{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T01:49:23Z","timestamp":1788054563984,"version":"build-2784847793"},"reference-count":99,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T00:00:00Z","timestamp":1666828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Breast cancer (BC) is the leading cause of cancer in women, and has implications for sexual function (SF). In this study, we used an evidence map to identify, describe, and organise the current available evidence regarding SF in women with BC. We searched the MEDLINE, PsycINFO, and CINAHL databases for observational studies assessing SF in women with BC published in English, Spanish, Portuguese, and French between 2000 and 2021 (sample \u2265 50 women). Of the 64 included studies (13,257 women with BC), 58 were published since 2010. Women who were married, partnered, or in relationships represented 74.1% of the entire sample. Only a single study was conducted on women representing a sexual minority. We identified 22 assessment instruments and 40 sexual dysfunction (SdF) domains. The number of publications on SF in women with BC has increased in the last 10 years, but still remains low. Some groups of women are underrepresented, and some SdF domains are underdiagnosed, with the assessment instrument used affecting which domains are studied. Women with BC need to be better screened, as their quality of life (QoL) is affected by SdF.<\/jats:p>","DOI":"10.3390\/ijerph192113976","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T20:37:58Z","timestamp":1666903078000},"page":"13976","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Sexual Function in Women with Breast Cancer: An Evidence Map of Observational Studies"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8874-5645","authenticated-orcid":false,"given":"Nelson","family":"Rodrigues-Machado","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Obstetrics & Gynaecology and Preventive Medicine, Universtitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"},{"name":"Hospital Universitari Vall d\u2019Hebron, 08035 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1055-9786","authenticated-orcid":false,"given":"M.","family":"Quintana","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Obstetrics & Gynaecology and Preventive Medicine, Universtitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Biom\u00e8dica Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain"},{"name":"Hospital de la Santa Creu i Sant Pau, 08025 Barcelona, Spain"},{"name":"Centro Cochrane Iberoam\u00e9rica, 08025 Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"G\u00f3mez-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Hospital Universitari Vall d\u2019Hebron, 08035 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Bonfill-Cosp","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Obstetrics & Gynaecology and Preventive Medicine, Universtitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"},{"name":"Institut d\u2019Investigaci\u00f3 Biom\u00e8dica Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain"},{"name":"Hospital de la Santa Creu i Sant Pau, 08025 Barcelona, Spain"},{"name":"Centro Cochrane Iberoam\u00e9rica, 08025 Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica (CIBERESP), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer Statistics 2020: GLOBOCAN Es-timates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2379","DOI":"10.1002\/cncr.32887","article-title":"Breast cancer early detection: A phased approach to implementation","volume":"126","author":"Ginsburg","year":"2020","journal-title":"Cancer"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1093\/jnci\/djy177","article-title":"Associations Between Breast Cancer Survivorship and Adverse Mental Health Outcomes: A Systematic Review","volume":"110","author":"Carreira","year":"2018","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1007\/s00520-019-04667-7","article-title":"Incidence and severity of sexual dysfunction among women with breast cancer: A me-ta-analysis based on female sexual function index","volume":"27","author":"Jing","year":"2019","journal-title":"Support. Care Cancer"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Cobo-Cuenca, A.I., Esp\u00ednosa, N.M.M., Sampietro-Crespo, A., Rodr\u00edguez-Borrego, M.A., and Carmona-Torres, J.M. (2018). Sexual dysfunction in Spanish women with breast cancer. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0203151"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2770","DOI":"10.1002\/pon.4886","article-title":"Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems","volume":"27","author":"Ljungman","year":"2018","journal-title":"Psycho-Oncology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1007\/s12094-019-02185-w","article-title":"Socio-economic impact on women diagnosed and treated for breast cancer: A cross-sectional study","volume":"21","author":"Salas","year":"2019","journal-title":"Clin. Transl. Oncol."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_9","first-page":"160","article-title":"Breast cancer and sexual function","volume":"4","author":"Boswell","year":"2015","journal-title":"Transl. Androl. Urol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1186\/1471-2288-11-92","article-title":"The Global Evidence Mapping Initiative: Scoping research in broad topic areas","volume":"11","author":"Bragge","year":"2011","journal-title":"BMC Med. Res. Methodol."},{"key":"ref_11","first-page":"1","article-title":"What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products","volume":"5","author":"Hempel","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1007\/s13280-016-0773-x","article-title":"The benefits of systematic mapping to evidence-based environmental management","volume":"45","author":"Haddaway","year":"2016","journal-title":"Ambio"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jclinepi.2016.05.015","article-title":"Evidence & Gasp Maps: A tool for promoting evidence informed policy and strategic research agendas","volume":"79","author":"Snilstveit","year":"2016","journal-title":"J. Clin. Epidemiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1002\/pon.1489","article-title":"Sexual health issues in Sudanese women before and during hormonal treatment for breast cancer","volume":"18","author":"Abasher","year":"2009","journal-title":"Psycho-Oncology"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.breast.2014.06.012","article-title":"Sexual functioning in women after mastectomy versus breast conserving therapy for early-stage breast cancer: A prospective controlled study","volume":"23","author":"Aerts","year":"2014","journal-title":"Breast"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"10631","DOI":"10.7314\/APJCP.2014.15.24.10631","article-title":"Depression, Anxiety and Sexual Satisfaction in Breast Cancer Patients and their Partners-Izmir Oncology Group Study","volume":"15","author":"Alacacioglu","year":"2014","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e883","DOI":"10.6061\/clinics\/2019\/e883","article-title":"Sexuality, depression and body image after breast recon-struction","volume":"74","author":"Sabino","year":"2019","journal-title":"Clinics"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Assogba, E.L., Mamguem Kamga, A., Costaz, H., Jankowski, C., Dumas, A., Roignot, P., Jolimoy, G., Coutant, C., Arveux, P., and Dabakuyo-Yonli, T.S. (2020). What Are Young Women Living Conditions after Breast Cancer? Health-Related Quality of Life, Sexual and Fertility Issues, Professional Reinsertion. Cancers, 12.","DOI":"10.3390\/cancers12061564"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1111\/j.1743-6109.2012.02852.x","article-title":"Psychosexual Functioning and Body Image Following a Diagnosis of Ductal Carcinoma In Situ","volume":"10","author":"Bober","year":"2013","journal-title":"J. Sex. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1080\/00224499.2013.772087","article-title":"After Breast Cancer: Sexual Functioning of Sexual Minority Survivors","volume":"51","author":"Boehmer","year":"2014","journal-title":"J. Sex Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1002\/pon.1789","article-title":"Prevalence and associated factors of sexual problems after early-stage breast cancer treatment: Results of a French exploratory survey","volume":"20","author":"Dolbeault","year":"2011","journal-title":"Psycho-Oncology"},{"key":"ref_23","first-page":"405","article-title":"Salud sexual y alteraciones emocionales en mujeres colombianas con c\u00e1ncer de mama","volume":"12","author":"Robles","year":"2015","journal-title":"Psicooncol. Investig. Cl\u00edn. Biopsicosoc. Oncol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ft.2019.02.002","article-title":"Disfunci\u00f3n sexual en mujeres diagnosticadas y tratadas de c\u00e1ncer de mama. Estudio descriptivo longitudinal","volume":"41","year":"2019","journal-title":"Fisioterapia"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2526","DOI":"10.1245\/s10434-017-5894-3","article-title":"Trends in Sexual Function After Breast Cancer Surgery","volume":"24","author":"Cornell","year":"2017","journal-title":"Ann. Surg. Oncol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1007\/s00266-017-0960-6","article-title":"Sexuality Among Women Treated for Breast Cancer: A Survey of Three Surgical Procedures","volume":"41","year":"2017","journal-title":"Aesthetic Plast. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/01.NPR.0000387142.02789.1e","article-title":"Exploring sexuality & quality of life in women after breast cancer surgery","volume":"35","author":"Davis","year":"2010","journal-title":"Nurse Pract."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.sexol.2017.12.004","article-title":"Dysfonction sexuelle chez 100 femmes tunisiennes atteintes d\u2019un cancer du sein","volume":"28","author":"Ellouz","year":"2019","journal-title":"Sexologies"},{"key":"ref_29","first-page":"26","article-title":"A Comparison between Breast-Conserving Surgery and Modified Radical Mastectomy Concerning the Female Sexual Function in Breast Cancer Patients under 50 Years of Age","volume":"35","author":"Elmas","year":"2020","journal-title":"Turk. J. Oncol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2603","DOI":"10.1007\/s00520-015-3073-2","article-title":"The impact of chemotherapy for breast cancer on sexual function and health-related quality of life","volume":"24","author":"Farthmann","year":"2016","journal-title":"Support. Care Cancer"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/0284186X.2020.1813326","article-title":"The majority of Danish breast cancer survivors on adjuvant endocrine therapy have clinically relevant sexual dysfunction: A cross-sectional study","volume":"60","author":"Fogh","year":"2021","journal-title":"Acta Oncol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"391","DOI":"10.31557\/APJCP.2021.22.2.391","article-title":"The Predictors of Sexual Satisfaction among Iranian Women with Breast Cancer","volume":"22","author":"Fouladi","year":"2021","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s10549-013-2659-y","article-title":"The impact of endocrine therapy on sexual dysfunction in postmenopausal women with early stage breast cancer: Encouraging results from a prospective study","volume":"141","author":"Frechette","year":"2013","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1007\/s12020-017-1470-7","article-title":"Sexual function and sex hormones in breast cancer patients","volume":"60","author":"Gambardella","year":"2018","journal-title":"Endocrine"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1097\/COC.0000000000000552","article-title":"Sexual Dysfunction in Breast Cancer Survivors","volume":"42","author":"Gandhi","year":"2019","journal-title":"Am. J. Clin. Oncol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1756-9966-31-20","article-title":"Sexual function in breast cancer patients: A prospective study from Iran","volume":"31","author":"Harirchi","year":"2012","journal-title":"J. Exp. Clin. Cancer Res."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/01.NCC.0000339252.91194.6c","article-title":"Young Female Breast Cancer Survivors","volume":"31","author":"Herbenick","year":"2008","journal-title":"Cancer Nurs."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"219","DOI":"10.5152\/ejbh.2020.5259","article-title":"Pre-Treatment and Post-Treatment Anxiety, Depression, Sleep and Sexual Function Levels in Patients with Breast Cancer","volume":"16","author":"Duymaz","year":"2020","journal-title":"Eur. J. Breast Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s00520-012-1521-9","article-title":"Sexual dysfunction in young women with breast cancer","volume":"21","author":"Kedde","year":"2013","journal-title":"Support. Care Cancer"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1016\/j.clbc.2018.09.006","article-title":"Factors Affecting Sexual Function and Body Image of Early-Stage Breast Cancer Survivors in Poland: A Short-Term Observation","volume":"19","author":"Kowalczyk","year":"2019","journal-title":"Clin. Breast Cancer"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s10552-016-0810-x","article-title":"Endocrine therapy and urogenital outcomes among women with a breast cancer diagnosis","volume":"27","author":"Landi","year":"2016","journal-title":"Cancer Causes Control"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"3191","DOI":"10.1007\/s00520-020-05831-0","article-title":"Exploring the relationship between sexual function, sense of coherence, and well-being in a sample of Iranian breast cancer survivors","volume":"29","author":"Lashani","year":"2020","journal-title":"Support. Care Cancer"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1002\/pon.3772","article-title":"Risk factors for negative impacts on sexual activity and function in younger breast cancer survivors","volume":"24","author":"Lee","year":"2015","journal-title":"Psycho-Oncology"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.ejon.2010.07.008","article-title":"Sexuality and quality of life of breast cancer patients post mastectomy","volume":"15","author":"Manganiello","year":"2011","journal-title":"Eur. J. Oncol. Nurs."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00404-018-4922-2","article-title":"Sexual activity and quality of life in patients after treatment for breast and ovarian cancer","volume":"299","author":"Mayer","year":"2019","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1245\/s10434-011-1828-7","article-title":"Changes in Psychosocial Functioning 1 Year After Mastectomy Alone, Delayed Breast Reconstruction, or Immediate Breast Reconstruction","volume":"19","author":"Metcalfe","year":"2012","journal-title":"Ann. Surg. Oncol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e12607","DOI":"10.1111\/ecc.12607","article-title":"Women\u2019s experiences of sexual functioning in the early weeks of breast cancer treatment","volume":"27","author":"Notari","year":"2018","journal-title":"Eur. J. Cancer Care"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12885-017-3580-2","article-title":"Self-reported sexual health: Breast cancer survivors compared to women from the general population\u2014An observational study","volume":"17","author":"Oberguggenberger","year":"2017","journal-title":"BMC Cancer"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/jjns.12106","article-title":"Assessing sexual function and dysfunction in Turkish women undergoing surgical breast cancer treatment","volume":"13","author":"Akyolcu","year":"2016","journal-title":"Jpn. J. Nurs. Sci."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1007\/s10508-016-0758-7","article-title":"Associations of Body Mass Index and Physical Activity with Sexual Dysfunction in Breast Cancer Survivors","volume":"45","author":"Paiva","year":"2016","journal-title":"Arch. Sex. Behav."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"2499","DOI":"10.1007\/s00520-013-1815-6","article-title":"Menopausal symptoms, sexual function, depression, and quality of life in Korean patients with breast cancer receiving chemotherapy","volume":"21","author":"Park","year":"2013","journal-title":"Support. Care Cancer"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"3078","DOI":"10.1245\/s10434-007-9413-9","article-title":"Short-Term and Long-Term Psychosocial Ad-justment and Quality of Life in Women Undergoing Different Surgical Procedures for Breast Cancer","volume":"14","author":"Parker","year":"2007","journal-title":"Ann. Surg. Oncol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1093\/asj\/sjx255","article-title":"Vaginal Laxity, Sexual Distress, and Sexual Dysfunction: A Cross-Sectional Study in a Plastic Surgery Practice","volume":"38","author":"Qureshi","year":"2018","journal-title":"Aesthetic Surg. J."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1080\/08870446.2013.879136","article-title":"Prevalence and correlates of sexual morbidity in long-term breast cancer survivors","volume":"29","author":"Raggio","year":"2014","journal-title":"Psychol. Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1016\/j.jsxm.2020.06.004","article-title":"Understanding Sexual Help-Seeking for Women with Breast Cancer: What Distinguishes Women Who Seek Help From Those Who Do Not?","volume":"17","author":"Reese","year":"2020","journal-title":"J. Sex. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1016\/j.jsxm.2017.09.018","article-title":"Aromatase Inhibitors are Associated with Low Sexual Desire Causing Distress and Fecal Incontinence in Women: An Observational Study","volume":"14","author":"Robinson","year":"2017","journal-title":"J. Sex. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s10549-017-4174-z","article-title":"The impact of mastectomy type on the Female Sexual Function Index (FSFI), satisfaction with appearance, and the reconstructed breast\u2019s role in intimacy","volume":"163","author":"Rojas","year":"2017","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1001\/jamasurg.2020.3325","article-title":"Association of Breast Cancer Surgery with Quality of Life and Psychosocial Well-being in Young Breast Cancer Survivors","volume":"155","author":"Rosenberg","year":"2020","journal-title":"JAMA Surg."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1080\/0284186X.2016.1266086","article-title":"Satisfaction with sex life in sexually active heterosexual couples dealing with breast cancer: A nationwide longitudinal study","volume":"56","author":"Rottmann","year":"2017","journal-title":"Acta Oncol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1093\/jnci\/92.17.1422","article-title":"Role of Breast Reconstructive Surgery in Physical and Emotional Outcomes Among Breast Cancer Survivors","volume":"92","author":"Rowland","year":"2000","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1002\/pon.3130","article-title":"Quality of life and sexual functioning in young women with early-stage breast cancer 1 year after lumpectomy","volume":"22","author":"Safarinejad","year":"2013","journal-title":"Psycho-Oncology"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1097\/gme.0b013e318204af9d","article-title":"Potential adverse impact of ovariectomy on physical and psychological function of younger women with breast cancer","volume":"18","author":"Sayakhot","year":"2011","journal-title":"Menopause"},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Sbitti, Y., Kadiri, H., Essaidi, I., Fadoukhair, Z., Kharmoun, S., Slimani, K., Ismaili, N., Ichou, M., and Errihani, H. (2011). Breast cancer treatment and sexual dysfunction: Moroccan women\u2019s perception. BMC Women\u2019s Health, 11.","DOI":"10.1186\/1472-6874-11-29"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"3102","DOI":"10.1111\/jsm.12684","article-title":"Sexual Problems During the First 2 Years of Adjuvant Treatment with Aromatase Inhibitors","volume":"11","author":"Schover","year":"2014","journal-title":"J. Sex. Med."},{"key":"ref_65","first-page":"3583","article-title":"Investigating Sexual Function and Affecting Factors in Women with Breast Cancer in Iran","volume":"17","author":"Shandiz","year":"2016","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s10549-018-4894-8","article-title":"Sexual health in long-term breast cancer survivors","volume":"172","author":"Soldera","year":"2018","journal-title":"Breast Cancer Res Treat."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"49","DOI":"10.20471\/may.2019.55.01.04","article-title":"Comparing the Negative Emotions, Body Image, Sexual Schemas and Sexual Function in Women with Breast Cancer and Healthy Women","volume":"55","author":"Sorouri","year":"2019","journal-title":"Arch. Psychiatry Res."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1111\/j.1075-122X.2005.00131.x","article-title":"Study of Sexual Functioning Determinants in Breast Cancer Survivors","volume":"11","author":"Speer","year":"2005","journal-title":"Breast J."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1002\/pon.5563","article-title":"Mediating role of body image between sexual functioning and marital intimacy in Pakistani women with breast cancer","volume":"30","author":"Tahir","year":"2020","journal-title":"Psycho-Oncology"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s00520-020-05503-z","article-title":"The impact of bilateral salpingo-oophorectomy on sexuality and quality of life in women with breast cancer","volume":"29","author":"Tucker","year":"2020","journal-title":"Support. Care Cancer"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.breast.2016.08.005","article-title":"Sexuality and quality of life in women with a prior diagnosis of breast cancer after risk-reducing salpingo-oophorectomy","volume":"30","author":"Tucker","year":"2016","journal-title":"Breast"},{"key":"ref_72","first-page":"1439","article-title":"Sexual Dysfunction in Women with Breast Cancer Receiving Chemotherapy","volume":"10","author":"Usta","year":"2017","journal-title":"Int. J. Caring Sci."},{"key":"ref_73","first-page":"635","article-title":"Female sexuality after female cancer treatment: A clinical issue","volume":"35","author":"Vaidakis","year":"2014","journal-title":"Eur. J. Gynaecol. Oncol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1634\/theoncologist.2011-0100","article-title":"FolCan study group If I Am in the Mood, I Enjoy It: An Exploration of Cancer-Related Fatigue and Sexual Functioning in Women with Breast Cancer","volume":"16","author":"Webber","year":"2011","journal-title":"Oncologist"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"5147","DOI":"10.1007\/s00520-020-05332-0","article-title":"Patterns of sexual health in patients with breast cancer in China: A latent class analysis","volume":"28","author":"Yuan","year":"2020","journal-title":"Support. Care Cancer"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1684\/bdc.2013.1788","article-title":"\u00c9tude de la sexualit\u00e9 chez les femmes tuni-siennes en r\u00e9mission compl\u00e8te d\u2019un cancer du sein non m\u00e9tastatique, \u00e0 propos de 100 femmes","volume":"100","author":"Zaied","year":"2013","journal-title":"Bull. Cancer"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1136\/ijgc-2018-000096","article-title":"Approach to sexual dysfunction in women with cancer","volume":"29","author":"Villa","year":"2019","journal-title":"Int. J. Gynecol. Cancer"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.maturitas.2009.02.015","article-title":"The historical response to female sexuality","volume":"63","author":"Studd","year":"2009","journal-title":"Maturitas"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.jcpo.2015.08.005","article-title":"Sexual minority experiences of cancer care: A systematic review","volume":"6","author":"Hill","year":"2015","journal-title":"J. Cancer Policy"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1188\/15.ONF.44-51","article-title":"Social Support, Self-Rated Health, and Lesbian, Gay, Bisexual, and Transgender Identity Disclosure to Cancer Care Providers","volume":"42","author":"Kamen","year":"2015","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1089\/lgbt.2015.0091","article-title":"Rejection of Breast Reconstruction Among Lesbian Breast Cancer Patients","volume":"3","author":"Wandrey","year":"2016","journal-title":"LGBT Health"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/107327481602300408","article-title":"Clinical Considerations of Risk, Incidence, and Outcomes of Breast Cancer in Sexual Mi-norities","volume":"23","author":"Mattingly","year":"2016","journal-title":"Cancer Control"},{"key":"ref_83","first-page":"1","article-title":"Health outcomes of sexual and gender minorities after cancer: A systematic review","volume":"10","author":"Alpert","year":"2021","journal-title":"Syst. Rev."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): A Multidi-mensional Self-Report Instrument for the Assessment of Female Sexual Function","volume":"26","author":"Rosen","year":"2000","journal-title":"J. Sex Marital Ther."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"2633","DOI":"10.1007\/s00520-015-2623-y","article-title":"The Female Sexual Functioning Index (FSFI): Evaluation of acceptability, reliability, and validity in women with breast cancer","volume":"23","author":"Bartula","year":"2015","journal-title":"Support. Care Cancer"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/BF00435972","article-title":"The Sexual Activity Questionnaire: A measure of women\u2019s sexual functioning","volume":"5","author":"Thirlaway","year":"1996","journal-title":"Qual. Life Res."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1258\/175404507781605578","article-title":"Fallowfield\u2019s Sexual Activity Questionnaire in women with without and at risk of cancer","volume":"13","author":"Atkins","year":"2007","journal-title":"Menopause Int."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"533","DOI":"10.20344\/amp.7389","article-title":"Sexual Dysfunction in Breast Cancer Sur-vivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal","volume":"29","author":"Ribeiro","year":"2016","journal-title":"Acta Med. Port."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1093\/humrep\/dez037","article-title":"Validation of the Sexual Activity Question-naire in women with endometriosis","volume":"34","author":"Oppenheimer","year":"2019","journal-title":"Hum. Reprod."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1089\/jwh.2006.0052","article-title":"The Sexual Activity Questionnaire: Pychometric Properties and Normative Data in A Norwegian Population Sample","volume":"16","author":"Vistad","year":"2007","journal-title":"J. Women\u2019s Health"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1111\/j.1743-6109.2012.02995.x","article-title":"Development of the NIH PROMIS\u00ae Sexual Function and Satisfaction Measures in Patients with Cancer","volume":"10","author":"Flynn","year":"2013","journal-title":"J. Sex. Med."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.jsxm.2015.12.019","article-title":"Definitions of Sexual Dysfunctions in Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015","volume":"13","author":"McCabe","year":"2016","journal-title":"J. Sex. Med."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.tjog.2013.01.002","article-title":"Female sexual dysfunction: Definition, classification, and debates","volume":"52","author":"Chen","year":"2013","journal-title":"Taiwan. J. Obstet. Gynecol."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"112","DOI":"10.4048\/jbc.2011.14.2.112","article-title":"Quality of Life Differences between Younger and Older Breast Cancer Patients","volume":"14","author":"Park","year":"2011","journal-title":"J. Breast Cancer"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/NCC.0000000000000592","article-title":"Sexual Problems of Patients with Breast Cancer after Treatment","volume":"42","author":"Chang","year":"2019","journal-title":"Cancer Nurs."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1186\/s12955-020-01591-x","article-title":"Health-related quality of life in breast cancer patients: Review of reviews from 2008 to 2018","volume":"18","author":"Montazeri","year":"2020","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1007\/s12282-020-01076-1","article-title":"Health-related quality of life following breast reconstruction compared to total mastectomy and breast-conserving surgery among breast cancer survivors: A systematic review and meta-analysis","volume":"27","author":"Zehra","year":"2020","journal-title":"Breast Cancer"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.breast.2021.05.005","article-title":"The impact of medication side effects on adherence and persistence to hormone therapy in breast cancer survivors: A qualitative systematic review and thematic synthesis","volume":"58","author":"Peddie","year":"2021","journal-title":"Breast"},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.genhosppsych.2019.04.003","article-title":"Sexual dysfunction in female cancer survivors: A narrative review","volume":"60","author":"Valpey","year":"2019","journal-title":"Gen. 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