The impact of prophylactic mastectomy on sexual well-being: a systematic review

Ludovica Scotto, Silvia Francesca Maria Pizzoli, Chiara Marzorati, Ketti Mazzocco, Grabriella Pravettoni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Introduction: Considering the increasing women’s awareness of health promotion and disease prevention programs, mutation carriers are inevitably asked to face important decisions concerning the possibility of undergoing prophylactic mastectomy. Risk-reducing mastectomy (RRM) has become increasingly more common, although it has a significant impact on women’s quality of life and sexual well-being.Objectives: The systematic review aims to evaluate the impact of RRM on the sexuality of women with breast cancer.Methods: According to Cochrane Collaboration guidelines and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement, the study quantified the effects of frontline work on the mental health of healthcare workers. This review followed the PRISMA guidelines. Three databases were systematically searched from inception to December 2022. The expression (“sexuality” OR “sexual” OR “sex”) AND (“prophylactic mastectomy” OR “risk-reducing mastectomy”) was searched in PubMed, Ovid Medline, and Embase. Twenty-two articles published in English until 2022 were selected.Results: Two studies investigated sexual experience after risk-reducing surgeries as a single outcome, while other studies analyzed the relationship between sexuality and psychosocial outcomes, risk perception, and satisfaction. In all of the included studies, significant findings in sexual dysfunction were found. The most reported problems were related to sexual satisfaction and attractiveness, body image, and loss of femininity. Last, women reported changes in the relationship with their partners. Conclusion: RRM has a major impact on body image that affects sexual functioning and quality of life. These implications must be considered during treatment selection.
Lingua originaleEnglish
pagine (da-a)164-177
Numero di pagine14
RivistaSexual Medicine Reviews
Volume12
DOI
Stato di pubblicazionePubblicato - 2024

Keywords

  • body image
  • breast cancer
  • psychological well-being
  • risk-reducing mastectomy
  • sexual well-being

Fingerprint

Entra nei temi di ricerca di 'The impact of prophylactic mastectomy on sexual well-being: a systematic review'. Insieme formano una fingerprint unica.

Cita questo