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, n
6
5
1
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, n
6
5
1
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, n
6
5
1
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, n
6
5
1
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)
0
2 (12.5)
(iv) Non-partnered related n (%)
1 (2.5)
1 (3.7)
0
Missing, n
27
21
6
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, n
6
5
1
FSFI#
Dimensions, mean ± sd (range)
(i) Desire
2.2 ± 1 (1.2–4.8)
2.4±1 (1.2–4.8)
1.6±0.6 (1.2–3)
0.001
(ii) Arousal
3 ± 1.6 (0–6)
3.6 ± 1.3 (1.2–6)
1.3 ± 0.7 (0–2.4)
(iii) Lubrication
2.7 ± 1.7 (0–6)
3.4 ± 1.3 (1.2–6)
0.6 ± 0.8 (0–2.4)
(iv) Orgasm
2.8 ± 2 (0–6)
3.6 ± 1.5 (0.8–6)
0.4 ± 0.6 (0–2)
(v) Satisfaction
2.7 ± 1.9 (0–6)
3.4 ± 1.7 (0.4–6)
0.8 ± 0.6 (0–2)
(vi) Pain
1.7 ± 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 ≤ 26.55
63 (93.8)
43 (91.5)
17 (100)
(ii) FSFI ≤ 21.7
52 (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.
