Highlights
- •A low percentage of women resorted to or requested information and treatment from a pelvic physical therapist.
- •It seems that there is a negative correlation between the presence of pain during sexual intercourse and its effect on sexual life.
- •Surviving women of breast cancer have little knowledge about the role of physiotherapy in the conservative treatment of sexual dysfunction that can appear as a side effect of the treatments received.
ABSTRACT
Background
The aim was to assess sexual perception in female breast cancer survivors and establish
if women presenting with sexual dysfunctions symptoms receive pelvic floor physiotherapy
or request information on treatment.
Methods
Cross-sectional survey carried out between January and March 2021. An online survey
designed by the authors was structured in 3 dimensions: demographic and anthropometric
data, medical data and sexual perception data. An open format survey with 23 questions
available to any website visitor. The survey followed the CHERRIES guidelines. The
study included 130 women who fulfilled the inclusion criteria.
Results
The presence of pain during sexual activity was reported in 56.92% of cases. Specifically,
40.8% reported superficial dyspareunia, which is most commonly expressed by women
as a “stinging pain.” Surprisingly, only 4.6% of the women had received any type of
pelvic floor physiotherapy treatment or had sought information.
Conclusions
Women breast cancer survivors have a negative perception of their sexuality. In addition,
there is a lack of knowledge about the role of physiotherapy in sexual dysfunction,
and only a small percentage of women received pelvic floor treatment or information
to address their sexual dysfunction.
Graphical abstract

Graphical Abstract
Keywords
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References
- Breast cancer.Nat Rev Dis Primers. 2019; 5: 66https://doi.org/10.1038/s41572-019-0111-2
- Advising women undergoing treatment for breast cancer: a narrative review.J Altern Complement Med. 2018; 24: 902-909https://doi.org/10.1089/acm.2018.0150
- Cancer survivorship.N Engl J Med. 2018; 379: 2438-2450https://doi.org/10.1056/NEJMra1712502
- Estimaciones de la incidencia del cáncer en España, 2022.Red Esp Regist Cáncer REDECAN. 2022; (ISBN: 978-84-09-38029-9)
Cancer today. World Health Organization. Available at: https://gco.iarc.fr/today/home. [accessed 1 March 2022]
Sociedad española de oncología médica. Las cifras del 2021 cáncer en España. 2021. ISBN: 978-84-09-27704-9
- The global decrease in cancer mortality: trends and disparities.Ann Oncol. 2016; 27: 926-933https://doi.org/10.1093/annonc/mdw027
- Sexual health in long-term breast cancer survivors.Breast Cancer Res Treat. 2018; 172: 159-166https://doi.org/10.1007/s10549-018-4894-8
- Treatment-induced symptoms, depression and age as predictors of sexual problems in premenopausal women with early breast cancer receiving adjuvant endocrine therapy.Breast Cancer Res Treat. 2020; 181: 347-359https://doi.org/10.1007/s10549-020-05622-5
- Management of genitourinary syndrome of menopause in female cancer patients: a focus on vaginal hormonal therapy.Am J Obstet Gynecol. 2020; 222: 103-113https://doi.org/10.1016/j.ajog.2019.08.043
- Sexual dysfunction in Spanish women with breast cancer.PLoS One. 2018; 13e0203151https://doi.org/10.1371/journal.pone.0203151
- Managing menopausal symptoms and associated clinical issues in breast cancer survivors.J Clin Endocrinol Metab. 2017; 102: 3647-3661https://doi.org/10.1210/jc.2017-01138
- Sexual functioning in breast cancer survivors experiencing body image disturbance.Psychooncology. 2016; 25: 66-76https://doi.org/10.1002/pon.3819
- Efficacy and safety of treatments to improve dyspareunia in breast cancer survivors: a systematic review.Breast Care (Basel). 2020; 15: 599-607https://doi.org/10.1159/000506148
- Sexual function post-breast cancer. En: Gradishar WJ, editor. Optimizing Breast Cancer Management. Springer International Publishing.Cancer Treatment and Research. 2018; 273: 167-189https://doi.org/10.1007/978-3-319-70197-4_11
- Exploring knowledge, attitudes and experience of genitourinary symptoms in women with early breast cancer on adjuvant endocrine therapy.Eur J Cancer Care (Engl). 2018; 27: e12820https://doi.org/10.1111/ecc.12820
- Sexual health needs and educational intervention preferences for women with cancer.Breast Cancer Res Treat. 2017; 165: 77-84https://doi.org/10.1007/s10549-017-4305-6
- Health information needs and health-related quality of life in a diverse population of long-term cancer survivors.Patient Educ Couns. 2012; 89: 345-352https://doi.org/10.1016/j.pec.2012.08.014
- Sexual health communication between cancer survivors and providers: how frequently does it occur and which providers are preferred?.Psychooncology. 2015; 24: 1167-1173https://doi.org/10.1002/pon.3736
- Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women.Curr Opin Obstet Gynecol. 2019; 31: 485-493https://doi.org/10.1097/GCO.0000000000000584
- Physiotherapy for pelvic pain and female sexual dysfunction: an untapped resource.Int Urogynecol J. 2018; 29: 631-638https://doi.org/10.1007/s00192-017-3536-8
- Declaración de la iniciativa CHERRIES: adaptación al castellano de directrices para la comunicación de resultados de cuestionarios y encuestas online [Improving the quality of Spanish web surveys: Spanish adaptation of the checklist for reporting results of internet e-surveys (CHERRIES) to the Spanish context].Aten Primaria. 2019; 51 (Spanish): 586-589https://doi.org/10.1016/j.aprim.2019.03.005
- Ethical principles for medical research involving human subjects.JAMA. 2013; 310: 2191-2194https://doi.org/10.1001/jama.2013.281053
- Evaluation of the efficacy and safety of hyaluronic acid vaginal gel to ease vaginal dryness: a multicenter, randomized, controlled, open-label, parallel-group, clinical trial.J Sex Med. 2013; 10: 1575-1584https://doi.org/10.1111/jsm.12125
- Atrophic vaginitis in breast cancer survivors: a difficult survivorship issue.J Pers Med. 2015; 5: 50-66https://doi.org/10.3390/jpm5020050
- Managing genitourinary syndrome of menopause in breast cancer survivors receiving endocrine therapy.J Oncol Pract. 2019; 15: 363-370https://doi.org/10.1200/JOP.18.00710
- Changes in body composition and weight during the menopause transition.JCI Insight. 2019; 4e124865https://doi.org/10.1172/jci.insight.124865
- Body mass index and survival in women with breast cancer-systematic literature review and meta-analysis of 82 follow-up studies.Ann Oncol. 2014; 25: 1901-1914https://doi.org/10.1093/annonc/mdu042
- Psychological impact of alterations in sexuality, fertility, and body image in young breast cancer patients and their partners.Rev Invest Clin. 2017; 69: 111https://doi.org/10.24875/ric.17002279
- Sexual dysfunction in breast cancer survivors: is it surgical modality or adjuvant therapy?.Am J Clin Oncol. 2019; 42: 500-506https://doi.org/10.1097/COC.0000000000000552
Article info
Publication history
Published online: October 20, 2022
Accepted:
October 16,
2022
Received in revised form:
September 25,
2022
Received:
April 18,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.