An Examination of Sexuality in Women with an Elevated Risk for Breast Cancer Development
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Date
2009-06
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The Ohio State University
Abstract
Medical advances have been made that allow for the early detection of breast cancer. It is even possible to identify women who have an increased risk of breast cancer development. These advancements categorize a group of women who must then live with a high-risk diagnosis. Many of these women are still young and may be particularly susceptible to negative influences, including those related to sexuality. It is important for healthcare providers to be aware of any special needs these women may have related to their high-risk status. The purpose of this study is to explore the potential needs this population may have in regard to sexuality. A secondary analysis of a larger breast cancer study was done comparing factors related to sexual function, sexual satisfaction, and body image between high risk and normal risk women. This quantitative study included 166 participants, 93 with an increased risk for breast cancer and 73 without an elevated risk. The original study was based on the Theory of Unpleasant Symptoms and utilized questionnaires to allow for self-reporting of alterations in sexuality. These included the Female Sexual Function Index, items from the primary researcher’s urogenital atrophy questionnaire, and items from the Functional Assessment of Cancer Therapy, Breast with Endocrine subscale. Although the distribution of responses was not significantly different, several notable trends were observed. Responses that indicated comparatively poorer outcomes for high risk women were seen on several items including those regarding feelings of sexual attractiveness, feeling like a women, and happiness with sex life. These results indicate that there may be unique healthcare needs for women with an elevated breast cancer risk. More research must be done to determine what additional support this population may need and to evaluate potential interventions.
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Keywords
Breast Cancer, High Risk, Sexuality, Body Image, Sexual Function, Sexual Satisfaction