This is all fascinating stuff! Many years ago (in the Spare Rib days - remember that anyone?!) I was very political about my sexuality, but that has lessened a lot over the years. Both my partner and I look very ‘normal/ordinary/heterosexual’ (delete as you prefer!) and I am in a job that excludes me from being open about my orientation. I think that perhaps this external enforced ‘normality’ has almost switched the campaigning part of my brain off!
When my partner was diagnosed it never crossed either of our minds that she might ask for reconstruction. For her, it’s partly about her perception of being ‘an old lady’(!) - she is twenty years older than me - and for me it’s about not mucking around with the body by subjecting it to unnecessary surgery (I accept, of course, that for some women it feels completely essential).
I have a strong family history of breast cancer and so have also thought about this on my own behalf; I am as sure as I can be without being actually in the situation that I would not seek reconstruction. However, if my twenty-one year old daughter had a mastectomy I would support her fully in going for further surgery. So… is it an age-related thing, perhaps?