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The present study examines whether patient-, partner- and relationship-related characteristics are associated with sexual activity of couples following breast cancer diagnosis in the treatment phase and over time. Methods: Women with breast cancer and their male cohabiting partners participated in a longitudinal study in Denmark.

Results: A total of , and couples were included in the analyses at baseline, 5- and months follow-up, respectively. Higher ratings of emotional closeness, affectionate behavior and satisfaction with dyadic coping were associated with higher odds for sexual activity at baseline and over time in couples who were sexually active at baseline. Conclusion: Sexual counseling during cancer treatment and rehabilitation should include a couple perspective. Relationship-related variables may be a protective factor for remaining sexually active after breast cancer diagnosis.

Interventions could focus on strengthening these factors. For many cancer patients, including women with breast cancer, sexuality is a significant aspect of quality of life Flynn et al. Couples may renegotiate their sexuality, and while some can experience a strengthened sexual relationship, others might less frequently engage in sexual activity or even cease to be sexually active.

The literature on sexual activity following cancer is inconsistent, with some studies reporting decreases in sexual activity following cancer diagnosis Ussher et al. Sexuality within couples is a dyadic issue, and qualitative research among couples dealing with breast cancer has pointed out difficulties in resuming sexual activity for both patients and partners Loaring et al. Previous studies have examined whether breast cancer treatment, emotional distress after breast cancer diagnosis here defined as depressive symptoms and other possible side or late effects of breast cancer treatment are associated with sexual activity among partnered breast cancer survivors.