title: Concerns about sexuality after breast cancer.
abstract: Cancer treatment, especially chemotherapy, creates changes in the female body that affect sexual desire, sexual functioning, and emotional relationships. Although healthy women also experience physiological changes leading to menopause, these changes occur gradually leaving them sexually active 5 to 10 years longer and with fewer problems in sexual functioning. Studies show that breast cancer patients experience sexual problems soon after treatment, and continue in follow-up. Research also describes the normal decline in sexuality among healthy women as they age. Furthermore, relationship problems occur when couples experience sexual problems, sometimes threatening their attachment.These problems can be anticipated and addressed through the physician's communication with their patient. Other solutions include effective psychologic and emotional counseling and pharmaceutical and over the counter assistance for hot flashes, vaginal dryness, and pain to assist with the physiological issues.
authors.affiliation: Supportive Care Program, Stanford Hospital Cancer Center, Stanford, CA, USA. fobair@sbcglobal.net
authors.forename: Patricia
authors.initials: P
authors.lastname: Fobair
authors.forename: David
authors.initials: D
authors.lastname: Spiegel
mesh_terms: D000970:Antineoplastic Agents / Q000009:adverse effects; D001943:Breast Neoplasms / Q000150:complications* / Q000523:psychology*; D003376:Counseling; D005260:Female; D019584:Hot Flashes / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008594:Menopause, Premature; D010817:Physician-Patient Relations; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology* / Q000523:psychology; D019529:Sexuality
chemical_list: D000970:Antineoplastic Agents