title: Breast cancer treatment and sexual dysfunction: Moroccan women's perception.
abstract: BACKGROUND
  This exploratory prospective study evaluated women's responses to questions that asked them to describe how their body image and sexual functioning had changed since their breast cancer diagnosis to treatment.
  
  
  METHODS
  A questionnaire concerning body image scale and various sexual problems experienced after diagnosis and treatment was anonymously completed by 120 women in the outpatient clinic of our hospital's Division of medical Oncology. To be eligible, subjects had to be sexually active and had histology proven breast cancer. They also had to have received treatment for breast cancer.
  
  
  RESULTS
  100% of participants have never spoken with their doctor about this subject. 84% of the participants continued sexual activity after treatment, but there was an increase in the incidence of sexual functioning problems which resulted in a slight reduction in the quality of their sex lives. 65% of the women experienced dyspareunia followed by lubrication difficulties (54%) and the absence or reduction of sexual desire (48% and 64%, respectively) while, 37% had lack of satisfaction (37%). Female orgasmic disorder and brief intercourse and arousal were reported respectively by 40% and 38% of the subjects. The sexual dysfunctions were absent before diagnosis and management of breast cancer in 91.5% subjects and of these 100% subjects complained of a deterioration of the symptomatology after the various treatments. 90% of the dysfunctions were observed after chemotherapy, 9% after surgery and 3% after radiotherapy; none of the subjects indicated the onset of dysfunctions to have been associated with hormonotherapy. 100% expressed not having received sufficient information about how the disease and treatment (including surgery) might affect their sexual life.
  
  
  CONCLUSIONS
  Breast cancer and its treatment may result in significant difficulties with sexual functioning and sexual life. Addressing these problems is essential to improve the quality of life of Moroccan women with breast cancer.
authors.affiliation: Medical oncology Department, University Military Hospital of Instruction, Rabat, Morocco. sbittiyassir@yahoo.fr
authors.forename: Yassir
authors.initials: Y
authors.lastname: Sbitti
authors.forename: Habiba
authors.initials: H
authors.lastname: Kadiri
authors.forename: Ismail
authors.initials: I
authors.lastname: Essaidi
authors.forename: Zouhour
authors.initials: Z
authors.lastname: Fadoukhair
authors.forename: Soussane
authors.initials: S
authors.lastname: Kharmoun
authors.forename: Khaoula
authors.initials: K
authors.lastname: Slimani
authors.forename: Nabil
authors.initials: N
authors.lastname: Ismaili
authors.forename: Mohammed
authors.initials: M
authors.lastname: Ichou
authors.forename: Hassan
authors.initials: H
authors.lastname: Errihani
mesh_terms: D000328:Adult; D001828:Body Image; D001943:Breast Neoplasms / Q000150:complications* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009018:Morocco; D011446:Prospective Studies; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000209:etiology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology / Q000209:etiology*; D011795:Surveys and Questionnaires