affected by variables related to cancer survivorship.

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“…In Malaysia, a multiethnic, middle-income Asian country with limited supportive cancer care services, open discussions regarding sexual wellbeing between clinicians and patients are scarce due to the sensitive nature of the topic [5][6]. While quantitative studies have reported a high prevalence of sexual dysfunction among Malaysian cancer survivors [7][8], only a handful of qualitative research have examined the sexual health experiences of cancer survivors in the country [6], which tended to be limited to a single cancer site or gender. Understanding the impact of cancer on the sexual wellbeing of patients with different cancers and of both genders is crucial to guide the development of supportive care services that is responsive to the sexual needs of cancer patients in the nation.…”

Section: Introductionmentioning

confidence: 99%

Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study

et al. 2022

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Purpose: The physical and emotional impact of cancer and its treatment may be detrimental to the sexual well-being of patients. We aimed to gain an in-depth insight on the impact of cancer on the sexual wellbeing of cancer patients living in a middle-income setting with limited supportive care services.Methods: Twenty focus group discussions, strati ed by gender, were conducted among 102 patients with breast, cervical, colorectal, or prostate cancer. Participants were recruited from ve hospitals in Klang Valley, Malaysia. Discussions were audio recorded and transcribed verbatim. Thematic analysis was performed using NVivo.Results: Three major themes emerged: loss, adjustments, and unmet supportive care needs. Under the main theme of loss, changes in physical appearances and childbearing abilities negatively impacted participants' self-con dence and body image, particularly in the females. Changes in quality of sexual activity were commonly raised, which often brought about con icts and marital strains. Various methods to cope with the changes were described, including reprioritization of sex, using sexual aids, employing other forms of intimacy, and reframing sex as an obligation. Participants further voiced the unmet need for professional counselling services to enable honest communication between patients and their partners, and also sexual healthcare services, which were all deemed as paramount to address their sexual issues. Conclusion:In the low-and middle-income countries, provision of sexual healthcare services including counselling and clinical management of sexual dysfunction should not be overlooked as an important component of supportive cancer care.

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Sexual Dysfunction Among Women With Breast Cancer in the Northeastern Part of West Malaysia

Cited by 19 publications

References 52 publications

Intimate Partner Violence against Mastectomized Women: Victims’ Experiences

Intimate Partner Violence against Mastectomized Women: Victims’ Experiences

Sexual Functioning in Women with Breast Cancer: Role of Depression, Anxiety and Coping Styles

Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study

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