Table 2.

Themes and subthemes identified from the analysis

Themes	Subthemes
(1) Psychological and Emotional Well-Being	• Altered self-esteem and femininity • Impact on sexual life and relationships • Psychological distress associated with mastectomy • Mirror trauma • The need for Psychological Care
(2) Body Image and Breast Reconstruction	• The dilemma over reconstruction decision • Body image and clothing • Lack of access to prosthetic information/services:
(3) Social and Interpersonal Factors	• Lack of marriage choices • Society’s view and stigma
(4) Coping Mechanisms with Mastectomy Effects	• Family support • Faith in God Almighty • Comparing their situation to others • Use of prosthetics
(5) Physical Health and Functioning	• Physical effects on mobility and function