Sexual Health

Sexual health of female breast cancer survivors and their partners.

TL;DR

Sexual satisfaction did not differ between breast cancer survivors and their partners, but satisfaction with partner sexuality was lower after diagnosis for both patients and partners, and 75% of study participants reported not having received information about sexual health issues related to breast cancer.

Key Findings

Sexual satisfaction scores did not differ significantly between breast cancer patients and their partners.

  • Patients had a mean sexual satisfaction score of 55 (SD = 20.9) and partners had a mean of 56.7 (SD = 20.0).
  • Comparison was made using a paired t test, yielding p = 0.46.
  • Sample consisted of 64 patient-partner dyads (128 total participants).
  • Sexual satisfaction was measured using the EORTC Sexual Health Questionnaire (EORTC QLQ-SH22).

Patients' and partners' sexual satisfaction scores were positively correlated with each other.

  • Pearson correlation coefficient r = 0.62, p < 0.0001.
  • This indicates that higher sexual satisfaction in one partner was associated with higher sexual satisfaction in the other.
  • Dyadic dependencies were accounted for in all group comparisons.

Satisfaction with partner sexuality was significantly lower after breast cancer diagnosis compared to before diagnosis, for both patients and partners.

  • Mean satisfaction with partner sexuality before diagnosis was 3.14 (SD = 0.74), compared to 2.58 (SD = 0.95) after diagnosis.
  • The difference was statistically significant (p < 0.001, effect size r = 0.54).
  • Satisfaction was assessed using the Sexual Medicine Questionnaire for Chronic Diseases (SFCE), with the pre-diagnosis rating obtained retrospectively.
  • Both patients and partners reported lower satisfaction after the diagnosis.

The majority of study participants reported not having received information about sexual health issues related to breast cancer, and most expressed a desire for more information.

  • 75% of study participants reported not having received information about sexual health issues related to breast cancer.
  • 64% of participants expressed a desire for more information on sexual health in the context of breast cancer.
  • Information gaps were assessed via a questionnaire on sexual health care.
  • Both patients and partners were included in these proportions.

The study was a cross-sectional survey of breast cancer survivors and their partners conducted 1–5 years after completion of primary therapy.

  • A total of 128 participants (64 patients and 64 partners) were enrolled as dyads.
  • Participants completed self-report questionnaires including the EORTC QLQ-SH22, EORTC QLQ-C30, SFCE, and a sexual health care questionnaire.
  • Descriptive statistics summarized demographic and clinical data.
  • Paired t tests were used when normality was confirmed via the Shapiro-Wilk test; otherwise the Wilcoxon signed-rank test was applied.
  • The study was conducted at a single center at a single time point.

The authors conclude that couple dynamics should be considered in breast cancer care, and that addressing sexuality may improve quality of life and psychosocial adjustment.

  • The findings highlight unmet needs concerning sexual health for both patients and partners.
  • The authors recommend future research include larger, more diverse samples.
  • The authors call for assessing sexuality and sexual health as multidimensional constructs in line with WHO definitions.
  • The study underscores the importance of integrating sexual health support into oncological care.

What This Means

This research surveyed 64 breast cancer survivors and their 64 partners (128 people total) between 1 and 5 years after completing primary breast cancer treatment. The study found that breast cancer survivors and their partners reported similarly low levels of sexual satisfaction — there was no significant difference between the two groups. However, both patients and partners reported being less satisfied with their shared sexual relationship after the cancer diagnosis compared to before it, suggesting the diagnosis itself had a notable impact on the couple's sexual life together. Importantly, when one partner reported higher sexual satisfaction, the other tended to as well, highlighting how closely linked the sexual well-being of both people in a couple can be. One of the most striking findings was around information and support: 75% of participants said they had never received any information about sexual health issues related to breast cancer, and 64% said they wanted more information. This suggests a substantial gap between what patients and partners need and what they are currently being offered within healthcare settings. This research suggests that sexual health concerns after breast cancer affect not just the patient but their partner as well, and that both members of a couple may benefit from receiving guidance and support. Healthcare providers treating breast cancer survivors may want to consider routinely discussing sexual health with patients and, where appropriate, their partners, since the current study found that the large majority of people affected were not receiving this kind of information despite wanting it.

Have a question about this study?

Citation

Flechtenmacher A, Schiestl L, Singer S, Hasenburg A. (2026). Sexual health of female breast cancer survivors and their partners.. Archives of gynecology and obstetrics. https://doi.org/10.1007/s00404-026-08314-5