ORIGINAL ARTICLE

Sexual satisfaction of Indonesian women with breast cancer in Central Java, Indonesia

Yan Wisnu Prajoko , Tommy Supit

Yan Wisnu Prajoko
Department of Surgical Oncology, Faculty of Medicine, Universitas Diponegoro, Dr. Kariadi General Hospital, Semarang, Indonesia. Email: yanprajoko7519@gmail.com

Tommy Supit
Department of Surgery, Faculty of Medicine Universitas Diponegoro, Dr. Kariadi General Hospital, Semarang, Indonesia
Online First: February 21, 2021 | Cite this Article
Prajoko, Y., Supit, T. 2021. Sexual satisfaction of Indonesian women with breast cancer in Central Java, Indonesia. Bali Medical Journal 10(1): 53-57. DOI:10.15562/bmj.v10i1.2119


Background: The negative impact of breast cancer diagnosis on the sexuality of women patients is well-known. Sexual dissatisfaction arises from the disruption of physical appearance by the tumor or as a result of both operative or non-operative treatments. This study aimed to describe the perception of sexuality and its quality of breast cancer in Indonesian women.

Methods: This descriptive study recruited women diagnosed with breast cancer that have undergone chemotherapy, radiotherapy, and surgery, either in singular, combination, or no treatment at all. The sexuality was assessed using the Indonesian version of the Sexual Satisfaction Questionnaire (SEXSAT-Q).

Results: A total of 113 female breast cancer patients ranging from 20 to 71 years old participated in the study. The majority of respondents were clinically diagnosed with stage II (36.2%) or higher (54.9%). Most patients underwent surgery (91.1%) and chemotherapy (85.8%). Before the diagnosis of cancer, the level of sexual satisfaction was good on average, which remained stagnant for 64 (56.6%) participants during cancer treatment. Significant anxiety and distress were reported by 35 patients (31.0%), depression by 21 patients (18.6%), and tiredness by 48 patients (42.5%).

Conclusion: The sexual satisfaction of women with breast cancer patients in our study group is average on general, prior or after cancer diagnosis. However, the treatment's negative psychological impact is quite profound, affecting almost half of the study participants.

References

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424.

Levi JM. Treatment of breast and uterus cancer: physiological and psychological impact on sexual function. Cancer/Radiothérapie. 2005;9(3):175–82.

Cash, T. F., Melnyk, S. E., & Hrabosky JI. The assessment of body image investment: An extensive revision of the appearance schemas inventoryo Title. Int J Eat Disord. 2004;35(3):305–316.

Leclère B, Molinié F, Trétarre B, Stracci F, Daubisse-Marliac L, Colonna M. Trends in incidence of breast cancer among women under 40 in seven European countries: A GRELL cooperative study. Cancer Epidemiol. 2013;37(5):544-9

Fourchard F, Courtinat-Camps A. L’estime de soi globale et physique à l’adolescence. Neuropsychiatr Enfance Adolesc. 2013;61(6):333–9.

Heinemann J, Atallah S, Rosenbaum T. The Impact of Culture and Ethnicity on Sexuality and Sexual Function. Curr Sex Heal Reports. 2016;8(3):144-50.

Mancha RG, Muñoz M, De La Cruz-Merino L, Calvo L, Cruz J, Baena-Cañada JM, et al. Development and validation of a sexual relations satisfaction scale in patients with breast cancer - "SEXSAT-Q." Health Qual Life Outcomes. 2019;17(1):1-9.

Dong JY, Qin LQ. Education level and breast cancer incidence: A meta-analysis of cohort studies. Menopause [Internet]. 2020 Jan 1 [cited 2020 Nov 2];27(1):113–8. Available from: https://pubmed.ncbi.nlm.nih.gov/31479033/

Arthur L. Weaver, MD M. Overview of breast cancer staging and surgical treatment options ? Epideminology Gout. 2008;75(2):S54–8.

Costa DSJ, Mercieca-Bebber R, Rutherford C, Gabb L, King MT. The Impact of Cancer on Psychological and Social Outcomes. Aust Psychol. 2016;51(2):89-90

Wang F, Chen F, Huo X, Xu R, Wu L, Wang J, et al. A Neglected Issue on Sexual Well-Being following Breast Cancer Diagnosis and Treatment among Chinese Women. PLoS One. 2013;8(9):e74473

Shifren JL, Monz BU, Russo PA, Segreti A JC. Sexual problems and distress in United States women: prevalence and correlates. Obs Gynecol. 2008;112(5):970–8.

Takahashi M, Ohno S, Inoue H, Kataoka A, Yamaguchi H, Uchida Y, et al. Impact of breast cancer diagnosis and treatment on women's sexuality: A survey of Japanese patients. Psychooncology. 2008;17(9):901-7.

Salakari M, Nurminen R, Sillanmäki L, Pylkkänen L, Suominen S. The importance of and satisfaction with sex life among breast cancer survivors in comparison with healthy female controls and women with mental depression or arterial hypertension: results from the Finnish nationwide HeSSup cohort study. Support Care Cancer. 2020;28(8):3847–54.

Ghali H, Fendri S, Ayedi I, Bougmiza I, Ammar A, Belaid I, et al. Perception of Self-esteem and Body Image among Women with Breast Cancer of a University Hospital in Tunisia. J Adv Med Med Res. 2017;23(4):1–12.

Shafaee FS, Mirghafourvand M, Harischi S, Esfahani A, Amirzehni J. Self-confidence and Quality of Life in women undergoing treatment for breast cancer. Asian Pacific J Cancer Prev. 2018;19(3):733.


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