My heart goes out to you anxious. In my opinion, once over the age of consent, having a great sex life is important whatever your age if it’s what you enjoy, or wish you could enjoy, and still desire. And it’s hardly surprising you’re having some difficulties with what you’ve been through. A combination of physical discomfort, plus having to deal with the mental anguish of that kind of surgery is hard to come to terms with. You didn’t mention if you had chemotherapy? Like you, I had bi lateral mastectomy then chemo. It can affect different people in different ways, which is why not all side effects are mentioned by nurses/literature and I found a lot of my bodily fluids dried up and took a year, or two, to return (even ear wax!). Nearly lost toe nails. So on. Did I feel attractive? Not much. Did I feel much desire. Nope. And are you likely to be tense? I should think so. Even if you didn’t have that treatment, surgery and other treatments are exhausting and not conducive to feeling ‘in the mood’. I really hope the therapy helps you to relax, remember just how beautiful you are, and in the meantime don’t forget there are other ways to enjoy closeness. Doesn’t have to be painful. If you get my meaning. I also hope you have a very loving understanding partner. 