Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital

Introduction Breast cancer is the leading cancer in women in developed and developing countries. Treatment strategies can affect sexuality in the short or long term. Objectives The aim of our study was to assess sexuality and martial satisfaction in patients followed for breast cancer. Methods Cros...

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Main Authors: F. Zaouali, I. Abbes, A. Ben Slama, I. Belhaj Youssef
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823020023/type/journal_article
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author F. Zaouali
I. Abbes
A. Ben Slama
I. Belhaj Youssef
author_facet F. Zaouali
I. Abbes
A. Ben Slama
I. Belhaj Youssef
author_sort F. Zaouali
collection DOAJ
description Introduction Breast cancer is the leading cancer in women in developed and developing countries. Treatment strategies can affect sexuality in the short or long term. Objectives The aim of our study was to assess sexuality and martial satisfaction in patients followed for breast cancer. Methods Cross-sectional descriptive study including patients followed for breast cancer at the outpatient medical oncology consultation of Hadj Ali Soua regional hospital from January to March 2021. We passed the Female Sexual Function Index (FSFI) and the martial adjustment test (MAT). Results Fifteen patients were included with a mean age of 49.87 ± 8.48 years and a mean age at diagnosis of 46.73 ± 7.55 years. At the TNM classification, 66.6% of the patients had a T1 or T2 at the time of diagnosis and 80% had an N0. All patients received a surgical intervention, which was conservative in 53.3% of cases. No patient underwent breast reconstruction. Chemotherapy and hormone therapy were prescribed in 86.7% of patients. Radiotherapy and targeted therapy were prescribed in 12 and 2 case, respectively. Amenorrhea, hot flushes and vaginal dryness were noted in 98.7%, 26.7% and 7.6% of patients, respectively. Sexual disorders were found in 53.3% of cases, which settled in a chronic mode in 75% of cases and progressed in a continuous mode in half of cases. The assessment of physical and erotic life was revealed to be neat in 73.3% of the patients. The mean score of the FSFI questionnaire was 17.25 [2.6-31.9]. Eleven patients (73.3%) had sexual dysfunction. A low marital satisfaction was found in 34% of cases. Conclusions The medical consultation to identify sexuality disorders in correlation with the martial dissatisfaction in women followed for new breast cancer is crucial allowing a better management of this pathology. Disclosure of Interest None Declared
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spelling doaj.art-895693e0a44846dc961d20e50bcedc832023-11-17T05:08:11ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S945S94510.1192/j.eurpsy.2023.2002Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospitalF. Zaouali0I. Abbes1A. Ben Slama2I. Belhaj Youssef3Outpatient Medical Oncology consultation, Haj Ali Soua regional hospital, Ksar Hellal, MonastirOutpatient Medical Oncology consultation, Haj Ali Soua regional hospital, Ksar Hellal, MonastirFamily Medicine Department, University of Monastir, MonastirOutpatient Physical Medicine and Rehabilitation consultation, Haj Ali Soua regional hospital, Ksar Hellal, Monastir, Tunisia Introduction Breast cancer is the leading cancer in women in developed and developing countries. Treatment strategies can affect sexuality in the short or long term. Objectives The aim of our study was to assess sexuality and martial satisfaction in patients followed for breast cancer. Methods Cross-sectional descriptive study including patients followed for breast cancer at the outpatient medical oncology consultation of Hadj Ali Soua regional hospital from January to March 2021. We passed the Female Sexual Function Index (FSFI) and the martial adjustment test (MAT). Results Fifteen patients were included with a mean age of 49.87 ± 8.48 years and a mean age at diagnosis of 46.73 ± 7.55 years. At the TNM classification, 66.6% of the patients had a T1 or T2 at the time of diagnosis and 80% had an N0. All patients received a surgical intervention, which was conservative in 53.3% of cases. No patient underwent breast reconstruction. Chemotherapy and hormone therapy were prescribed in 86.7% of patients. Radiotherapy and targeted therapy were prescribed in 12 and 2 case, respectively. Amenorrhea, hot flushes and vaginal dryness were noted in 98.7%, 26.7% and 7.6% of patients, respectively. Sexual disorders were found in 53.3% of cases, which settled in a chronic mode in 75% of cases and progressed in a continuous mode in half of cases. The assessment of physical and erotic life was revealed to be neat in 73.3% of the patients. The mean score of the FSFI questionnaire was 17.25 [2.6-31.9]. Eleven patients (73.3%) had sexual dysfunction. A low marital satisfaction was found in 34% of cases. Conclusions The medical consultation to identify sexuality disorders in correlation with the martial dissatisfaction in women followed for new breast cancer is crucial allowing a better management of this pathology. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823020023/type/journal_article
spellingShingle F. Zaouali
I. Abbes
A. Ben Slama
I. Belhaj Youssef
Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
European Psychiatry
title Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
title_full Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
title_fullStr Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
title_full_unstemmed Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
title_short Sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
title_sort sexuality and marital satisfaction in patients followed for breast cancer in a regional hospital
url https://www.cambridge.org/core/product/identifier/S0924933823020023/type/journal_article
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