Sexuality following breast cancer.

This article provides sex and marital therapists with detailed, multifaceted descriptions of sexuality after breast cancer based on survey responses from 863 breast cancer survivors. One third of women reported that breast cancer had had a negative impact on her sex life, and most reported negative changes in at least some areas. Nonetheless, breast cancer survivors did not differ from age-matched, healthy women on a standard measure of sexuality. Women who were most likely to report a negative impact on sexuality from cancer were those who had experienced changes in hormonal status, problems in their relationships, and difficulties with vaginal dryness. On the basis of these findings, we offer suggestions for health professionals and therapists treating breast cancer survivors.

[1]  P. Ganz,et al.  Predictors of sexual health in women after a breast cancer diagnosis. , 1999, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[2]  P. Ganz,et al.  Life after breast cancer: understanding women's health-related quality of life and sexual functioning. , 1998, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[3]  S. Shumaker,et al.  Sexual Functioning in Postmenopausal Women: The Postmenopausal Estrogen/Progestin Interventions (PEPI) Trial , 1996 .

[4]  B. Sherwin.  Sex hormones and psychological functioning in postmenopausal women , 1994, Experimental Gerontology.

[5]  P. Ganz,et al.  Cancer Inventory of Problem Situations , 1993 .

[6]  C. Sherbourne,et al.  The RAND 36-Item Health Survey 1.0. , 1993, Health economics.

[7]  P. Ganz,et al.  Characteristics of women at risk for psychosocial distress in the year after breast cancer. , 1993, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[8]  D. Hahn,et al.  Sexuality and Cancer in Women , 1992 .

[9]  Shelley E. Taylor,et al.  A Better World or a Shattered Vision? Changes in Life Perspectives Following Victimization , 1990 .

[10]  L. Schover,et al.  Sexual rehabilitation in a cancer center: Diagnosis and outcome in 384 consultations , 1987, Archives of sexual behavior.

[11]  R. Watts.  Sexual Functioning, Health Beliefs, and Compliance with High Blood Pressure Medications , 1982, Nursing research.

[12]  L. Schover,et al.  Multiaxial problem-oriented system for sexual dysfunctions: an alternative to DSM-III. , 1982, Archives of general psychiatry.

[13]  L. Radloff.  The CES-D Scale , 1977 .

[14]  P. Ganz,et al.  Sexual functioning and intimacy in African American and white breast cancer survivors: a descriptive study. , 1998, Women's health.

[15]  S. Grundfest-Broniatowski,et al.  Partial mastectomy and breast reconstruction. A comparison of their effects on psychosocial adjustment, body image, and sexuality , 1995, Cancer.

[16]  G. Bachmann,et al.  Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic. , 1993, Journal of sex & marital therapy.

[17]  H. Kaplan,et al.  A neglected issue: the sexual side effects of current treatments for breast cancer. , 1992, Journal of sex & marital therapy.

[18]  G. Spanier.  Measuring Dyadic Adjustment: new scales for assessing the quality of marriage and similar dyads , 1976 .