ResumoMulheres acometidas pelo câncer mamário são confrontadas com a retirada de uma parte do corpo relacionada à sexualidade. Este estudo teve por objetivo investigar o impacto do câncer de mama e da mastectomia na sexualidade da mulher por meio da análise da produção científica publicada no período de 2000 a 2009. O levantamento bibliográfico foi realizado a partir das bases de dados LILACS, MedLine e PsycINFO. Foram selecionados 29 artigos, que constituíram o corpus do estudo. Os achados foram agrupados por meio de análise de conteúdo. Os resultados evidenciaram que, após a retirada da mama, o desempenho sexual é comprometido, com redução da freqüência de intercurso sexual nos primeiros estágios do tratamento e diminuição da excitação, interesse e satisfação sexual. Palavras-chave: Mastectomia, sexualidade, neoplasias da mama, comportamento sexual, revisão da literatura. AbstractWomen affected by breast cancer are faced with the removal of a body part related to sexuality. This study aimed to investigate the impact of breast cancer and mastectomy in women's sexuality through the analysis of scientific literature published from 2000 to 2009. The bibliographic survey was carried out in LI-LACS, MedLine and PsycINFO databases. Twenty nine articles were selected to constitute the corpus of the analysis. The findings were grouped by means of content analysis. The results showed that after the removal of the breast, sexual performance is compromised, with reduced frequency of sexual intercourse in the early stages of treatment and low sexual desire, interest and satisfaction. Keywords: Mastectomy, sexuality, breast neoplasms, sexual behavior, literature review. O presente estudo propõe-se a explorar as consequên-cias do câncer de mama e da mastectomia sobre a sexualidade da mulher acometida. Para tanto, será abordado, preliminarmente, o conceito de sexualidade e suas possí-veis compreensões no campo da saúde, bem como as possíveis interferências da doença e da cirurgia para remoção da massa tumoral na vivência sexual feminina.A oncologia é um dos contextos de atuação que mais colocam o profissional em contato com questões da sexualidade, especialmente quando o órgão acometido é a mama, no caso das mulheres, ou a próstata, nos pacientes masculinos (Barton-Burke & Gustason, 2007). O câncer de mama é, provavelmente, o tipo de neoplasia que mais amedronta as mulheres, tanto por sua alta prevalência, como por seus efeitos psicológicos e físicos (Peres & Santos, 2009). A doença produz alterações importantes na imagem corporal da mulher, que podem afetar sua vivência da sexualidade e satisfação conjugal (Instituto Nacional do Câncer, 2009;Scorsolini-Comin, Santos, & Souza, 2009). Apesar de a sobrevivência ser a meta principal do tratamento, não se pode desviar o olhar dos aspectos subjetivos e relacionais, que são profundamente associados ao estado de bem-estar físico, psíquico, social, existencial e espiritual que compõem a qualidade de vida total da paciente (Huguet, Morais, Osis, Pinto-Neto, & Gurgel, 2009).A sobrevivê...

Breast cancer is the main neoplasm which affects women. It brings emotional problems in addition to physical and social problems due to affecting a bodily symbol of femininity. The aim of this study was to investigate the sexual life of women with breast cancer in the first year after the surgical procedure, seeking the meanings they attributed to the diagnosis and its repercussions on sexuality. Ten women who participated in a rehabilitation program were interviewed. In addition to the face to face interview their medical record were analyzed. Two categories emerged from the thematic analysis highlighting the negative and the positive impacts of this disease on the sexual life. This variety of meanings encountered shows that there no single pattern of sexual life after breast cancer. The way each woman reacts to the disease makes the way she experiences her sexuality unique. It follows that issues of sexuality must be incorporated in interventions offered in the context of care for these women.

The objective of this study was to review the scientific literature addressing educational actions related to the training of health professionals in sexuality between 2003 and 2013. The results obtained show that college seniors, recent college graduates, or those working in hospitals and other health care facilities are not adequately prepared to meet patients' needs regarding sexuality. Several studies have shown improvement in the health practitioners' ability to deal with patients' sexuality issues after participating in training programs in sexuality, regardless of the course load. According to the articles reviewed, in order to improve the performance and comfort level of health practitioners to deal with patients' sexuality concerns, investments in educational actions are necessary. The objective of the present study is to conduct a literature review on the Training, Development, and Education (TD&E) actions for health practitioners regarding sexuality. The way these professionals have been dealing with sexuality issues will be firstly discussed, followed by the TD&E concept. Keywords