Abstract
Background
Breast cancer treatment can lead to sexual dysfunction which, in general, impacts younger women more. Being well informed and having good social support are important elements in dealing with this dysfunction.
Aims
This study aims to explore how specialized breast clinics can help young women with questions or problems regarding their sexual health by fulfilling their information and social support needs.
Method
A thematic analysis was used for 16 interviews with young women (18–45 years) diagnosed with breast cancer, in Belgium.
Results
Participants report a lack of information on sexual issues and find the information insufficiently tailored to young women. The empathy of healthcare providers and their communication skills play an important role in whether sexual issues can be discussed. Finally, they indicate that more attention should be paid to their partner (relationship).
Conclusion
The breast clinic might help young women by giving more specific advice on what is sexually allowed (or not) during treatment, by informing them about lubricants and sex toys, by adapting brochures and information sessions to young women, by investing in the partner’s well-being and their relationship, and by training healthcare providers better.
Similar content being viewed by others
References
Ferlay J et al (2021) Cancer statistics for the year 2020: an overview. Int J Cancer 149(4):778–789
Dafni U, Tsourti Z, Alatsathianos I (2019) Breast cancer statistics in the European Union: incidence and survival across European countries. Breast Care 14(6):344–353
Pinto AC (2013) Sexuality and breast cancer: prime time for young patients. J Thorac Dis 5 Suppl 1(Suppl 1):S81-6
Boswell EN, Dizon DS (2015) Breast cancer and sexual function. Transl Androl Urol 4(2):160–168
Kedde H et al (2013) Subjective sexual well-being and sexual behavior in young women with breast cancer. Support Care Cancer 21(7):1993–2005
Miaja M, Platas A, Martinez-Cannon BA (2017) Psychological impact of alterations in sexuality, fertility, and body image in young breast cancer patients and their partners. Rev Invest Clin 69(4):204–209
Kedde H et al (2013) Sexual dysfunction in young women with breast cancer. Support Care Cancer 21(1):271–280
Fobair P et al (2006) Body image and sexual problems in young women with breast cancer. Psychooncology 15(7):579–594
Ahmad S, Fergus K, McCarthy M (2015) Psychosocial issues experienced by young women with breast cancer: the minority group with the majority of need. Curr Opin Support Palliat Care 9(3):271–278
Hatzimouratidis K, Hatzichristou D (2007) Sexual dysfunctions: classifications and definitions. J Sexual Med 4(1):241–250
Champion VL et al (2014) Comparison of younger and older breast cancer survivors and age-matched controls on specific and overall quality of life domains. Cancer 120(15):2237–2246
Jankowska M (2013) Sexual functioning in young women in the context of breast cancer treatment. Rep Pract Oncol Radiother 18(4):193–200
Paterson CL et al (2016) Body image in younger breast cancer survivors: a systematic review. Cancer Nurs 39(1):E39-58
Archibald S et al (2006) Chemically-induced menopause and the sexual functioning of breast cancer survivors. Women Ther 29(1–2):83–106
Stabile C et al (2017) Sexual health needs and educational intervention preferences for women with cancer. Breast Cancer Res Treat 165(1):77–84
Ussher JM, Perz J, Gilbert E (2013) Information needs associated with changes to sexual well-being after breast cancer. J Adv Nurs 69(2):327–337
Reese JB et al (2017) Effective patient-provider communication about sexual concerns in breast cancer: a qualitative study. Support Care Cancer 25(10):3199–3207
Den Ouden MEM et al (2019) Intimacy and sexuality in women with breast cancer: professional guidance needed. Breast Cancer 26(3):326–332
World Health Organization (2006) Defining sexual health: report of a technical consultation on sexual health. Geneva
Katz A, Agrawal L, Sirohi B (2022) Sexuality after cancer as an unmet need: addressing disparities, achieving equality. Am Soc Clin Oncol Educ Book 42:11–17
Montanés-Muro P, Martinez-Tomé M, Garcia-Manzano G (2023) Psychosocial care needs of women with breast cancer: body image, self-esteem, optimism, and sexual performance and satisfaction. Health Soc Work 48(2):115–123
Hamzehgardeshi Z et al (2022) Sexual health needs of young women with breast cancer: a rapid review. J Clin Diagn Res 16(7):1–6
Rosenberg SM et al (2013) Body image in recently diagnosed young women with early breast cancer. Psychooncology 22(8):1849–1855
Braun V, Clarke V (2008) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101
Jackson K, Bazeley P (2019) Qualitative data analysis with NVivo, 3rd edn. UK: Sage Publications
Hennink M, Hutter I, Bailey A (2011) Qualitative research methods. Sage Publications Ltd., London
Morrow S (2005) Quality and trustworthiness in qualitative research in counseling psychology. J Couns Psychol 52(2):250–260
Olson JD et al (2016) Applying constant comparative method with multiple investigators and inter-coder reliability. Qual Rep 21(1):26–42
Herbenick D et al (2008) Young female breast cancer survivors: their sexual function and interest in sexual enhancement products and services. Cancer Nurs 31(6):417–425
Van Overmeire R et al (2022) Discussing sexual health among Flemish patients with parkinson’s disease. Acta Neurol Belg 123:497
Van Overmeire R et al (2022) Mental and sexual health communication experiences of people with psoriasis in Flanders, Belgium. J Eur Acad Dermatol Venereol 36(10):e814–e816
Traumer L, Jacobsen MH, Laursen BS (2019) Patients’ experiences of sexuality as a taboo subject in the Danish healthcare system: a qualitative interview study. Scand J Caring Sci 33(1):57–66
de Rooy FBB et al (2019) Discussing sexuality with Parkinson’s disease patients: a multinational survey among neurologists. J Neural Transm 126(10):1273–1280
Kowalczyk R et al (2019) Factors affecting sexual function and body image of early-stage breast cancer survivors in Poland. A short-term observation. Clin Breast Cancer 19(1):e30–e39
Borstelmann NA et al (2015) Partner support and anxiety in young women with breast cancer. Psychooncology 24(12):1679–1685
Cohee A et al (2020) A cohort study of quality of life in partners of young breast cancer survivors compared to partners of healthy controls. J Patient-Rep Outcomes 4(1):19
Author information
Authors and Affiliations
Contributions
LH and LV contributed to the study conception, study design, and developing the interview topic list. Data collection was facilitated by MV and done by LH. Data analysis was performed by LH and LV, but the authors RVO and JB were involved in the reflection process. The first draft of the manuscript was written by LV, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Ethical approval
This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Commission Medical Ethics of UZ Brussels—VUB (B.U.N. 1432020000343).
Consent to participate
Informed consent was obtained from all individual participants included in the study.
Competing interests
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Vesentini, L., Hoeylaerts, L., Van Overmeire, R. et al. Optimizing sexuality of young women with breast cancer: how can the breast clinic help?. Support Care Cancer 31, 613 (2023). https://doi.org/10.1007/s00520-023-08077-8
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s00520-023-08077-8