Why Does a Mastectomy Present a Particularly Difficult Problem in Terms

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

A) The loss of a breast will interfere with adequate lactation for a new baby.
B) The resulting decline in estrogen will impair sexual functioning and pleasure.
C) The loss of a breast may symbolize for a woman the loss of sexuality from a psychological perspective.
D) The medication tamoxifen stops the production of all sex hormones,thus libido and responsiveness are totally lost.

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