The study also indicated that several factors contributed to sexual function problems. Those who received aromatase inhibitors were more likely to experience more sexual function problems compared to those who received tamoxifien but in both group body image find more was the most

contributing factor to sexual dysfunction [3]. These findings suggest that the impact of breast cancer on sexuality is much more complex than women simply losing their breasts or receiving different treatment modalities. Studies have shown that disrupted sexual functioning or unsatisfactory sexual life was related to poorer quality of life at younger age, treatment with chemotherapy, total mastectomy, emotional distress consequent on an unsatisfactory sexual life, and difficulties with partners because of sexual relationships [4–8]. This latter factor was further examined and recently a French study found that ‘no sexual activity’ or ‘sexual dissatisfaction’ among breast cancer patients were associated with the feeling of emotional

separation in the couple or of partner’s fear of sexual intercourse [9]. Emilee et al. [10] in a review of sexuality after breast cancer highlighted the issue of ‘women’s intrapsychic’ experience of changes to sexuality. They argued this experience includes a fear of loss of fertility, negative body image, feelings of

sexual unattractiveness, loss of femininity, depression and anxiety, as well as alterations to a sense of sexual https://www.selleckchem.com/products/YM155.html self. Then they concluded that sexuality in the context of breast cancer could not be conceptualized the physical body separately from women’s intrapsychic experience. With any interpretations sexual functioning seems important area that needs more attention, especially for younger breast cancer survivors. It is argued much that younger survivors may need interventions that specifically target their needs related to menopausal symptoms and problems with relationships, sexual functioning and body image [11]. There is evidence that the quality of sexual life in breast cancer survivors could be improved with the sexual life reframing program focusing on the physical, psychological, and relational aspects of sexual health elements at couples rather than survivors only and if delivered earlier and for a longer period [12]. No study so far has reported on prevalence of sexual function among Iranian breast cancer patients. Breast cancer patients in Iran are usually younger that their western counterparts [13] and thus might report different experiences. In addition women in Islamic countries such as Iran usually have some reservations in talking about and reporting sexual problems or seeking processional help [14].