Research Article

Breast Cancer Survivors with Genitourinary Syndrome of Menopause Receiving Aromatase Inhibitors Are Willing to Sexual Assessment: Is a Dyspareunia Approach Enough?

Table 3

Specialized sexual assessment of women who attended the sexual counseling visit, as well as according to sexual activity.

Accepted sexual counseling (n = 67)Sexually active (n = 48)Non-sexually active (n = 19) value

Sexual orientation(i) Heterosexual, n (%)60 (98.4)42 (97.7)18 (100)0.705
(ii) Bisexual, n (%)1 (1.6)1 (2.3)
(iii) Homosexual, n (%)
Missing, n651

Past sexual life#(i) Satisfied sexual life, n (%)50 (82)38 (88.4)12 (66.7)0.039
(ii) Unsatisfied sexual life, n (%)11 (18)5 (11.6)6 (33.3)
Missing, n651

Current sexual life#(i) Satisfied sexual life, n (%)13 (21.3)12 (27.9)1 (5.6)0.018
(ii) Unsatisfied sexual life, n (%)48 (78.7)31 (72.1)17 (94.4)
Missing, n651

Sex toy use(i) None, n (%)35 (57.4)22 (51.2)13 (72.2)0.482
(ii) Occasional (noneffective), n (%)6 (9.8)5 (11.6)1 (5.6)
(iii) Occasional (effective), n (%)11 (18)8 (18.6)3 (16.6)
(iv) Usually, n (%)9 (14.8)8 (18.6)1 (5.6)
Missing, n651

History of sexual violence(i) None, n (%)30 (75)20 (74.1)10 (76.9)0.09
(ii) Child sexual abuse, n (%)8 (20)6 (22.2)2 (12.5)
(iii) Partnered related, n (%)2 (5)02 (12.5)
(iv) Non-partnered related n (%)1 (2.5)1 (3.7)0
Missing, n27216

Qualitative body image(i) Not affected, n (%)30 (49.2)20 (46.5)10 (55.6)0.278
(ii) Genital image affected, n (%)6 (9.8)1 (2.3)5 (27.8)
(iii) Breast image affected, n (%)11 (18)10 (23.3)1 (5.6)
(iv) Body image affected, n (%)18 (29.5)15 (34.9)3 (16.6)
Missing, n651

FSFI#Dimensions, mean ± sd (range)(i) Desire2.2 ± 1 (1.2–4.8)2.4±1 (1.2–4.8)1.6±0.6 (1.2–3)0.001
(ii) Arousal3 ± 1.6 (0–6)3.6 ± 1.3 (1.2–6)1.3 ± 0.7 (0–2.4)
(iii) Lubrication2.7 ± 1.7 (0–6)3.4 ± 1.3 (1.2–6)0.6 ± 0.8 (0–2.4)
(iv) Orgasm2.8 ± 2 (0–6)3.6 ± 1.5 (0.8–6)0.4 ± 0.6 (0–2)
(v) Satisfaction2.7 ± 1.9 (0–6)3.4 ± 1.7 (0.4–6)0.8 ± 0.6 (0–2)
(vi) Pain1.7 ± 1.3 (0–6)2.2 ± 1.2 (0–6)0.3 ± 0.5 (0–1.2)
Total score, mean ± sd (range)15 ± 7.7 (1.6–29.6)18.6 ± 5.3 (7.8–29.6)5 ± 2.6 (1.6–10.1)
FSD rate, n (%)(i) FSFI ≤ 26.5563 (93.8)43 (91.5)17 (100)
(ii) FSFI ≤ 21.752 (78.1)33 (70.2)17 (100)

We excluded 3 FSFI questionnaires from the analysis of those women whose sexual activity status does not correlate. #Significant differences have been adjusted by age for possible interactions, persisting statistically significant differences. Italic data: data which include nonsexually active women FSFI questionnaires were highlighted in italics, as it should not be considered for the interpretation of the result. The bold values indicate the significant difference.