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  11. Communication And Sexual Function And Frequency In Breast Cancer Patients 2 Years After Diagnosis: Results From The Vican 2 Study

Communication and sexual function and frequency in breast cancer patients 2 years after diagnosis: results from the VICAN 2 study

Thierry Almont1,2,3,4, Prisca Ouowéné Sougué1, Rémi Houpert1,2

  • 1RESEARCH on Cancer Unit UF3596, Oncology Department, Martinique University Hospital (CHU Martinique), 97261 Fort-de-France, Martinique.

The Journal of Sexual Medicine
|February 27, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Breast cancer survivors experience persistent sexual dysfunction 2 years post-diagnosis, with low rates of discussing sexual health with providers. Tailored interventions are needed for single, older, and diabetic patients.

Area of Science:

  • Oncology
  • Sexual Medicine
  • Public Health
Keywords:
VICAN surveybreast cancercommunication about sexualityoncosexology

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Background:

  • Breast cancer treatments significantly impact various aspects of sexual health, including psychological, psychosexual, physiological, physical, and relational dimensions.
  • Understanding the long-term sexual health consequences is crucial for comprehensive patient care.

Purpose of the Study:

  • To assess sexual function and frequency in breast cancer patients two years after diagnosis.
  • To identify factors influencing communication about sexuality with healthcare providers.

Main Methods:

  • Utilized data from the French national VIe après le CANcer 2 (VICAN 2) longitudinal study.
  • Included patient and medical questionnaires, and medico-administrative databases for 1350 breast cancer participants.
  • Assessed sexual function, frequency, and communication using the Relationship and Sexuality Scale.

Main Results:

  • Over 60% of women reported decreased sexual desire and intercourse frequency; nearly 50% experienced reduced ability to orgasm.
  • Despite high satisfaction with intimacy frequency (89.5%), only 15% discussed sexuality with healthcare providers.
  • Younger age (<50), partner relationship, higher income, and absence of diabetes were linked to increased sexual communication.

Conclusions:

  • Sexual disorders are prevalent two years after breast cancer diagnosis, highlighting a significant communication gap regarding sexual health.
  • There is a critical need for oncosexology education and tailored sexual health interventions.
  • Interventions should adopt a holistic approach, considering age, treatment, relationship status, and comorbidities like diabetes.
sexual quality of life
supportive care in cancer