Evidence map›Paper›PMID 30203884›Full record

ArticlePsycho-oncology2018

Sexual dysfunction and reproductive concerns in young women with breast cancer: Type, prevalence, and predictors of problems.

Lisa Ljungman, Johan Ahlgren, Lena-Marie Petersson, Kathryn E Flynn, Kevin Weinfurt, Jessica R Gorman, Lena Wettergren, Claudia Lampic

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Psycho-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06458764 (SEXCHECK - Sexual Dysfunction Check-up in Premenopausal Breast Cancer Survivors Taking Endocrine Therapy), which is not on this map. Cited by 73 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 5 pooled it
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06458764 unknown statusnot on this mapstarted 2023, after this paper: background citation

SEXCHECK - Sexual Dysfunction Check-up in Premenopausal Breast Cancer Survivors Taking Endocrine Therapy: A Cross-Sectional Study

Typeobservational_patient_registrySponsorCandiolo Cancer Institute - IRCCSRan2023 to 2025Enrolled150ConditionsBreast Cancer Female, Sexual Dysfunction, Premenopausal Breast CancerArmsQuestionnaire
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 5 syntheses or guidelines pooled it, 166 citations in OpenAlex.

  1. Pooled it
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  3. Sexual dysfunction in women with breast cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  5. Enhancing Self-Esteem and Body Image of Breast Cancer Women through Interventions: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  6. Preliminary evaluation of the acceptability, appropriateness, and feasibility of an online sexual health educational video series for breast cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Lisa LjungmanDepartment of Women's and Children's Health, Karolinska Institutet, Solna, Sweden.ORCID 0000-0003-1406-6329
Johan AhlgrenDepartment of Oncology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Lena-Marie PeterssonDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Kathryn E FlynnDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Kevin WeinfurtDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Jessica R GormanCollege of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA.ORCID 0000-0002-3950-4260
Lena WettergrenDepartment of Women's and Children's Health, Karolinska Institutet, Solna, Sweden.ORCID 0000-0003-1279-2191
Claudia LampicDepartment of Women's and Children's Health, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-1739-4486
Karolinska Institutet · SEDuke University · USMedical College of Wisconsin · USÖrebro University · SEOregon State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA dearth of studies focusing on young women (<40 years) with breast cancer have hampered the understanding of the type, prevalence, and predictors of sexual dysfunction and reproductive concerns in this population.

methodsData were collected from 181 women (response rate = 60%) diagnosed with breast cancer approximately 2 years previously (age 21-39) using the Swedish National Quality Registry for Breast Cancer and a survey including standardized measures of sexual dysfunction, reproductive concerns, body image, and health-related quality of life. Multivariable logistic binary regression analyses were used to identify predictors of sexual dysfunction and reproductive concerns.

resultsSexual dysfunction in at least one domain was reported by 68% of the women, and a high level of reproductive concerns in at least one dimension was reported by 58%. Model results showed that current endocrine treatment was a significant predictor of dysfunction related to lubrication (OR 3.8, 95% CI 1.2-12.1) and vaginal discomfort (OR 8.7, 95% CI 1.5-51.5). Negative body image was related to satisfaction with sex life (OR 1.1, 95% CI 1.0-1.2). A high level of reproductive concerns was predicted by a wish for (additional) children in the future (OR 3.4, 95% CI 1.1-10.2) and by previous chemotherapy (OR 2.5, 95% CI 1.1-5.9).

conclusionsSexual dysfunction and reproductive concerns are common in young women with breast cancer. Current endocrine treatment, previous chemotherapy, a negative body image, and a wish for children in the future predict higher level of problems.

Indexed as

Body ImageAdultBreast NeoplasmsCohort StudiesFemaleHumansPersonal SatisfactionPrevalenceQuality of LifeSexual BehaviorSexual Dysfunction, PhysiologicalSwedenYoung Adultbody imagebreast cancercanceroncologyquality of lifereproductive concernssexual functionyoung

Identifiers

PMID30203884
PMCPMC6585728
OpenAlexW2891346757

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.