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ABSTRACT: The Aftermath of Breast Cancer: An Altered Sexual Self
The literature lacks descriptions of the effect that breast cancer
treatments have on sexuality from the perspective of women who
have lived through this experience.
The purpose of this study
was to describe aspects of sexuality that were important to women
after breast cancer treatment.
Participants in this study were
18 white women with breast cancer between the ages of 35 and
68 years (mean, 50.5 years). Time since diagnosis ranged from
6 months to more than 10 years. Primary surgical treatment for
seven women (39%) had been lumpectomy, and for 11 women (61%)
mastectomy.
Most of the participants also received adjuvant chemotherapy.
This qualitative descriptive study used grounded theory methods.
Two primary categories (losses and influencing pieces) emerged
from the data analysis. The losses category had four components:
missing parts, loss of bleeding -- becoming old, loss of sexual
sensations, and loss of womanhood. The influencing pieces were
relationships and information control. The core concept identified
was an altered sexual self.
Central to the task of adjustment
to living with breast cancer was coming to terms with a new sexual
self that emerged after treatment. Women who sought information
about the sexual side effects of cancer treatment, and who had
strong intimate relationships appeared to experience a more successful
adjustment.
[02/05/2002; Cancer Nursing]
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