Abstract
BackgroundOur understanding of the experiences of women at reproductive age regarding sexual life and issues they may face after starting the treatment of breast cancer is limited. Therefore, this qualitative study aimed to explore sexual life and its related issues among breast cancer survivors at reproductive age in Iran.MethodsA qualitative research was conducted. Participants were 21 breast cancer survivors who were under 51 years of age that were chosen using purposeful sampling. In-depth semi-structured interviews were carried out for data collection and the content analysis method was used for data analysis.ResultsThe data analysis led to the development of main theme of ‘unfulfilled sexual life’. Also, four subthemes were: ‘undesirable sexual function’, ‘context-based beliefs’, ‘unmet information and supportive needs’, and ‘emotional crisis’.ConclusionsOur research findings inform healthcare providers about the experiences of breast cancer survivors and related changes in their sexual and marriage life at reproductive age. Nurses and other healthcare providers in the multidisciplinary team should proactively identify health-related problems and design appropriate caring strategies to mitigate sexual and marriage issues among breast cancer survivors. Also, the establishment of sexual health counseling units for breast cancer survivors can help this vulnerable group of women with the improvement of their long-term sexual satisfaction.
Highlights
Our understanding of the experiences of women at reproductive age regarding sexual life and issues they may face after starting the treatment of breast cancer is limited
Sexual function is a fundamental aspect of patients’ wellbeing, because sexual issues can impact on their quality of life (QoL) and persist into the longer term after finishing Breast cancer (BC) treatment [6]
All participants had a history of chemotherapy, 61.9% had a history of radiotherapy, and 90.5% had undergone mastectomy (Table 1)
Summary
Our understanding of the experiences of women at reproductive age regarding sexual life and issues they may face after starting the treatment of breast cancer is limited. This qualitative study aimed to explore sexual life and its related issues among breast cancer survivors at reproductive age in Iran. According to the World Health Organization (WHO), BC has a prevalence rate of 12.5% among all cancers and is the most common type of cancer among Iranian women [2]. It is noted that the Iranian healthcare system has not reached the optimal level of quality and performance to help with sexual problem-solving for couples with chronic diseases and cancer [19]. No consultation or training regarding how to tackle sexual problems during BC is provided [20]
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