Journal of Cancer Education

, Volume 33, Issue 2, pp 477–484 | Cite as

Qualitative Exploration of Sexual Health Among Diverse Breast Cancer Survivors

  • Susana Tat
  • Therese Doan
  • Grace J. Yoo
  • Ellen G. Levine


Although the physical and emotional impact of surgical removal of partial or complete removal of the breast as well as effects of breast cancer treatment on the individual have been well documented, little research is available on sexuality and sexual health of breast cancer survivors in a relationship context. Sexual health concerns of breast cancer survivors remain an unmet need for many. The present study consisted of qualitative interviews with 135 racially diverse, female breast cancer survivors who completed treatment to better understand their perspectives on sexual health and management of sexual problems in their potential and existing relationships after breast cancer. Key thematic findings include that breast cancer survivors have to (1) adapt to the physical and emotional traumas of breast cancer surgery and treatment, (2) navigate complicated sexual communications with potential and existing partners, and (3) negotiate intimacy and closeness without sexual intercourse with existing partners. This study demonstrates the need for healthcare providers to discuss sexual health after breast cancer with all of their patients as it is a concern that faces single and partnered breast cancer survivors months and years after treatment.


Breast cancer Sexual health Racial/ethnic minorities 



This research was supported by a Research Infrastructure in Minority Institutions (RIMI) Grant 5 P20 MD000544-02 from the National Center for Minority Health and Health Disparities, NIH, to San Francisco State University. The collection of cancer incidence data used in this study was supported by the California Department of Public Health as part of the statewide cancer reporting program mandated by California Health and Safety Code Section 103885; the National Cancer Institute’s Surveillance, Epidemiology and End Results Program under contract HHSN261201000140C awarded to the Cancer Prevention Institute of California, contract HHSN261201000035C awarded to the University of Southern California, and contract HHSN261201000034C awarded to the Public Health Institute; and the Centers for Disease Control and Prevention’s National Program of Cancer Registries, under agreement #U58DP003862- 01 awarded to the California Department of Public Health. The ideas and opinions expressed herein are those of the authors, and endorsement by the State of California Department of Public Health, the National Cancer Institute, and the Centers for Disease Control and Prevention or their Contractors andSubcontractors is not intended nor should be inferred.


  1. 1.
    American Cancer Society (2016) Breast cancer survivorship guidelines. CA Cancer J Clin 66(1):74. doi: 10.3322/caac.21322.Epub22015Dec21327 CrossRefGoogle Scholar
  2. 2.
    American Cancer Society (2016) Cancer treatment & survivorship facts & figures 2016-2017. American Cancer Society, AtlantaGoogle Scholar
  3. 3.
    World Health Organization (2016) Sexual and reproductive health. Accessed 18 Apr 2016
  4. 4.
    Yalom, Marilyn (1997) A history of the breast, 1st Aufl. New York: Alfred A. Knopf : Distributed by Random House, IncGoogle Scholar
  5. 5. (2014) Changes in your sex life. Accessed 3 Jan 2016
  6. 6.
    Brunet J, Sabiston CM, Burke S (2013) Surviving breast cancer: women’s experiences with their changed bodies. Body Image 10:344–351CrossRefPubMedGoogle Scholar
  7. 7.
    Farthmann J, Hanjalic-Beck A, Veit J, Rautenberg B, Stickeler E, Erbes T, Foldi M, Hasenburg A (2016) The impact of chemotherapy for breast cancer on sexual function and health-related quality of life. Support Care Cancer 24(6):2603–2609. doi: 10.1007/s00520-015-3073-2 CrossRefPubMedGoogle Scholar
  8. 8.
    National Cancer Institute (2016) Breast cancer treatment (PDQ)—patient version. Accessed 29 Jun 2016
  9. 9.
    Baumgart J, Nilsson K, Stavreus-Evers A, Kask K, Villman K, Lindman H, Kallak T, Sundstrom-Poromaa I (2011) Urogenital disorders in women with adjuvant endocrine therapy after early breast cancer. Am J Obstet Gynecol 204(1):26.e21–27. doi: 10.1016/j.ajog.2010.08.035 CrossRefGoogle Scholar
  10. 10.
    Raggio GA, Butryn ML, Arigo D, Mikorski R, Palmer SC (2014) Prevalence and correlates of sexual morbidity in long-term breast cancer survivors. Psychol Health 29(6):632–650. doi: 10.1080/08870446.2013.879136 CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Schover LR, van der Kaaij M, van Dorst E, Creutzberg C, Huyghe E, Kiserud CE (2014) Sexual dysfunction and infertility as late effects of cancer treatment. EJC Suppl 12(1):41–53. doi: 10.1016/j.ejcsup.2014.03.004
  12. 12.
    Ashing-Giwa KT, Padilla G, Tejero J, Kraemer J, Wright K, Coscarelli A, Clayton S, Williams I, Hills D (2004) Understanding the breast cancer experience of women: a qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psychooncology 13(6):408–428. doi: 10.1002/pon.750
  13. 13.
    Christie KM, Meyerowitz BE, Maly RC (2010) Depression and sexual adjustment following breast cancer in low-income Hispanic and non-Hispanic White women. Psychooncology 19(10):1069–1077. doi: 10.10.1002/pon.1661 CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Strauss A, Corbin J (1990) Basics of qualitative research: grounded theory procedures and techniques, 2nd edn. SAGE Publications, Inc., Newbury ParkGoogle Scholar
  15. 15.
    Gilbert E, Ussher JM, Perz J (2010) Sexuality after breast cancer: a review. Maturitas 66(4):397–407. doi: 10.1016/j.maturitas.2010.03.027 CrossRefPubMedGoogle Scholar
  16. 16.
    Gilbert E, Ussher JM, Perz J (2010) Renegotiating sexuality and intimacy in the context of cancer: the experiences of carers. Arch Sex Behav 39(4):998–1009. doi: 10.1007/s10508-008-9416-z CrossRefPubMedGoogle Scholar
  17. 17.
    Hawkins Y, Ussher J, Gilbert E, Perz J, Sandoval M, Sundquist K (2009) Changes in sexuality and intimacy after the diagnosis and treatment of cancer: the experience of partners in a sexual relationship with a person with cancer. Cancer Nurs 32(4):271–280. doi: 10.1097/NCC.0b013e31819b5a93 CrossRefPubMedGoogle Scholar
  18. 18.
    Hill EK, Sandbo S, Abramsohn E, Makelarski J, Wroblewski K, Wenrich ER, McCoy S, Temkin SM, Yamada SD, Lindau ST (2011) Assessing gynecologic and breast cancer survivors’ sexual health care needs. Cancer 117(12):2643–2651. doi: 10.1002/cncr.25832 CrossRefPubMedGoogle Scholar
  19. 19.
    Hordern AJ, Street AF (2007) Constructions of sexuality and intimacy after cancer: patient and health professional perspectives. Soc Sci Med 64(8):1704–1718. doi: 10.1016/j.socscimed.2006.12.012 CrossRefPubMedGoogle Scholar
  20. 20.
    Wang JH, Adams I, Huang E, Ashing-Giwa K, Gomez SL, Allen L (2012) Physical distress and cancer care experiences among Chinese-American and non-Hispanic White breast cancer survivors. Gynecol Oncol 124(3):383–388. doi: 10.1016/j.ygyno.2011.11.029 CrossRefPubMedGoogle Scholar

Copyright information

© American Association for Cancer Education 2016

Authors and Affiliations

  • Susana Tat
    • 1
  • Therese Doan
    • 2
  • Grace J. Yoo
    • 3
  • Ellen G. Levine
    • 4
  1. 1.Health Equity InstituteSan Francisco State UniversitySan FranciscoUSA
  2. 2.School of NursingSan Francisco State UniversitySan FranciscoUSA
  3. 3.Asian American StudiesSan Francisco State UniversitySan FranciscoUSA
  4. 4.Walden UniversityMinneapolisUSA

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