Impact of breast cancer on sexuality and psycho-physical wellbeing: Survey analysis

Background: The diagnosis and treatment of breast cancer (BC) can significantly impact patients’ sexual and psycho-physical wellbeing. Awareness and preparedness among healthcare professionals are essential to address these issues effectively. Methods: Between March and April 2024, a nationwide survey was conducted in Italy among 109 healthcare professionals (including oncologists and gynecologists) to assess their knowledge, training, and clinical practices related to the impact of BC on sexuality and psycho-physical health. Findings: Most respondents were oncologists (59%), followed by gynecologists (26%) and psychologists (13%), with the majority aged between 35 and 59 years. Overall, 56% considered themselves “fairly informed,” while only 23% felt “very informed” and 21% “poorly informed.” Specific training in this field had been received by only 30% of respondents. Among oncologists, just 17% reported being “very informed.” Despite this, nearly all agreed that dedicated training is essential for optimal BC management. Only 16% of participants routinely addressed sexuality-related concerns with patients, while 38% rarely did so. Reported barriers included patient reluctance and embarrassment, limited consultation time, and lack of access to specialized centers. Half of the respondents reported multidisciplinary collaboration in managing sexual health issues, though only 32% had access to dedicated gynecological services. Pharmacological approaches were rarely used; counseling was the primary intervention, sometimes complemented by techniques such as acupuncture and cognitive behavioral therapy. While 76% had access to psychological services, all participants recognized their importance in addressing patients’ sexual health. Conclusion: The findings highlight the urgent need for targeted training and improved multidisciplinary access to address the sexual and psycho-physical needs of breast cancer patients. Institutional commitment and systemic changes are essential to ensure comprehensive and patient-centered care.