The Physical Effects of Gigantomastia On the Mental Health of the Women in Nairobi County, Kenya

Gigantomastia, characterized by excessive breast tissue growth exceeding normal proportions, presents significant physical health challenges for affected women. This qualitative study examined the physical effects of gigantomastia on women's health in Nairobi County, Kenya, through in-depth interviews with 30 participants aged 19-50 years using snowball sampling technique. The study employed a descriptive research design grounded in phenomenological epistemology to explore the lived experiences of women with this rare condition. Data was collected using semi-structured interviews conducted virtually via Zoom platform and analyzed through thematic analysis. The findings revealed six primary physical manifestations: large and heavy breasts causing excessive bodily strain, chronic pain affecting the back, neck and shoulders, challenges in obtaining appropriate clothing and undergarments, difficulties performing physical activities and exercise, postural problems leading to spinal complications, and sleeping difficulties affecting rest and recovery. These physical effects created a cascade of health complications that significantly compromised participants' mobility, daily functioning, and overall quality of life. The study concludes that gigantomastia represents a substantial physical health burden requiring comprehensive healthcare interventions. Key recommendations include establishing specialized clinics, developing clinical guidelines for early detection and management, implementing public awareness campaigns, and including gigantomastia treatment in national health insurance schemes to ensure accessibility and affordability for affected women. Keywords: Gigantomastia, Physical Effects, Women's Health, Nairobi County, Kenya