TY - JOUR
T1 - The impact of prophylactic mastectomy on sexual well-being: a systematic review
AU - Scotto, Ludovica
AU - Pizzoli, Silvia Francesca Maria
AU - Marzorati, Chiara
AU - Mazzocco, Ketti
AU - Pravettoni, Grabriella
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
KW - body image
KW - breast cancer
KW - psychological well-being
KW - risk-reducing mastectomy
KW - sexual well-being
KW - body image
KW - breast cancer
KW - psychological well-being
KW - risk-reducing mastectomy
KW - sexual well-being
UR - http://hdl.handle.net/10807/296297
U2 - 10.1093/sxmrev/qead054
DO - 10.1093/sxmrev/qead054
M3 - Article
SN - 2050-0521
VL - 12
SP - 164
EP - 177
JO - Sexual Medicine Reviews
JF - Sexual Medicine Reviews
ER -