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Mastectomy linked to Long-Term Physical and Emotional Challenges, Study Finds
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A systematic review presented at the 2025 American College of Surgeons (ACS) clinical Congress highlights the notable, often underestimated, impact of mastectomy on women’s sexual health, body image, and overall well-being.
Published November 2025 in the Journal of the American College of Surgeons, the research emphasizes the need for extensive pre-operative counseling to ensure patients are fully informed about potential long-term consequences.
Key Findings of the Systematic Review
The systematic review analyzed existing literature to assess the effects of mastectomy on women with breast cancer. Researchers found that mastectomy can contribute to a range of challenges beyond the immediate physical recovery, including diminished sexual health, negative body image, and various emotional difficulties.These impacts often persist long after the surgical procedure is completed.
The Importance of Pre-Operative Counseling
Lauren Raymond-King, MD, lead author of the research and a surgical resident at Yale School of Medicine, stressed the importance of addressing the emotional and psychological aspects of mastectomy alongside the medical considerations. “As surgeons, we frequently enough focus on the medical side of care. There is no universal or standardized approach to counseling women on the full range of physical and emotional outcomes after mastectomy,” she stated. “consequently, many women go into surgery with an incomplete understanding of what to expect in the long-term, not just physically, but emotionally and psychologically, after undergoing a mastectomy.”
The study suggests that many women are unprepared for the full scope of changes they may experience after mastectomy, leading to potential distress and reduced quality of life.A more thorough discussion of potential outcomes, including sexual health concerns and body image issues, could empower patients to make informed decisions and proactively seek support.
Mastectomy Statistics and Trends
Mastectomy remains a common treatment for breast cancer, tho the specific rates vary depending on factors such as cancer stage, genetic predisposition, and patient preference. According to data presented at the ACS Clinical Congress, more than a third of women undergoing breast cancer surgery opt for mastectomy. This figure has been increasing in recent years, potentially due to factors like increased genetic testing and a greater awareness of risk-reducing mastectomy options.
| Year | Percentage of Breast Cancer Surgeries that are Mastectomies (US) |
|---|---|
| 2010 | 25% |
| 2015 | 30% |
| 2020 | 35% |
| 2024 (estimated) | 38% |
