Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study

Magdalena Tarkowska; Iwona Głowacka-Mrotek; Tomasz Nowikiewicz; Ewelina Monastyrska-Waszak; Agata Gastecka; Aleksander Goch; Wojciech Zegarski

doi:10.5114/wo.2020.95876

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

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2/2020
vol. 24

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abstract:

Original paper

Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study

Magdalena Tarkowska

¹

,

Iwona Głowacka-Mrotek

²

,

Tomasz Nowikiewicz

^{3, 4}

,

Ewelina Monastyrska-Waszak

³

,

Agata Gastecka

⁵

,

Aleksander Goch

¹

,

Wojciech Zegarski

³

Department of Physiotherapy, Ludwik Rydygier’s Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland
Department of Rehabilitation, Ludwik Rydygier’s Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland
Chair and Department of Surgical Oncology, Ludwik Rydygier’s Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland
Department of Clinical Breast Cancer and Reconstructive Surgery, Oncology Centre, Bydgoszcz, Poland
Department of Urology, Ludwik Rydygier’s Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland

Contemp Oncol (Pozn) 2020 24 (2): 106-111

DOI: https://doi.org/10.5114/wo.2020.95876

Online publish date: 2020/06/18

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AMA

Tarkowska M, Głowacka-Mrotek I, Nowikiewicz T, et al. Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study. Contemporary Oncology/Współczesna Onkologia. 2020;24(2):106-111. doi:10.5114/wo.2020.95876.

APA

Tarkowska, M., Głowacka-Mrotek, I., Nowikiewicz, T., Monastyrska-Waszak, E., Gastecka, A.,  & Goch, A. et al. (2020). Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study. Contemporary Oncology/Współczesna Onkologia, 24(2), 106-111. https://doi.org/10.5114/wo.2020.95876

Chicago

Tarkowska, Magdalena, Iwona Głowacka-Mrotek, Tomasz Nowikiewicz, Ewelina Monastyrska-Waszak, Agata Gastecka, Aleksander Goch,  and Wojciech Zegarski. 2020. "Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study". Contemporary Oncology/Współczesna Onkologia 24 (2): 106-111. doi:10.5114/wo.2020.95876.

Harvard

Tarkowska, M., Głowacka-Mrotek, I., Nowikiewicz, T., Monastyrska-Waszak, E., Gastecka, A., Goch, A.,  and Zegarski, W. (2020). Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study. Contemporary Oncology/Współczesna Onkologia, 24(2), pp.106-111. https://doi.org/10.5114/wo.2020.95876

MLA

Tarkowska, Magdalena et al. "Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study." Contemporary Oncology/Współczesna Onkologia, vol. 24, no. 2, 2020, pp. 106-111. doi:10.5114/wo.2020.95876.

Vancouver

Tarkowska M, Głowacka-Mrotek I, Nowikiewicz T, Monastyrska-Waszak E, Gastecka A, Goch A et al. Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study. Contemporary Oncology/Współczesna Onkologia. 2020;24(2):106-111. doi:10.5114/wo.2020.95876.

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Aim of the study
The goal of our study was to assess the sexual functioning of patients undergoing mastectomy, five years after surgery, compared to a control group.

Material and methods
A cross-sectional study included 170 patients five years post mastectomy (group A1) and 149 healthy women (group A2) who had never been diagnosed with breast cancer. The study was conducted at the Oncology Centre in Bydgoszcz, at the Amazon Clubs, and at the University of the Third Age by the University of Economy in Bydgoszcz. Standardised questionnaires: the Female Sexual Function Index (FSFI) and Rosenberg’s SES (self-esteem scale) were used.

Results
Our study results show significantly worse sexual functioning in the domains pertaining to desire (p = 0.0015), arousal (p = 0.0052), lubrication (p = 0.0026), ability to reach orgasm (p = 0.0417), sexual satisfaction (p = 0.0142), and the presence of clinically significant sexual dysfunction (p = 0.0028) among patients after amputation of the mammary gland. On the scale of pain relating to sexuality, there were no significant differences between the two groups (p> 0.05). The overall score in the FSFI questionnaire was also lower (p = 0.0066) among women after mastectomy. Highly statistically significant (p < 0.0001) differences in self-esteem were also noted between the two groups, with worse results observed in patients after mastectomy.

Conclusions
Diagnosis of sexual dysfunction in patients treated for breast cancer allows timely implementation of counselling and interventional therapy depending on the causal factors and individual preferences of patients.

keywords:

Sexual functioning and self-esteem in women after mastectomy – a single-centre, non-randomised, cross-sectional study

Magdalena Tarkowska 1 , Iwona Głowacka-Mrotek 2 , Tomasz Nowikiewicz 3, 4 , Ewelina Monastyrska-Waszak 3 , Agata Gastecka 5 , Aleksander Goch 1 , Wojciech Zegarski 3

mastectomy, sexual functioning, self-esteem

Magdalena Tarkowska

¹

,

Iwona Głowacka-Mrotek

²

,

Tomasz Nowikiewicz

^{3, 4}

,

Ewelina Monastyrska-Waszak

³

,

Agata Gastecka

⁵

,

Aleksander Goch

¹

,

Wojciech Zegarski

³