Breast cancer treatment and sexual function

 

While the literature led us to believe that the kind of breast cancer treatment women received would differentially affect sexual function, the results did not support this common opinion, perhaps because most women receive more than one type of treatment.  We were surprised that women’s body image and depressed feelings only affected desire, not women’s general sexual responsiveness or satisfaction.  

It is clear that sexual functioning is a multifaceted phenomenon.  Sexual health assessment should be a routine part of a diagnostic exam for every breast cancer patient.  Busy practitioners could use paper and pencil tests to periodically assess breast cancer patients and their partners about their relationship in order to determine whether preventive measures are needed to help the couples through this stressful experience of coping with cancer. 

To understand how to treat women’s concerns about their sexual life, the practitioner will need to know whether they are concerned about their lack of desire, inability to become lubricated and/or have orgasm, degree of sexual pain or general dissatisfaction with the sexual encounter or their partners.  

The main conclusion of the study emphasizes the importance of assessing the patients’ satisfaction with their relationship with their sexual partners. 

 

Reference:

Speer JJ et al.: "Study of sexual functioning determinants in breast cancer survivors", Breast J. 2005 Nov-Dec;11(6):440-7

 

Justine J. Speer

William Beaumont Research Institute, Royal Oak, Michigan