IRCT2016061928528N1 IRCT 2016-07-12 Vice chancellor for research, Mazandaran University of Medical Sciences Effect of counseling on body image and sexual satisfaction in women with breast cancer Effect of midwifery based counseling support program on body image and sexual satisfaction of breast 2016-06-21 anticipated 80 Complete https://irct.ir/trial/23127 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: Due to educational and supportive nature of the intervention, there is no blinding. In this intervention first 80 people are included based on inclusion criteria and checklist, then 40 persons are assigned in case and 40 persons in control group according to table of random number. N/A breast cancer. Intervention 1: In the control group patients only will receive care and treatment related to breast cancer and receive no supportive program. For to control group educational benefits, after end of supportive sessions for intervention group and completion questionnaires by both groups, an educational program will be administered for patients in control group. Intervention 2: Holding the supportive program consist of in 6 weekly sessions for 90 minutes in Meetings will be presented through lectures, discussions and homework at home. The first session is include of: 1) Talking about cancer and its effects, treatments and complications, 2) Dealing with stress, 3) Relaxation technique. Second session is include of: 1) Signs of stress and strategies for coping with stress. The third session consisted of: 1) Information about breast, 2) Genital organs, 3) Relation to sex and body image. The fourth session is a bout : 1) Appropriate strategies a bout side effect cancer on sexuality, 2) Changes in appearance, 3) Strategy for effective communication. The fifth session is include of: 1) Sexual interaction, 2) Sexual response, 3) Strategies for being sexually healthy despite of breast cancer. The sixth session is include: strategies for sexual satisfaction in sexual relationship. It should be noted that in all of session we will consider time for host, discussions and assessing homework.