Indications for sexology consultation in women after surgical treatment due to breast cancer

Abstract

Jach R. Indications for sexology consultation in women after surgical treatment due to breast cancer. Ann Agric Environ Med. doi: 10.26444/aaem/89733 Abstract Introduction and objectives. Surgical treatment due to brest cancer have an impact on women sexuality. There is a need for research about effective indications for sexology consultation in women after such treatment. The aim of this study is to determine the indications for sexology consultation in women after surgical treatment for breast cancer. Materials and method. We tested 42 women patients diagnosed with breast cancer who had undergone mastectomy 3 months before the study. 3 months after the surgery the women were surveyed using the Polish version of FSFI assessing sexual functioning in women. The result of PL-FSFI were compared with the control group. Results. It was found that the mean score of PL-FSFI in the study group 3 months after the surgery was 13.33 points (score range: 1.2-31.7; median 8.3 points) with a statistically significant difference in terms of areas: desire, arousal, lubrication and orgasm in favour of the control group. The total score of PL-FSFI was significantly lower in women after mastectomy than in women after breast-conserving surgery. It has been shown that sexually active women in whom the surgery concerned the right breast (on the side of the dominant hand) scored lower on the scale "sexual functioning" of QLQ-BR-23 than women with surgery of the left breast, with this difference being statistically significant. There was a statistically significant correlation between the baseline performance status on the Zubrod scale and the scales: desire, lubrication and satisfaction of PL-FSFI. Living in a small town proved to be statistically significant for predicting a lower risk of sexual dysfunction among the surveyed women. Conclusions. The women who underwent surgery due to breast cancer had a higher risk of sexual dysfunction compared to the general population. Higher risk of sexual dysfunction especially concerns women after mastectomy, those who underwent breast surgery on the side of the dominant hand, and those with a worse preoperative overall level of functioning of ≥ 1 point on the Zubrod scale. A lower risk of disorders was observed in women living in smaller towns. The above factors indicate the advisability for sexology consultation in women with breast cancer.

A cirurgia de mastectomia e sua influência no âmbito biopsicossocial feminino

“…Este mesmo estudo afirmou que Pacientes que tiveram a reconstrução da mama após a mastectomia relataram melhor função sexual e menos sintomas depressivos. Onde cerca de 25% a 90% das mulheres após da mama apresentam alterações sexuais e mentais, apresentando quadros de depressão e problemas na relação com um parceiro (Streb et al, 2019) Percebeu-se que passar pela experiência do câncer requer abdicar muito e estar pronto a dedicação e apoio do cônjuge. Os estudos apontam que os companheiros têm apresentado posturas despreparadas, ocasionando sentimento de rejeição e afastamento em suas mulheres, prejudicando ainda mais no processo de manutenção da autoestima (Oliveira, Silva & Prazeres, 2017;Varela et al, 2017;Ghizzani, Bruni &Luisi, 2018).…”

Development and validation of a guideline on sexual and reproductive health of breast cancer survivors in Iran: a mixed methods study protocol

“…After breast cancer diagnosis and treatment, all aspects of sexual function including libido, arousal, and orgasm are often deteriorated. Patients experience dyspareunia and negative mental experiences such as negative body image, loss of femininity, concerns about infertility, lack of sexual attractiveness, depression, and anxiety, leading to reduced sexual satisfaction and finally discontinuing sexual relations [ 6 , 7 ]. For example, a study in Iran showed that sexual dysfunction is more common in breast cancer survivors than in healthy women.…”

Development and Validation of A Guideline on Sexual and Reproductive Health of Breast Cancer Survivors in Iran: A Mixed Methods Study Protocol

“…After Breast cancer diagnosis and treatment, all aspects of sexual function including libido, arousal, and orgasm are often deteriorated. Patients experience dyspareunia and negative mental experiences such as negative body image, loss of femininity, concerns about infertility, lack of sexual attractiveness, depression, and anxiety leading to reduced sexual satisfaction and nally discontinuing sexual relations [6,7]. Similarly, a study in Iran showed that sexual dysfunction is more common in breast cancer survivors compared to healthy women.…”