Psychosocial Effects of a Mastectomy

Women diagnosed with breast cancer may have to consider a mastectomy as one of their treatment options. In addition to the challenge of coping with a cancer diagnosis and breast surgery they must then face a host of psychosocial issues.

Definition

• A mastectomy is a surgery performed to remove a breast to prevent the spread of cancer.

  A mastectomy is a surgical procedure that involves removing a woman's breast when cancer is detected. Some women choose to have a mastectomy prior to detection if they have a genetic history of breast cancer and fear it will occur.

Self Image

• Breasts are an important part of a woman's self image.

  A woman's breasts are closely connected to her body image or self image. Regina Kriss, a behavior science researcher at Stanford University describes a woman's breast as "an essential part of your core existence as a woman."

Sexuality

• Fear of rejection can make intimacy difficult post mastectomy.

  Intimacy is a source of anxiety after a mastectomy. Fear of rejection can happen. Ms. Kriss explains "Your breasts are a symbol of your femininity, your desirability, your ability to entice."

Recurrence

• Fear of recurrence is a common emotion among mastectomy patients.

  Meyerowitz, a cancer researcher, described women's concerns about recurrence as a common issue. "For many women, every ache and pain would trigger fear and anxiety about potential recurrence."

Psychological

• Insomnia can occur after a mastectomy.

  Psychological changes can occur after a mastectomy. Meyerowitz identified "insomnia, recurrent nightmares, loss of appetite, and difficulty returning to usual household activities and work, and inability to concentrate" as common experiences.

Considerations

• The psychosocial effects of a mastectomy can vary.

  There are multiple factors that impact the psychosocial effects of a mastectomy. A strong support network, loving intimate relationship, and proper medical care are significant. If depression, poor body image, or problems with sexuality remain ongoing problems, seeking additional psychological support may help.