Volume 11, Issue 1 (2023)                   Health Educ Health Promot 2023, 11(1): 71-78 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Seyyedzadeh-Aghdam N, Moghaddam-Banaem L, Ghofranipour F, Azin S, Alipour S, Zarei F. Sexual Function and Sexual Relationships of Breast Cancer Survivors in Reproductive Age: A Qualitative Research. Health Educ Health Promot 2023; 11 (1) :71-78
URL: http://hehp.modares.ac.ir/article-5-67063-en.html
1- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- Department of Health Education and Promotion, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3- Reproductive Biotechnology Research Center, Avicenna Research Institute, Academic Center for Education, Culture, and Research (ACECR), Tehran, Iran
4- Department of General Surgery, School of Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (751 Views)
Aims: In Iran and many countries of the world, breast cancer is the most common cancer among women. This qualitative study aimed to explain the effects of physical and psychological changes following breast cancer and its treatments on the sexual function and sexual relationships of survivors.
Participants & Methods: A qualitative study based on Woods' sexuality theory was conducted from October 2019 to May 2020. Participants included married female breast cancer survivors (aged 20-49) with stage one to three breast cancer who had undergone primary treatment. Data were collected through in-depth and semi-structured individual interviews with 17 patients and an oncology nurse in a teaching hospital affiliated with the Tehran University of Medical Sciences in Tehran. Sampling continued until theoretical data saturation happened. Data analysis was done by Maxqda 10 software.
Findings: Sexual function in women surviving breast cancer included four categories: sexual desire and arousal, orgasm, sexual pain, and the sexual function of spouses. Sexual relationship included two categories: relations and intimacy with spouses; and satisfaction with relations with spouses.
Conclusion: Breast cancer and its treatments generally affect sexual function and relationships and, as a result, the sexual health of the survivors.
 
Full-Text [PDF 1772 kb]   (862 Downloads) |   |   Full-Text (HTML)  (115 Views)  
Article Type: Qualitative Research | Subject: Sexual Health Education/Promotion
Received: 2022/12/26 | Accepted: 2023/02/26 | Published: 2023/03/1
* Corresponding Author Address: Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Al-e-Ahmad Highway, Tehran, Iran. Postal Code: 141171316 (moghaddamb@modares.ac.ir)

References
1. Berek JS, Berek DL, editors. Berek & Novak's gynecology. 16th Edition. Philadelphia: Wolters Kluwer; 2020. [Link]
2. Bodai BI, Tuso P. Breast cancer survivorship: A comprehensive review of long-term medical issues and lifestyle recommendations. Perm J. 2015;19(2):48-79. [Link] [DOI:10.7812/TPP/14-241]
3. Oberguggenberger A, Martini C, Huber N, Fallowfield L, Hubalek M, Daniaux M, et al. Self-reported sexual health: Breast cancer survivors compared to women from the general population - an observational study. BMC Cancer. 2017;17(1):599. [Link] [DOI:10.1186/s12885-017-3580-2]
4. Khalili S, Tavousi M , Moghaddam Banaem L. Health Literacy for women with breast cancer (HELBA): development and psychometric properties. Payesh. 2017;16(3):359-66. [Persian] [Link]
5. Ganz PA, Rowland JH, Desmond K, Meyerowitz BE, Gail Wyatt GE. Life after breast cancer: Understanding women's health-related quality of life and sexual functioning. J Clin Oncol. 1998;16(2):13. [Link] [DOI:10.1200/JCO.1998.16.2.501]
6. Mendoza N, Molero F, Criado F, Cornellana MJ, González E. Sexual health after breast cancer: Recommendations from the Spanish Menopause Society. Maturitas. 2017;105:6. [Link] [DOI:10.1016/j.maturitas.2017.02.010]
7. Tat S, Doan T, Yoo GJ, Levine EG. A qualitative exploration of sexual health among diverse breast cancer survivors. J Cancer Educ. 2018;33(2):477-84. [Link] [DOI:10.1007/s13187-016-1090-6]
8. Cleary V, Burton A, Hegarty J. Sexuality in women: Theoretical perspectives. In Fitzpatrick, JJ, McCarthy G, editors. Theories guiding nursing research and practice. New York: Springer Publishing Company; 2015. [Link] [DOI:10.1891/9780826164056.0013]
9. Shayan A, Khalili A, Rahnavardi M, Masoomi SZ. The relationship between sexual function and mental health of women with breast cancer. Avicenna J Nurs Midwifery Care. 2016;24(4):221-8. [Persian] [Link] [DOI:10.21859/nmj-24042]
10. Fahami F, Mohamadirizi S, and Savabi M. The relationship between sexual dysfunction and quality of marital relationship in genital and breast cancers women. J Educ Health Promot. 2017;6:56. [Link]
11. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. [Link] [DOI:10.1177/1049732305276687]
12. Assarroudi A, Heshmati Nabavi F, Armat MR, Ebadi A, Vaismoradi M. Directed qualitative content analysis: the description and elaboration of its underpinning methods and data analysis process. J Res Nurs. 2018;23(1):42-55. [Link] [DOI:10.1177/1744987117741667]
13. Xu L, Wang A. Health belief about adjuvant endocrine therapy in premenopausal breast cancer survivors: a qualitative study. Patient Prefer Adherence. 2019;13:1519-25. [Link] [DOI:10.2147/PPA.S217562]
14. Lindau ST, Abramsohn EM, Matthews AC. A manifesto on the preservation of sexual function in women and girls with cancer. Am J Obstet Gynecol. 2015;213(2):166-74. [Link] [DOI:10.1016/j.ajog.2015.03.039]
15. Ussher JM, Perz J, Gilbert E. Changes to sexual well-being and intimacy after breast cancer. Cancer Nurs. 2012;35(6):456-65. [Link] [DOI:10.1097/NCC.0b013e3182395401]
16. Paterson C, Lengacher CA, Donovan KA, Kip KE, Tofthagen F. Body image in younger breast cancer survivors: A systematic review. Cancer Nurs. 2016;39(1):E39-58. [Link] [DOI:10.1097/NCC.0000000000000251]
17. Ranjbaran M, Chizari M, Matori Pour P. Prevalence of female sexual dysfunction in Iran: Systematic review and meta-analysis. J Sabzevar Univ Med Sci. 2016;22(7):1117-25. [Persian] [Link]
18. Hummel SB, Hahn DEE, van Lankveld JJDM, Oldenburg HSA, Broomans E, Aaronson NK. Factors associated with specific diagnostic and statistical manual of mental disorders, fourth edition sexual dysfunctions in breast cancer survivors: A study of patients and their partners. J Sex Med. 2017;14(10):1248-59. [Link] [DOI:10.1016/j.jsxm.2017.08.004]
19. Gilbert E, Ussher J M, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66(4):397-407. [Link] [DOI:10.1016/j.maturitas.2010.03.027]
20. de Souza Pegorare ABG, da Rosa Silveira K, Simões AP, Barbosa SRM. Assessment of female sexual function and quality of life among breast cancer survivors who underwent hormone therapy. Mastology. 2017;27(3):237-44. [Link] [DOI:10.5327/Z2594539420170000161]
21. Kedde H, van de Wiel HBM, WCM Weijmar Schultz WCM, Wijsen C. Sexual dysfunction in young women with breast cancer. Support Care Cancer. 2013;21(1):271-80. [Link] [DOI:10.1007/s00520-012-1521-9]
22. Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM, Baghestani AR. Women's orgasm obstacles: A qualitative study. Int J Reprod Biomed. 2017;15(8):479-90. [Link] [DOI:10.29252/ijrm.15.8.479]
23. Shahid Sales S, Hasanzadeh M, Saggade SS, Al Davoud SA. Comparison of sexual dysfunction in women with breast cancer: case control study. Tehran Univ Med J. 2017;75(5):350-7. [Persian] [Link]
24. Crowley SA, Foley SM, Wittmann D, Jagielski CH, Dunn RL, Clark PM, et al. Sexual health concerns among cancer survivors: Testing a novel information-need measure among breast and prostate cancer patients. J Cancer Educ. 2016;31(3):588-94. [Link] [DOI:10.1007/s13187-015-0865-5]
25. Stabile C, Goldfarb S, Baser RE, Goldfrank DJ, Abu-Rustum NR, Barakat RR, et al. Sexual health needs and educational intervention preferences for women with cancer. Breast Cancer Res Treat. 2017;165(1):77-84. [Link] [DOI:10.1007/s10549-017-4305-6]
26. Boswell EN, Dizon DS. Breast cancer and sexual function. Transl Androl Urol. 2015;4(2):160-8. [Link]
27. Nasiri A, Taleghani F, Irajpour A. Men's sexual issues after breast cancer in their wives: a qualitative study. Cancer Nurs. 2012;35(3):236-44. [Link] [DOI:10.1097/NCC.0b013e31822d48e5]
28. Zimmermann T. Intimate relationships affected by breast cancer: Interventions for couples. Breast Care. 2015;10(2):102-8. [Link] [DOI:10.1159/000381966]
29. Changa Y-C, Hu W-Y, Changed Y-M, Chiuc S-C. Changes in sexual life experienced by women in Taiwan after receiving treatment for breast cancer. Int J Qual Stud Health Well-bing. 2019;14(1):1654343. [Link] [DOI:10.1080/17482631.2019.1654343]
30. Hedayati M, Haji Alizadeh K, Hedayati M, Fathi E. Effectiveness of emotionally focused couples therapy on the marital intimacy of couples coping with breast cancer in women. Iran Q J Breast Dis. 2020;13(3):30-42. [Persian] [Link] [DOI:10.30699/ijbd.13.3.30]
31. Asadi ZS, Sadeghi R, Taghdisi MH, Zamani-Alavijeh F, Shojaeizadeh D, Khoshdel A. Sources, outcomes, and resolution of conflicts in marriage among Iranian women: A qualitative study. Electron Physician. 2016;8(3):2057-65. [Link] [DOI:10.19082/2057]
32. Schensul SL, Brault MA, Prabhughatec P, Bankard S, Haa T, Fostoria D. Sexual intimacy and marital relationships in a low-income urban community in India. Cult Health Sex. 2020:1-15. [Link]
33. Ojomu F, Thacher T, Obadofin M. Sexual problems among married Nigerian women. Int J Impot Res. 2007;19(3):310-6. [Link] [DOI:10.1038/sj.ijir.3901524]
34. Roels R, Janssen E. Sexual and relationship satisfaction in young, heterosexual couples: The role of sexual frequency and sexual communication. J Sex Med. 2020;17(9):1643-52. [Link] [DOI:10.1016/j.jsxm.2020.06.013]
35. Shamisa A. Sexual intimacy in marital life. Tehran: Nasale Noandish Publication; 2018. [Persian] [Link]
36. Tavakol Z, Behboodi Moghadam Z, Nikbakht Nasrabadi A, Iesazadeh N, Esmaeili M. Marital satisfaction through the lens of Iranian women: a qualitative study. Pan Afr Med J. 2016;25:208. [Link] [DOI:10.11604/pamj.2016.25.208.9769]
37. Miaja M, Platas A, Martinez-Cannon BA. Psychological impact of alterations in sexuality, fertility, and body image in young breast cancer patients and their partners. Rev Invest Clin. 2017;69(4):204-9. [Link] [DOI:10.24875/RIC.17002279]
38. Fatehi S, Maasoumi R, Atashsokhan G, Hamidzadeh A, Janbabaei G, Mirrezaie SM. The effects of psychosexual counseling on sexual quality of life and function in Iranian breast cancer survivors: a randomized controlled trial. Breast Cancer Res Treat. 2019;175(1):171-9. [Link] [DOI:10.1007/s10549-019-05140-z]
39. Ford JV, Rompalo A, Hook EW. Sexual health training and education in the U.S. Public Health Rep. 2013;128(Suppl 1):96-101. [Link] [DOI:10.1177/00333549131282S111]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.