SEXUAL health after breast cancer remains one of the least addressed yet deeply impactful aspects of survivorship, according to a new qualitative study that gives voice to the intimate challenges faced by women in the aftermath of treatment. Through narrative interviews and focus groups with 25 breast cancer survivors without severe comorbidities, researchers uncovered a profound theme of “asymmetry” that touches nearly every part of a patient’s life, physically, emotionally, and relationally.
Thematic analysis revealed five distinct forms of asymmetry. Physical asymmetry in the chest region, resulting from surgery and radiotherapy, often leaves women feeling disconnected from their bodies. Sexual asymmetry, marked by diminished desire, vaginal dryness, dyspareunia, and lack of arousal, emerged as a common experience due to lingering physical effects and ongoing treatments. These symptoms weren’t just physical; they also disrupted how the mind processes intimacy.
Beyond the physical, the study identified life asymmetry, a loss of spontaneity, energy, and self-care routines that previously contributed to a sense of well-being. Asymmetry in invulnerability captured the dissonance between what patients are told about potential sexual side effects and the stark reality of living with them. Lastly, relational asymmetry highlighted shifts in roles and expectations within partnerships, leading to emotional distance or confusion.
This study underscores a critical gap in cancer care. The sexual side effects of breast cancer treatment are not only underreported but also under-addressed in clinical conversations, despite their profound effect on quality of life. These findings suggest that healthcare professionals should initiate open, empathetic dialogues with patients about sexual well-being and provide targeted support throughout the cancer journey.
Reference: Willers N et al. Sexuality after breast cancer treatment: An experience of asymmetry. Womens Health (Lond). 2025:21:17455057241310271.
