Sexual & Reproductive Healthcare最新文献

{"title":"Design and validation of a questionnaire for the assessment of sexual health literacy in the Spanish adult population","authors":"Lidia Nazaret Vidal-Solís, Manuel Gomez-Guzman, Maria Isabel Valverde-Merino, Celia Piquer-Martinez, Zoubida Mesbahi, Adriana Gonzalez-Salgado, Blete Isufi, Francisco Javier Ferreira-Alfaya, Victoria Garcia-Cardenas, Maria Jose Zarzuelo","doi":"10.1016/j.srhc.2026.101271","DOIUrl":"10.1016/j.srhc.2026.101271","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"49 ","pages":"Article 101271"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary and bowel perceptions during menstrual cup use among healthy women: Implications for menstrual health counseling and user guidance","authors":"María Ángeles Sirvent-Pinar,&nbsp;Erika Meléndez-Oliva,&nbsp;Arturo García-García,&nbsp;Belén Blázquez Ruano,&nbsp;José Vicente Segura-Heras","doi":"10.1016/j.srhc.2026.101268","DOIUrl":"10.1016/j.srhc.2026.101268","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to investigate self-reported urinary and bowel emptying perceptions during menstrual cup use among healthy women and to explore factors associated with reporting these perceptions.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted among menstrual cup users in Spain. Participants without diagnosed pelvic floor pathology reported urinary and bowel emptying perceptions during and outside menstrual cup use and provided demographic and use-related data. These self-reports were based on perception-derived measures within a non-diagnostic framework. Group comparisons and an exploratory descriptive pattern-recognition analysis based on Multiple Correspondence Analysis (MCA) and Hierarchical Clustering on Principal Components (HCPC) were performed.</div></div><div><h3>Results</h3><div>A total of 1221 women were included. During menstrual cup use, urinary emptying perceptions were reported by 26.0% and bowel emptying perceptions by 14.6%, compared with 9.0% and 6.2%, respectively, when the cup was not in use. Reporting perceptions during cup use was associated with age at initiation (urination: <em>p</em> = 0.005; defecation: <em>p</em> &lt; 0.001), with additional exploratory associations observed for age and duration of use. Associations outside menstrual cup use were weaker.</div></div><div><h3>Conclusion</h3><div>In healthy women without diagnosed pelvic floor conditions, self-reported urinary and bowel emptying perceptions were more frequently reported during menstrual cup use and less frequently reported outside menstrual cup use in this sample. These findings suggest that these perceptions may reflect situational, perception-based experiences rather than underlying dysfunction; however, this interpretation should be made cautiously given the self-reported, non-clinical nature of the data.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"49 ","pages":"Article 101268"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving HIV PrEP uptake by women: A multi-intervention quality improvement project to improve PrEP delivery to women attending a regional specialist sexual health service in England","authors":"David Rook,&nbsp;Kate Folkard,&nbsp;Caroline Sabin,&nbsp;James Woolgar,&nbsp;Elizabeth Anderson,&nbsp;Martyn Wood,&nbsp;John Saunders","doi":"10.1016/j.srhc.2026.101269","DOIUrl":"10.1016/j.srhc.2026.101269","url":null,"abstract":"<div><h3>Objective</h3><div>Despite accounting for 27% of new HIV diagnoses in 2024, few women in England are prescribed pre-exposure prophylaxis (PrEP). The UK government committed to ending new HIV infections in England by 2030, citing PrEP as a key prevention strategy. Data from a specialist sexual health service (SSHS) in north-west England demonstrated unmet PrEP need among women. We designed a multi-intervention quality improvement project (QIP) to address PrEP offer and uptake by women attending our SSHS.</div></div><div><h3>Methods</h3><div>A scoping review of the literature identified interventions that increased PrEP delivery to women. An expert group scored interventions for acceptability, practicability, effectiveness, affordability, side-effects and equity (APEASE criteria). High-scoring interventions were implemented in the SSHS for five months from March to July 2024. Eligible women offered and prescribed PrEP were recorded using GUMCAD STI surveillance system.</div></div><div><h3>Results</h3><div>The number of PrEP offers to women increased from 44 during the pre-intervention period to 221 during the intervention period. Average number of offers per month increased from 8.8 to 44.2. PrEP uptake increased from 37 to 79 prescriptions (average number per month 7.4 to 15.8). This reflected offer and uptake rises of 402% and 114% respectively.</div></div><div><h3>Conclusion</h3><div>PrEP offers and prescriptions to eligible women attending our SSHS increased during this QIP. Despite limited evidence, we demonstrated that targeting multiple aspects of the PrEP care continuum improves offer and uptake of PrEP by women attending SSHS. Improving PrEP delivery to women is complex, requiring better understanding and support from local and national HIV prevention stakeholders.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"49 ","pages":"Article 101269"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The potential benefits of yoga for psychological well-being among people facing infertility","authors":"Taina Sormunen,&nbsp;Maria Wahlström,&nbsp;Marie Tyrrell,&nbsp;Ani Henttonen,&nbsp;Charlotta Eskilson,&nbsp;Karin Gåård,&nbsp;Margareta Westerbotn","doi":"10.1016/j.srhc.2026.101272","DOIUrl":"10.1016/j.srhc.2026.101272","url":null,"abstract":"<div><h3>Introduction</h3><div>Infertility is a global health concern affecting millions of persons, and is associated with psychological strains, including anxiety, stress and depressive symptoms. Women undergoing investigation and Artificial Reproductive Technologies may seek complementary interventions, such as yoga, to support psychological well-being.</div></div><div><h3>Aim</h3><div>The aim of this scoping review was to map and synthesize the existing research on the use of yoga among women undergoing investigation and/or treatment for infertility, and to identify reported outcomes and research gaps.</div></div><div><h3>Method</h3><div>A scoping review was conducted according to JBI methodology and reported in accordance with the PRISMA-ScR checklist. Systematic searches were performed in CINAHL, PubMed and Web of Science for articles published between 2014 and 2025. Studies examining yoga interventions among women with infertility were included and charted.</div></div><div><h3>Results</h3><div>Three studies involving a total of 297 women met the inclusion criteria. The studies were conducted in Canada, Italy and Turkey and applied different yoga interventions, primarily Hatha yoga. The findings of this study are presented under two main categories: Characteristics of study samples and interventions and Impact of yoga on mental health indicators and quality of life. None of the included studies assessed pregnancy or fertility treatment outcomes.</div></div><div><h3>Conclusion</h3><div>Yoga appears to be a promising complementary intervention for reducing psychological distress among women experiencing infertility. However, the limited number of valuable studies and heterogeneity of study designs highlight the need for further research, particularly regarding long-term effects and reproductive outcomes.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"49 ","pages":"Article 101272"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the postpartum recovery after hyperemesis gravidarum: A qualitative study","authors":"Zeinab El-Dirani,&nbsp;Sergio A. Silverio,&nbsp;Eleni Niarchou,&nbsp;Elana Payne,&nbsp;Pauline Dunne,&nbsp;Melanie Nana,&nbsp;Catherine Williamson,&nbsp;Mary F. Higgins,&nbsp;Eileen O'Brien,&nbsp;Joan Devin,&nbsp;Aisling Walsh,&nbsp;Angela C. Flynn","doi":"10.1016/j.srhc.2026.101270","DOIUrl":"10.1016/j.srhc.2026.101270","url":null,"abstract":"<div><h3>Introduction</h3><div>Hyperemesis Gravidarum affects 0.3–3.6% of women during pregnancy and has a significant impact on maternal health. Investigation of both the immediate and longer-term effects remains a high research priority. However, there is limited research on postpartum recovery after hyperemesis gravidarum.</div></div><div><h3>Aim</h3><div>To explore the postpartum recovery experiences of women who had hyperemesis gravidarum.</div></div><div><h3>Methods</h3><div>A large descriptive qualitative study was conducted using semi-structured interviews to explore the postpartum experiences of women who had hyperemesis gravidarum within the previous 5 years in Ireland. Data were analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Forty-one women participated, and four themes were identified: (1) <em>Nutritional and physical recovery of the body</em>, describing challenges to recovery following HG (2); <em>Infant feeding decisions influenced by recovery</em>, highlighting how physical depletion impacted infant feeding choices (3); <em>Recovery overlooked in postpartum care</em>, reflecting limited follow-up and predominantly infant-focused postpartum care and (4); <em>Negotiating social expectations with interpersonal support</em>, showing how social expectations and relationships influenced recovery.</div></div><div><h3>Discussion</h3><div>This study showed that recovery after hyperemesis gravidarum is multifaceted, impacted not only by ongoing physical health consequences but also by participant-identified gaps in postpartum care and by varied interpersonal support.</div></div><div><h3>Conclusion</h3><div>Hyperemesis gravidarum leaves a postpartum legacy. Proactive postpartum follow-up, postpartum guidelines and information resources for women and their families are needed to support recovery after HG.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"49 ","pages":"Article 101270"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Controlling the uncontrollable – paradoxes of birth plans, expectations and reality. A critical frame analysis","authors":"Anna Thomson ,&nbsp;Margareta Persson ,&nbsp;Monica Christianson ,&nbsp;Agneta Westergren","doi":"10.1016/j.srhc.2026.101234","DOIUrl":"10.1016/j.srhc.2026.101234","url":null,"abstract":"<div><h3>Objective</h3><div>Birth plans are commonly promoted to enhance women's autonomy during childbirth, yet evidence of their effectiveness remains inconsistent. The aim of this study was to map and discursively analyse birth plan templates in Swedish public maternity care and online from a gender perspective, focusing on autonomy, decision-making and informed consent.</div></div><div><h3>Methods</h3><div>We collected birth plan templates from 21 healthcare regions and developed an online search strategy to identify web-based templates and instructions for writing a birth plan. In total, we analysed 64 documents using Critical Frame Analysis.</div></div><div><h3>Results</h3><div>Our analysis revealed five frames with six related discursive struggles. Birth plans could improve care and birth experiences, while women's wishes were both encouraged and dismissed. Birthing women had capacity to express their wishes, yet significant expertise was implied. Birthing women had agency and decision-making power, but birth plans provided no guarantees for fulfilling women's wishes. Midwives and maternity care were accommodating and adaptable, yet midwives lacked time for birth plans and birth plans were sometimes framed as unnecessary. Finally, childbirth was portrayed as both possible to plan for and unpredictable and impossible to control.</div></div><div><h3>Conclusion</h3><div>Framings of birth plans navigated between accommodating women's preferences and the need for organisational efficiency. The coexistence of empowering frames and contradictory messages illustrates the ambiguity surrounding birth plans. The wide range and conflicting instructions may increase the gap between birth expectations and birth experiences. Heightened awareness of birth plans and how they relate to birthing women's autonomy is important for Swedish maternity care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"48 ","pages":"Article 101234"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicians' perspectives on managing and treating heavy menstrual bleeding in Australia: A qualitative study","authors":"Jennifer Ramsay ,&nbsp;Louise Wilson ,&nbsp;Tessa Copp ,&nbsp;Joan Carlini ,&nbsp;Jenny Doust","doi":"10.1016/j.srhc.2026.101235","DOIUrl":"10.1016/j.srhc.2026.101235","url":null,"abstract":"<div><h3>Objective</h3><div>Heavy menstrual bleeding (HMB) is a common gynaecological condition, yet management practices remain variable, and women report dissatisfaction with care and treatment decision-making. While previous research has explored women's experiences, less is known about how clinicians approach assessment, treatment decisions and shared decision-making in HMB care. This study explored Australian clinicians' perspectives on managing HMB.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with Australian clinicians, including general practitioners and gynaecologists with experience in managing HMB. Participants were recruited through professional networks and snowball sampling. Interviews took place between March and July 2025 and explored patient assessment, how patients were involved in treatment discussions and the potential role of decision aids. Transcribed audio recordings were analysed thematically using Framework analysis.</div></div><div><h3>Results</h3><div>15 participants (<em>n</em> = 9 general practitioners and <em>n</em> = 6 gynaecologists) were interviewed. Five main themes were identified. Clinicians varied in how they assessed HMB, commonly relying on proxy indicators rather than formal diagnostic tools. Treatment pathways were shaped by time constraints, clinical setting, and system-level factors, including access to specialist care. Views on hysterectomy differed, with most framing it as a last-line option, while some considered it a valid choice for well-informed women. Limited consultation time was frequently described as a barrier to shared decision-making.</div></div><div><h3>Conclusion</h3><div>The findings highlight the need for clearer diagnostic guidance, balanced patient information, and patient decision-support tools that enhance shared decision-making. Supporting patient-centred discussions that balance clinical caution with respect for preferences will be critical to improving the consistency and quality of HMB management.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"48 ","pages":"Article 101235"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing gaps and future directions in cultural competency training for Icelandic midwives","authors":"Edythe L. Mangindin ,&nbsp;Helga Gottfreðsdóttir ,&nbsp;Kathrin Stoll ,&nbsp;Franka Cadee ,&nbsp;Helga Zoega ,&nbsp;Emma M. Swift","doi":"10.1016/j.srhc.2026.101239","DOIUrl":"10.1016/j.srhc.2026.101239","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"48 ","pages":"Article 101239"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childbirth experiences of Arab immigrant and refugee women in Ontario: Exploring communication dynamics in healthcare provision","authors":"Aya Alsefaou ,&nbsp;Elena Neiterman","doi":"10.1016/j.srhc.2026.101238","DOIUrl":"10.1016/j.srhc.2026.101238","url":null,"abstract":"<div><h3>Objective</h3><div>Negative childbirth experiences can be detrimental to maternal and child health. To promote health equity, there is a need to understand how different immigrant populations experience childbirth in their host countries. In Canada, there is a growing population of Arab immigrants, however, there are yet to be any studies exploring the childbirth experiences of Arab immigrant and refugee women in Canada. This study aims to explore the childbirth experiences of Arab immigrant and refugee women in the Ontario (Canada) healthcare system and identify communication needs.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study employed semi-structured interviews with nine Arab immigrant or refugee women who had given birth in Ontario, Canada within the past seven years. Framework analysis was used to analyze the interview data.</div></div><div><h3>Results</h3><div>Five themes were established related to childbirth experiences and communication dynamics. Women interviewed discussed (1) lack of birth preparedness, (2) needing emotional, physical, and language support, (3) uncertainty surrounding the role of maternity care providers, (4) the importance of culturally and religiously sensitive care, and (5) fostering respectful and empowering relationships with Arab women.</div></div><div><h3>Conclusions</h3><div>Childbirth care for Arab immigrant and refugee women may be improved by encouraging maternity care providers to explicitly explain their professional roles and responsibilities. Cultural and religious sensitivity training would further enhance the quality of care provided during childbirth. Offering tools that empower Arab women to seek childbirth-related information and access justice when professional misconduct occurs can improve their experiences of receiving care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"48 ","pages":"Article 101238"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women’s health – lack of knowledge and implementation","authors":"Rikke Damkjær Maimburg","doi":"10.1016/j.srhc.2026.101230","DOIUrl":"10.1016/j.srhc.2026.101230","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"48 ","pages":"Article 101230"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}