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Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems.

Publication ,  Journal Article
Ljungman, L; Ahlgren, J; Petersson, L-M; Flynn, KE; Weinfurt, K; Gorman, JR; Wettergren, L; Lampic, C
Published in: Psychooncology
December 2018

OBJECTIVE: A dearth of studies focusing on young women (<40 years) with breast cancer have hampered the understanding of the type, prevalence, and predictors of sexual dysfunction and reproductive concerns in this population. METHODS: Data were collected from 181 women (response rate = 60%) diagnosed with breast cancer approximately 2 years previously (age 21-39) using the Swedish National Quality Registry for Breast Cancer and a survey including standardized measures of sexual dysfunction, reproductive concerns, body image, and health-related quality of life. Multivariable logistic binary regression analyses were used to identify predictors of sexual dysfunction and reproductive concerns. RESULTS: Sexual dysfunction in at least one domain was reported by 68% of the women, and a high level of reproductive concerns in at least one dimension was reported by 58%. Model results showed that current endocrine treatment was a significant predictor of dysfunction related to lubrication (OR 3.8, 95% CI 1.2-12.1) and vaginal discomfort (OR 8.7, 95% CI 1.5-51.5). Negative body image was related to satisfaction with sex life (OR 1.1, 95% CI 1.0-1.2). A high level of reproductive concerns was predicted by a wish for (additional) children in the future (OR 3.4, 95% CI 1.1-10.2) and by previous chemotherapy (OR 2.5, 95% CI 1.1-5.9). CONCLUSIONS: Sexual dysfunction and reproductive concerns are common in young women with breast cancer. Current endocrine treatment, previous chemotherapy, a negative body image, and a wish for children in the future predict higher level of problems.

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Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

December 2018

Volume

27

Issue

12

Start / End Page

2770 / 2777

Location

England

Related Subject Headings

  • Young Adult
  • Sweden
  • Sexual Dysfunction, Physiological
  • Sexual Behavior
  • Quality of Life
  • Prevalence
  • Personal Satisfaction
  • Oncology & Carcinogenesis
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ljungman, L., Ahlgren, J., Petersson, L.-M., Flynn, K. E., Weinfurt, K., Gorman, J. R., … Lampic, C. (2018). Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems. Psychooncology, 27(12), 2770–2777. https://doi.org/10.1002/pon.4886
Ljungman, Lisa, Johan Ahlgren, Lena-Marie Petersson, Kathryn E. Flynn, Kevin Weinfurt, Jessica R. Gorman, Lena Wettergren, and Claudia Lampic. “Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems.Psychooncology 27, no. 12 (December 2018): 2770–77. https://doi.org/10.1002/pon.4886.
Ljungman L, Ahlgren J, Petersson L-M, Flynn KE, Weinfurt K, Gorman JR, et al. Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems. Psychooncology. 2018 Dec;27(12):2770–7.
Ljungman, Lisa, et al. “Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems.Psychooncology, vol. 27, no. 12, Dec. 2018, pp. 2770–77. Pubmed, doi:10.1002/pon.4886.
Ljungman L, Ahlgren J, Petersson L-M, Flynn KE, Weinfurt K, Gorman JR, Wettergren L, Lampic C. Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems. Psychooncology. 2018 Dec;27(12):2770–2777.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

December 2018

Volume

27

Issue

12

Start / End Page

2770 / 2777

Location

England

Related Subject Headings

  • Young Adult
  • Sweden
  • Sexual Dysfunction, Physiological
  • Sexual Behavior
  • Quality of Life
  • Prevalence
  • Personal Satisfaction
  • Oncology & Carcinogenesis
  • Humans
  • Female