Sexual function and satisfaction in young women with breast cancer: a 5-year prospective study

Young women with breast cancer (YWBC) face unique challenges that can affect their sexual health. This study aimed to identify factors associated with sexual activity, function, and satisfaction in YWBC up to 5 years postdiagnosis. We conducted a prospective cohort study of 474 women 40 years of age...

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Bibliographic Details
Published in:JNCI cancer spectrum 2024-11, Vol.8 (6)
Main Authors: Ferrigno Guajardo, Ana, Vaca-Cartagena, Bryan F, Mesa-Chavez, Fernanda, Platas, Alejandra, Fonseca, Alan, Cruz-Ramos, Marlid, Miaja Avila, Melina, Rodriguez, Ana Laura, Cabrera-Galeana, Paula, Mohar, Alejandro, Villarreal-Garza, Cynthia
Format: Article
Language:English
Subjects:
Adult
Age Factors
Amenorrhea - epidemiology
Anxiety - epidemiology
Anxiety - etiology
Breast Neoplasms - psychology
Depression - epidemiology
Depression - etiology
Educational Status
Female
Humans
Mexico - epidemiology
Personal Satisfaction
Prevalence
Prospective Studies
Quality of Life
Sexual Behavior
Sexual Dysfunction, Physiological - epidemiology
Sexual Dysfunction, Physiological - etiology
Sexual Dysfunction, Physiological - psychology
Sexual Dysfunctions, Psychological - epidemiology
Sexual Dysfunctions, Psychological - etiology
Sexual Dysfunctions, Psychological - psychology
Sexual Health
Young Adult
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Summary:Young women with breast cancer (YWBC) face unique challenges that can affect their sexual health. This study aimed to identify factors associated with sexual activity, function, and satisfaction in YWBC up to 5 years postdiagnosis. We conducted a prospective cohort study of 474 women 40 years of age or younger diagnosed with nonmetastatic breast cancer in Mexico. Sexual function and satisfaction were assessed using the Female Sexual Function Index and the Sexual Satisfaction Inventory, respectively. Factors associated with sexual health outcomes were examined using mixed-effects models. The prevalence of sexual dysfunction increased from 33.6% at baseline to 52.9% at 4-5 years postdiagnosis. Factors associated with worse sexual function included older age (mean predicted FSFI score = -1.35, P = .037), treatment-induced amenorrhea (-2.86, P 
ISSN:2515-5091
2515-5091
DOI:10.1093/jncics/pkae111