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ABSTRACT: Sexual Functioning in Long-Term Breast Cancer Survivors
Treated with Adjuvant Chemotherapy
Broeckel JA, Thors CL, Jacobsen PB, Small M, Cox CE.
Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Background: Previous reports suggest that problems in sexual
functioning may be common among long-term (>5 years) breast
cancer survivors.
To investigate this issue further, we examined
the characteristics and correlates of sexual functioning in women
diagnosed with breast cancer at least 5 years previously and
treated with adjuvant chemotherapy and in an age-matched comparison
group of women with no history of cancer.
Results: Compared with women with no history of cancer,
long-term breast cancer survivors reported worse sexual
functioning (P <= 0.01), characterized by greater lack of sexual
interest, inability to relax and enjoy sex, difficulty becoming
aroused, and difficulty achieving an orgasm. Additional analyses
indicated that severity of vaginal dryness was significantly
(P <= 0.05) related to poorer sexual functioning among long-term
breast cancer survivors and mediated the relationship between
group membership (breast cancer survivor v.s. noncancer comparison
subject) and sexual functioning.
Conclusions: These findings confirm and extend previous reports
of impaired sexual functioning among long-term breast cancer
survivors.
Results further suggest that relief of vaginal dryness
should be an essential component of efforts to improve sexual
functioning among long-term breast cancer survivors.
[09/05/2002; Breast Cancer Research and Treatment]
Breast Cancer Res Treat 2002 Oct;75(3):241-8
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