EPA-0916 - Sexual function in women after mastectomy: a survey of polish patients

Abstract

Objective As various studies show, women after mastectomy are accompanied by many problems in the sexual sphere; it considerably lowers their quality of life. Goal of the study is to describe the relationship between the illness as well as the treatment of choice and the sexuality of Polish patients. Another goal is a comparison of the study results with results obtained in similar studies in Europe. Design and method The target group of 300 women after mastectomy is in the process of assessment. The subjects are recruited among Polish patients diagnosed and treated at the Department of Clinical Oncology, Cracow University Hospital in Cracow, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology in Warsaw and its branches in Katowice and Cracow. The following questionnaires are used: Changes in Sexual Functioning Questionnaire (CSFQ – F – C), Body Image Questionnaire (KOC-BR), Sexual Interaction Inventory (SII), Quality of Life Questionnaire QLQ – BR23. Questionnaires were supplemented by questions related to socialeconomic status and oncology treatment. Conclusions The type of treatment has a major impact on patients’ health, including sexual health. During chemotherapy, hormonal therapy, changes in mood and appearance of patients are present, which has an impact on both self-image of women after mastectomy, as well as the relationship with their partners. Mastectomy patients feel less attractive, less likely to engage in sexual activities. They have ambivalent feelings about their body image and sexual attractiveness.