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Sexuality Among Women Treated for Breast Cancer: A Survey of Three Surgical Procedures

  • Cortés-Flores, Ana Olivia1
  • Vargas-Meza, Adriana2
  • Morgan-Villela, Gilberto2
  • Jiménez-Tornero, Jorge1
  • del Valle, Carlos José Zuloaga-Fernández...1
  • Solano-Genesta, Manuel3
  • Miranda-Ackerman, Roberto Carlos3
  • Vázquez-Reyna, Iztel1
  • García-González, Luis Alberto1
  • Cervantes-Cardona, Guillermo Alonso4
  • Cervantes-Guevara, Gabino5
  • Fuentes-Orozco, Clotilde6
  • González-Ojeda, Alejandro6
  • 1 ANKER Oncología Global, Guadalajara, Mexico , Guadalajara (Mexico)
  • 2 Morgan Oncología Servicios Integrales, Guadalajara, Mexico , Guadalajara (Mexico)
  • 3 Hospital San Javier, Guadalajara, Mexico , Guadalajara (Mexico)
  • 4 Centro Universitario de Ciencias de la Salud de la Universidad de Guadalajara, Guadalajara, Mexico , Guadalajara (Mexico)
  • 5 Centro Universitario del Norte de la Universidad de Guadalajara, Guadalajara, Mexico , Guadalajara (Mexico)
  • 6 Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Av. Belisario Domínguez 1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico , Guadalajara (Mexico)
Published Article
Aesthetic Plastic Surgery
Springer US
Publication Date
Aug 25, 2017
DOI: 10.1007/s00266-017-0960-6
Springer Nature


BackgroundThe quality of life of Mexican patients with breast cancer has been studied, but female sexual function has only been explored superficially. The Female Sexual Function Index (FSFI) questionnaire has been validated as a tool to measure sexual function among women with cancer. However, no study in Mexico has been published.PurposeTo evaluate and compare female sexuality of breast cancer survivors treated with three surgical procedures.Materials and MethodsThis is a cross-sectional questionnaire survey applied in patients without active disease and free of any oncologic treatment who underwent conservative mastectomy, and mastectomy with and without reconstruction. Patients included in this study had no evidence of active disease after at least 2 years of postoperative follow-up and agreed to complete the FSFI questionnaire during a surveillance visit.ResultsSeventy-four patients were included: 37.8% had undergone conservative mastectomy, 29.7% radical mastectomy, and 32.4% radical mastectomy plus reconstruction. Patients in the radical mastectomy group were older than those in the other groups (p = 0.002). Female sexual dysfunction was observed in 34% of patients, but in patients who underwent radical mastectomy, it was 63% by contrast with 14 and 29% in women treated with conservative mastectomy and radical mastectomy with reconstruction (p = 0.001).ConclusionsWe found a lower prevalence of female sexual dysfunction in patients treated with conservative mastectomy or reconstruction after radical mastectomy. Alternatively, radical mastectomy was offered to older patients, a condition that could contribute together with a loss of female perception to a higher prevalence of sexual dysfunction.Level of Evidence IIIThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

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