The Impact of Physical Activity Levels on Sexual Function in Breast Cancer Survivors: An Integrative Review

Breast cancer is the second most common cancer in women in the US. With advancements in treatments, the life expectancy of breast cancer survivors (BCSs) continues to increase. Sexual dysfunction is a lasting effect of treatment and can impact BCSs' quality of life. This review examined the impact of different levels (none/low, moderate, and high) of physical activity on sexual outcomes in BCSs. A literature review of PubMed and Scopus restricted to articles published within the last 10 years yielded a total of 326 articles, with nine selected based on inclusion and exclusion criteria. Compared with no physical activity, low, moderate, or high levels of physical activity are effective in improving sexual outcomes in BCSs. Findings were particularly pertinent to sexual pleasure and sexual function. Advanced practice providers (APPs) should recommend physical activity to BCSs and other cancer survivors who are experiencing sexual dysfunction. This paper contributes to the current body of knowledge by offering a unique intervention to address certain aspects of sexual functioning in BCSs.