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Sexual functioning in women after mastectomy versus breast conserving therapy for early-stage breast cancer: a prospective controlled study.
- Source :
-
Breast (Edinburgh, Scotland) [Breast] 2014 Oct; Vol. 23 (5), pp. 629-36. Date of Electronic Publication: 2014 Jul 28. - Publication Year :
- 2014
-
Abstract
- Introduction: Breast cancer (BC) and/or its treatments may affect sexual functioning based on physiological and psychosocial mechanisms. The aim of this study was to prospectively investigate sexual adjustment of BC patients during a follow-up period of one year after mastectomy (ME) or breast conserving therapy (BCT).<br />Methods: In this prospective controlled study, women with BC and an age-matched control group of healthy women completed the Beck Depression Inventory Scale, World Health Organization 5 Well-being scale, Body Image Scale, EORTC QLQ questionnaire, Dyadic Adjustment Scale, Short Sexual Functioning Scale and Specific Sexual Problems Questionnaire to assess various aspects of sexual and psychosocial functioning before surgery, six months and one year after surgical treatment.<br />Results: In total, 149 women with BC and 149 age-matched healthy controls completed the survey. Compared to the situation before surgery, significantly more BCT women reported problems with sexual arousal six months after surgery and significantly more women of the ME group reported problems with sexual desire, arousal and the ability to achieve an orgasm six months and one year after surgery. While in comparison with healthy controls, no significant differences in sexual functioning were found after BCT surgery, significantly more women who underwent ME reported problems with sexual desire, arousal, the ability to achieve an orgasm and intensity of the orgasm.<br />Conclusions: Although little differences were seen in sexual functioning in the BCT group during prospective analyses and in comparison with healthy controls, analyses revealed that women who underwent a ME were at risk for post-operative sexual dysfunctions.<br /> (Copyright © 2014. Published by Elsevier Ltd.)
- Subjects :
- Adenocarcinoma psychology
Adult
Aged
Aged, 80 and over
Body Image
Breast Neoplasms psychology
Carcinoma, Ductal, Breast psychology
Carcinoma, Ductal, Breast surgery
Carcinoma, Intraductal, Noninfiltrating psychology
Carcinoma, Intraductal, Noninfiltrating surgery
Carcinoma, Lobular psychology
Carcinoma, Lobular surgery
Case-Control Studies
Depression diagnosis
Depression epidemiology
Depression etiology
Female
Follow-Up Studies
Humans
Middle Aged
Postoperative Complications diagnosis
Postoperative Complications epidemiology
Prospective Studies
Psychiatric Status Rating Scales
Quality of Life
Sexual Dysfunction, Physiological diagnosis
Sexual Dysfunction, Physiological epidemiology
Sexual Dysfunctions, Psychological diagnosis
Sexual Dysfunctions, Psychological epidemiology
Surveys and Questionnaires
Treatment Outcome
Adenocarcinoma surgery
Breast Neoplasms surgery
Mastectomy
Mastectomy, Segmental
Postoperative Complications etiology
Sexual Dysfunction, Physiological etiology
Sexual Dysfunctions, Psychological etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3080
- Volume :
- 23
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Breast (Edinburgh, Scotland)
- Publication Type :
- Academic Journal
- Accession number :
- 25082211
- Full Text :
- https://doi.org/10.1016/j.breast.2014.06.012