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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Polly Hulme


Breast cancer is the most common nonskin cancer in women in the United States (US), regardless of race or ethnicity. There are more than 3.1 million breast cancer survivors in the US, with an estimated 330,080 women being diagnosed with invasive breast cancer or carcinoma in situ in 2018. Upwards of 50-90% of female breast cancer survivors experience sexual dysfunction. Sexual dysfunction in breast cancer survivors can have a negative impact on one’s quality of life, regardless of race, ethnicity, and sexual orientation. The National Comprehensive Cancer Network practice guidelines recommend health care providers assess sexual function at regular intervals in cancer patients. This literature review paper provides an introduction to sexual dysfunction in breast cancer survivors, an evidence summary, gaps in the literature, and recommendations for practice. The literature review is for a Doctor of Nursing Practice project that proposes implementation of a sexual function screening tool in an outpatient surgical breast clinic, which does not currently screen for sexual function, as a means of quality improvement.

Library of Congress Subject Headings

Breast -- Cancer -- Patients.
Breast -- Cancer -- Patients -- Sexual behavior.
Sexual disorders.



Number of Pages



South Dakota State University


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