Why does a mastectomy present a particularly difficult problem in terms of female sexual readjustment?

Question

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The loss of a breast may symbolize for a woman the loss of sexuality from a psychological perspective. Mastectomy can have a significant impact on a woman's body image and self-esteem, which can affect her sexual confidence and desire. The breast is often associated with femininity and sexuality, and losing a breast can feel like a loss of attractiveness and desirability. Therefore, readjusting to one's body image and sexuality may be especially difficult after a mastectomy.

Why Does a Mastectomy Present a Particularly Difficult Problem in Terms