Trends in Sexual Function After Breast Cancer Surgery

Cornell, Lauren; Mussallem, Dawn M.; Gibson, Tammeza; Diehl, Nancy N.; Bagaria, Sanjay P.; McLaughlin, Sarah A.

doi:10.1245/s10434-017-5894-3

Cited by 30 publications

(26 citation statements)

References 25 publications

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“…When asked if body image was as expected, 49% said yes, 31% said that it was worse than expected and 23% said that it was better than expected 30 . Similarly, in studies examining sexuality, there was no difference in score between the CPM and no‐CPM groups 19,22 . In an interview study, women reported feeling emotionally closer to partners after the surgery compared to before the surgery, however sexually more distant, with chest numbness related to CPM to be a major factor (no comparison group) 16 …”

Section: Resultsmentioning

confidence: 98%

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Contralateral prophylactic mastectomy for unilateral breast cancer in women at average risk: Systematic review of patient reported outcomes

et al. 2020

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Objective The rate of contralateral prophylactic mastectomy (CPM) in women with early, unilateral cancer is relatively high and is increasing around the world a previous study. Women choose this option for many reasons other than reducing their risk of future cancer, including symmetry, reasons related to breast reconstruction and attempting to manage fear of recurrence. This systematic review evaluated patient‐reported quality of life outcomes following CPM. Methods A literature search of MEDLINE, PubMed and PsycINFO was performed to February 2019. Abstracts and full‐text articles were assessed for eligibility according to pre‐determined criteria. Data were extracted into evidence tables for analysis. Results A total of 19 articles met eligibility criteria and were included in analysis. These included patient‐reported data from 6088 women undergoing CPM. They reported high levels of satisfaction with the decision for surgery, low levels of decisional regret and high satisfaction with cosmesis and reconstruction. Breast‐specific and general quality of life was high overall but was even better in women choosing breast reconstruction after surgery. Fear of cancer recurrence was high after CPM. Depression, distress and a negative impact on body image were evident; however, levels were high in both CPM and non‐CPM groups. Conclusions This study provides information that can be used by surgeons and psychologists when counselling women about the potential benefits and harms of CPM. This process must include discussion about the trade‐offs such as body image issues and ongoing fear of recurrence in addition to the positive aspect of cancer risk reduction. Women are unlikely to regret their decision for CPM.

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Section: Resultsmentioning

confidence: 98%

“…A total of 81 abstracts met eligibility criteria; 81 full‐text articles were reviewed, 63 were subsequently found to be ineligible, and one article was added following review of reference lists of eligible studies. A total of 19 studies were eligible for inclusion in the analysis 7,14‐32 …”

Section: Resultsmentioning

confidence: 99%

Contralateral prophylactic mastectomy for unilateral breast cancer in women at average risk: Systematic review of patient reported outcomes

et al. 2020

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“…In relation to sexuality, there are a variety of complaints. Dyspareunia, lack of vaginal lubrication, hypoactive desire and loss of breast tenderness have been reported as consequences of breast cancer treatment 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of female sexual function and quality of life among breast cancer survivors who underwent hormone therapy

Pegorare¹,

Silveira²,

No³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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Objetivo: O intuito deste trabalho foi investigar a função sexual e a qualidade de vida das mulheres sobreviventes do câncer de mama. Métodos: Trata-se de um estudo de corte transversal, incluindo 36 mulheres submetidas à cirurgia de câncer de mama (17 mastectomias e 19 quadrantectomias), sexualmente ativas, em tratamento hormonioterápico, com idade entre 37 e 60 anos. O instrumento utilizado para avaliar a função sexual foi o Female Sexual Function Index (FSFI) e, para a qualidade de vida, o European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Resultados: Neste estudo, 61,1% das mulheres apresentaram disfunção sexual. Em relação à qualidade de vida, mulheres mais jovens foram mais impactadas em sua capacidade funcional (p=0,049). Conclusão: A prevalência de disfunção sexual é elevada nas mulheres sobreviventes do câncer de mama, destacando-se o desejo hipoativo e a dispareunia. Em relação à qualidade de vida, foi observado mais prejuízo da capacidade funcional nas mulheres jovens. PALAVRAS-CHAVE:Câncer de mama; qualidade de vida; sexualidade; mastectomia. RESUMO ABSTRACTObjective: The aim of this study was to investigate the sexual function and quality of life of breast cancer survival women.Methods: This is a cross-sectional study including 36 women who underwent breast cancer surgery (17 mastectomies and 19 quadrantectomies), sexually active, undergoing hormone therapy, aged 37 to 60 years old. Data were collected through the Female Sexual Function Index (FSFI) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Results: In this study, 61.1% of the women had sexual dysfunction. Regarding quality of life, younger women were more impacted in their functional capacity (p=0,049). Conclusion: The prevalence of sexual dysfunction is higher in breast cancer survival women, with hypoactive desire and dyspareunia. Regarding quality of life, greater impairment of functional capacity was observed in young women.

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“…These baseline data are critical for breast cancer patients because the median age at diagnosis is 62 years, 5 and many postmenopausal patients may already be experiencing some type of sexual decline at the time of diagnosis. 6 This recent article by Gass et al should encourage surgeons to reconsider their willingness to discuss with their patients the sexual side effects resulting from surgery and their approach to the discussion.…”

mentioning

confidence: 99%

“…6 Recognizing that women desire sex after treatment, we should try to protect and preserve sexual function. Gass et al showed that surgery affects function.…”

mentioning

confidence: 99%

Sexual Function and Breast-Specific Sensuality Remain Important After Breast Cancer Surgery

Cornell

Mussallem

2017

Ann Surg Oncol

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Trends in Sexual Function After Breast Cancer Surgery

Abstract: Baseline sexual dysfunction exists in women diagnosed with breast cancer. Surgery negatively impacts sexual function. Patients who choose mastectomy do not exhibit superior sexual function over those having BCS at 13 months following surgery.

Cited by 30 publications

References 25 publications

Contralateral prophylactic mastectomy for unilateral breast cancer in women at average risk: Systematic review of patient reported outcomes

Contralateral prophylactic mastectomy for unilateral breast cancer in women at average risk: Systematic review of patient reported outcomes

Assessment of female sexual function and quality of life among breast cancer survivors who underwent hormone therapy

Sexual Function and Breast-Specific Sensuality Remain Important After Breast Cancer Surgery

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