PURPOSE Sexual dissatisfaction after breast cancer treatment is a common phenomenon that, unfortunately, places a significant strain on young women and is becoming more common as treatment regimens rely more and more on anti-endocrine therapies. METHODS A PubMed review of peer reviewed manuscripts between the years 1998-2020 evaluating sexual health and wellbeing in cancer patients, primarily young women with breast cancer, was conducted. RESULTS There are several categories of sexual dissatisfaction women may experience as a result of her breast cancer diagnosis, including menopausal symptoms and dyspareunia, negative body image, reduced sexual desire, strained relationships and partner communication, and anxiety about cancer disclosure in dating relationships. Several methods of addressing each domain have been studied. While hormonal replacement therapy remains controversial, other medication regimens have been shown to be effective in treating menopausal symptoms and dyspareunia. Cognitive behavioral therapy, sex therapy, and couples' therapy are all effective in addressing a variety of symptoms across multiple domains. CONCLUSIONS Oncologists are often not prepared to discuss sexual health concerns as frequently as women need. Further work is needed to bring easily digestible and meaningful educational opportunities into clinical practice so young breast cancer survivors can receive comprehensive post-cancer survivorship care.

中文翻译：

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年轻女性乳腺癌诊断后的性健康：对患者和提供者的临床意义。

目的 乳腺癌治疗后的性不满意是一种普遍现象，不幸的是，它给年轻女性带来了巨大压力，并且随着治疗方案越来越依赖抗内分泌疗法而变得越来越普遍。方法 对 1998 年至 2020 年间评估癌症患者（主要是年轻乳腺癌女性）的性健康和福祉的同行评审手稿进行了 PubMed 审查。结果 女性因乳腺癌诊断可能会经历多种类型的性不满，包括更年期症状和性交困难、负面的身体形象、性欲降低、紧张的关系和伴侣沟通，以及对约会关系中癌症披露的焦虑。已经研究了几种寻址每个域的方法。虽然激素替代疗法仍存在争议，但其他药物疗法已被证明可有效治疗更年期症状和性交困难。认知行为疗法、性疗法和夫妻疗法都可以有效解决多个领域的各种症状。结论 肿瘤学家通常不准备像女性需要的那样频繁地讨论性健康问题。需要进一步努力，将易于消化和有意义的教育机会带入临床实践，以便年轻的乳腺癌幸存者能够获得全面的癌后生存护理。治疗在解决跨多个领域的各种症状方面都是有效的。结论 肿瘤学家通常不准备像女性需要的那样频繁地讨论性健康问题。需要进一步努力，将易于消化和有意义的教育机会带入临床实践，以便年轻的乳腺癌幸存者能够获得全面的癌后生存护理。治疗在解决跨多个领域的各种症状方面都是有效的。结论 肿瘤学家通常不准备像女性需要的那样频繁地讨论性健康问题。需要进一步努力，将易于消化和有意义的教育机会带入临床实践，以便年轻的乳腺癌幸存者能够获得全面的癌后生存护理。