{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:34:07Z","timestamp":1777944847484,"version":"3.51.4"},"reference-count":64,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Breast cancer accounts for one in three new cancer cases in women each year. Despite having a higher survival rate than other cancers, it is associated with various side effects, including anorgasmia, vaginismus, hair loss, and decreased libido. This review aims to explore trends in the incidence of sexual dysfunction in breast cancer survivors, the etiology of sexual dysfunction, and the role of factors such as family history, age, duration of marriage, and depression in predisposing patients. We summarize the limitations of the treatment modalities already used to cater to sexual dysfunction in breast cancer survivors and patients. The authors conducted searches on databases such as PubMed and Google Scholar using relevant search terms: sexual dysfunction, breast cancer, breast cancer survivors, chemotherapy, dyspareunia, vaginismus, and anorgasmia from 1997\u20132023. The inclusion criteria encompassed all types of articles with abstracts or titles indicating research on sexual dysfunction in breast cancer survivors in Asia. A total of 64 articles were included out of which 10 were systematic reviews and meta-analyses. The literature search yielded results showing high incidence rates of breast cancer in Asia (45.4%), with 31.6%\u201391.2% of breast cancer survivors likely to experience sexual dysfunction. Regional differences were noted, as female sexual dysfunction occurred in 74.1% of Asian breast cancer women. Further randomized controlled trials should be conducted to assess the effectiveness of treatment modalities. Personalized approaches should be tailored to address beliefs, such as the potential impact of sexual activity on disease recovery. Utilizing a family history of breast cancer as a preemptive tool can help reduce the risk of developing female sexual dysfunction in survivors, and factors such as age and depression should be considered when formulating solutions.<\/jats:p>","DOI":"10.1177\/17455057241237687","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T02:12:50Z","timestamp":1710382370000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Care for breast cancer survivors in Asian countries: A review of sexual dysfunction"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6543-4166","authenticated-orcid":false,"given":"Minal","family":"Jehan","sequence":"first","affiliation":[{"name":"Karachi Medical and Dental College, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumran","family":"Azam","sequence":"additional","affiliation":[{"name":"Karachi Medical and Dental College, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9457-6411","authenticated-orcid":false,"given":"Muskan Asim","family":"Taimuri","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anusha","family":"Sumbal","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8123-7020","authenticated-orcid":false,"given":"Ayesha","family":"Azhar","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina","family":"Amir","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malik Olatunde","family":"Oduoye","sequence":"additional","affiliation":[{"name":"Department of Research, The Medical Research Circle (MedReC), Bukavu, DR Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asra","family":"Zainab","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Areeba","family":"Ikram","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5425-2841","authenticated-orcid":false,"given":"Tehreem","family":"Ali","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14174218"},{"key":"e_1_3_4_3_2","unstructured":"Breast cancer: statistics. Cancer.Net https:\/\/www.cancer.net\/cancer-types\/breast-cancer\/statistics (accessed 6 October 2023)."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7330-z"},{"key":"e_1_3_4_5_2","unstructured":"Alkabban FM Ferguson T. Breast cancer. Treasure Island FL: StatPearls Publishing 2023 http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482286\/ (accessed 6 October 2023)."},{"key":"e_1_3_4_6_2","unstructured":"Taylor CE Meisel JL. Management of breast cancer therapy\u2013related sexual dysfunction. Oncology (Williston Park) 2017; 31(10): 726\u2013729 https:\/\/www.cancernetwork.com\/view\/management-breast-cancer-therapyrelated-sexual-dysfunction (accessed 6 October 2023)."},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2022.06.009"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2021.100351"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.1.1999.8.949"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2014.06.012"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3130"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.955057"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2020.05.001"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2019.02.008"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-21-352"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-023-06953-9"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-022-06544-0"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.4103\/apjon.apjon_65_20"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-022-06720-2"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04667-7"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01212-9"},{"key":"e_1_3_4_22_2","doi-asserted-by":"crossref","unstructured":"\u00d6zt\u00fcrk D Akyolcu N. Assessing sexual function and dysfunction in Turkish women undergoing surgical breast cancer treatment. Jpn J Nurs Sci 2016; 13(2): 220\u2013228 https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jjns.12106 (accessed 2 January 2024).","DOI":"10.1111\/jjns.12106"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-023-07600-1"},{"key":"e_1_3_4_24_2","doi-asserted-by":"crossref","unstructured":"Wang F Chen F Huo X et al. A neglected issue on sexual well-being following breast cancer diagnosis and treatment among Chinese women. PLoS ONE 2013; 8(9): e74473 https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0074473 (accessed 21 January 2024).","DOI":"10.1371\/journal.pone.0074473"},{"key":"e_1_3_4_25_2","doi-asserted-by":"crossref","unstructured":"Vegunta S Kuhle CL Vencill JA et al. Sexual health after a breast cancer diagnosis: addressing a forgotten aspect of survivorship. J Clin Med 2022; 11(22): 6723 https:\/\/www.mdpi.com\/2077-0383\/11\/22\/6723 (accessed 6 October 2023).","DOI":"10.3390\/jcm11226723"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2017-01138"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-200528050-00004"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-2760(00)00333-7"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-04019-3"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-12-28"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3772"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3483-2"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0000000000000552"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-2041-y"},{"key":"e_1_3_4_35_2","doi-asserted-by":"crossref","unstructured":"H\u00e4rtl K Janni W K\u00e4stner R et al. Impact of medical and demographic factors on long-term quality of life and body image of breast cancer patients. Ann Oncol 2003; 14(7): 1064\u20131071 https:\/\/pubmed.ncbi.nlm.nih.gov\/12853348\/ (accessed 6 October 2023).","DOI":"10.1093\/annonc\/mdg289"},{"key":"e_1_3_4_36_2","doi-asserted-by":"crossref","unstructured":"Reese JB Porter LS Casale KE et al. Adapting a couple-based intimacy enhancement intervention to breast cancer: a developmental study. Health Psychol 2016; 35(10): 1085\u20131096 https:\/\/pubmed.ncbi.nlm.nih.gov\/27657981\/ (accessed 6 October 2023).","DOI":"10.1037\/hea0000413"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-016-1090-6"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2013.02.002"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjoc.2000.1337"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.2874"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2010.02034.x"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12684"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-017-0928-5"},{"key":"e_1_3_4_44_2","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0b013e3182393de3"},{"key":"e_1_3_4_45_2","doi-asserted-by":"crossref","unstructured":"Br\u00e9dart A Dolbeault S Savignoni A et al. Prevalence and associated factors of sexual problems after early-stage breast cancer treatment: results of a French exploratory survey. Psychooncology 2011; 20(8): 841\u2013850 https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.1789 (accessed 6 October 2023).","DOI":"10.1002\/pon.1789"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40264-013-0129-4"},{"key":"e_1_3_4_47_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50522"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2017.07.002"},{"key":"e_1_3_4_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.10.001"},{"key":"e_1_3_4_50_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008298615272"},{"key":"e_1_3_4_51_2","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000592"},{"key":"e_1_3_4_52_2","doi-asserted-by":"crossref","unstructured":"Dizon DS Suzin D McIlvenna S. Sexual health as a survivorship issue for female cancer survivors. Oncologist 2014; 19(2): 202\u2013210 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3926787\/ (accessed 6 October 2023).","DOI":"10.1634\/theoncologist.2013-0302"},{"key":"e_1_3_4_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2010.04.010"},{"key":"e_1_3_4_54_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.69.6021"},{"key":"e_1_3_4_55_2","doi-asserted-by":"crossref","unstructured":"Krychman ML Stelling CJ Carter J et al. A case series of androgen use in breast cancer survivors with sexual dysfunction. J Sex Med 2007; 4(6): 1769\u20131774 https:\/\/pubmed.ncbi.nlm.nih.gov\/17666036\/ (accessed 6 October 2023).","DOI":"10.1111\/j.1743-6109.2007.00577.x"},{"key":"e_1_3_4_56_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.GME.0000142887.31811.97"},{"key":"e_1_3_4_57_2","doi-asserted-by":"publisher","DOI":"10.4103\/ipj.ipj_20_16"},{"key":"e_1_3_4_58_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI152341"},{"issue":"1","key":"e_1_3_4_59_2","article-title":"Interventions for the physical aspects of sexual dysfunction in women following pelvic radiotherapy","volume":"2003","author":"Denton AS","year":"2003","unstructured":"Denton AS, Maher EJ. Interventions for the physical aspects of sexual dysfunction in women following pelvic radiotherapy. Cochrane Database Syst Rev 2003; 2003(1): CD003750.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_60_2","doi-asserted-by":"crossref","unstructured":"Sasanpour M Azh N Alipour M. The effect of a midwife-based group discussion education on sexual dysfunction beliefs in rural postmenopausal women. Int J Womens Health 2020; 12: 393\u2013397 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7213863\/ (accessed 6 October 2023).","DOI":"10.2147\/IJWH.S242621"},{"key":"e_1_3_4_61_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2023.102255"},{"key":"e_1_3_4_62_2","doi-asserted-by":"crossref","unstructured":"Seav SM Dominick SA Stepanyuk B et al. Management of sexual dysfunction in breast cancer survivors: a systematic review. Womens Midlife Health 2015; 1: 9 https:\/\/pubmed.ncbi.nlm.nih.gov\/30766696\/ (accessed 6 October 2023).","DOI":"10.1186\/s40695-015-0009-4"},{"key":"e_1_3_4_63_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-015-3434-z"},{"key":"e_1_3_4_64_2","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e31819587bb"},{"key":"e_1_3_4_65_2","doi-asserted-by":"crossref","unstructured":"Runowicz CD Leach CR Henry NL et al. American Cancer Society\/American Society of Clinical Oncology breast cancer survivorship care guideline. CA Cancer J Clin 2016; 66(1): 43\u201373 https:\/\/pubmed.ncbi.nlm.nih.gov\/26641959\/ (accessed 6 October 2023).","DOI":"10.3322\/caac.21319"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057241237687","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057241237687","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057241237687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:27:01Z","timestamp":1777710421000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057241237687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,13]]},"references-count":64,"alternative-id":["10.1177\/17455057241237687"],"URL":"https:\/\/doi.org\/10.1177\/17455057241237687","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,13]]},"article-number":"17455057241237687"}}