Breast cancer treatment and sexual dysfunction: Moroccan women's perception

BMC Women's Health

Research Article

Habiba Kadiri¹  Nabil Ismaili²  Soussane Kharmoun²  Zouhour Fadoukhair²  Hassan Errihani²  Mohammed Ichou³  Ismail Essaidi³  Khaoula Slimani³  Yassir Sbitti³ 

[1] Department of Cytopathology, diagnostic center, Rabat, Morocco;Medical oncology Departement, National Institute of Instruction, Rabat, Morocco;Medical oncology Departement, University Military Hospital of Instruction, Rabat, Morocco;

关键词: Breast Cancer;    Body Image;    Sexual Dysfunction;    Sexual Desire;    Sexual Functioning;   

DOI  :  10.1186/1472-6874-11-29

 received in 2010-11-09, accepted in 2011-06-13,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThis exploratory prospective study evaluated women's responses to questions that asked them to describe how their body image and sexual functioning had changed since their breast cancer diagnosis to treatment.MethodsA questionnaire concerning body image scale and various sexual problems experienced after diagnosis and treatment was anonymously completed by 120 women in the outpatient clinic of our hospital's Division of medical Oncology. To be eligible, subjects had to be sexually active and had histology proven breast cancer. They also had to have received treatment for breast cancer.Results100% of participants have never spoken with their doctor about this subject. 84% of the participants continued sexual activity after treatment, but there was an increase in the incidence of sexual functioning problems which resulted in a slight reduction in the quality of their sex lives. 65% of the women experienced dyspareunia followed by lubrication difficulties (54%) and the absence or reduction of sexual desire (48% and 64%, respectively) while, 37% had lack of satisfaction (37%). Female orgasmic disorder and brief intercourse and arousal were reported respectively by 40% and 38% of the subjects. The sexual dysfunctions were absent before diagnosis and management of breast cancer in 91.5% subjects and of these 100% subjects complained of a deterioration of the symptomatology after the various treatments. 90% of the dysfunctions were observed after chemotherapy, 9% after surgery and 3% after radiotherapy; none of the subjects indicated the onset of dysfunctions to have been associated with hormonotherapy. 100% expressed not having received sufficient information about how the disease and treatment (including surgery) might affect their sexual life.ConclusionBreast cancer and its treatment may result in significant difficulties with sexual functioning and sexual life. Addressing these problems is essential to improve the quality of life of Moroccan women with breast cancer.

【 授权许可】

CC BY   
© Sbitti et al; licensee BioMed Central Ltd. 2011