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For many women at high genetic risk of breast cancer, fear of
developing the disease may lead to chronic anxiety and worry. A study
by Hatcher et al (p 76) of 154 women offered bilateral prophylactic
mastectomy found that women choosing surgery had reduced anxiety after
surgery. Women who declined surgery had no such reduction in
psychological symptoms. Surgery did not seem to affect body image or
sexual functioning. This first prospective psychosexual study of
bilateral prophylactic mastectomy found that the procedure may provide
psychological benefits.