Sexual & Reproductive Healthcare最新文献

{"title":"Reproductive sex ending in failure affects sexual health – A qualitative study of men and women attending a fertility clinic","authors":"Lisa Lindgren ,&nbsp;Stavros I. Iliadis ,&nbsp;Helena Volgsten","doi":"10.1016/j.srhc.2024.100984","DOIUrl":"10.1016/j.srhc.2024.100984","url":null,"abstract":"<div><h3>Objective</h3><p>To explore men’s and women’s experiences regarding their history of sexual health when attending a fertility clinic.</p></div><div><h3>Methods</h3><p>A qualitative study with semi-structured individual interviews was conducted among heterosexual males and females seeking infertility care at a public fertility clinic in Sweden in 2022–2023. The interviews were audio-recorded, transcribed verbatim and analyzed using qualitative content analysis.</p></div><div><h3>Results</h3><p>Eight males and ten females were included. The analysis resulted in an overarching theme: A change from spontaneous to scheduled intercourse affects various aspects of sexual health. In the beginning of the relationship sex had been spontaneous, joyful and satisfying. However, sex was not always unproblematic, and there had been sexual changes. Sex with a reproductive purpose was scheduled according to ovulation, leading to changes in sexual behavior. Increased erectile problems in men and decreased frequency of orgasms in women, and a lack of sexual desire in both, were experienced. Men and women felt pressured to have sex when it became a requirement. Men’s sexual and women’s reproductive failures led to negative emotional reactions, including stress, frustration, disappointment, anxiety and guilt. Sexual and reproductive problems affected the relational well-being, leading to feelings of sharing the burden but also conflicts and sexual avoidance.</p></div><div><h3>Conclusions</h3><p>Experiencing reproductive failures, sexual problems and negative emotional reactions can affect men’s and women’s sexual health. Therefore, an implication for clinical practice among healthcare professionals during evaluation of infertility, is a need to be aware of and ask questions about sexual health after reproductive failures.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"41 ","pages":"Article 100984"},"PeriodicalIF":1.8,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000399/pdfft?md5=0ce76a8fb000768edb852a0f2f8e5adf&pid=1-s2.0-S1877575624000399-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141131034","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":"Existential communication in maternity care – Mixed method evaluation of a postgraduate short course","authors":"Cæcilie Kongsgaard Balle ,&nbsp;Dorte Hvidtjørn ,&nbsp;Maria Louise Birkegård Brintow ,&nbsp;Chunsen Wu ,&nbsp;Christina Prinds","doi":"10.1016/j.srhc.2024.100983","DOIUrl":"10.1016/j.srhc.2024.100983","url":null,"abstract":"<div><h3>Objective</h3><p>The birth of a child is a significant life event, possibly accompanied by thoughts and feelings of existential turmoil, which some parents need to share. Maternity care professionals may be unprepared for this, as very few educational initiatives exist with a focus on existential communication. We evaluated the curriculum and delivery of a course in existential communication for midwives. The evaluation was based on participants’ experiences of self-reported self-efficacy and self-reflection before and after participation.</p></div><div><h3>Methods</h3><p>A parallel mixed methods design with pre- and post-course questionnaires and field observations. Quantitative data were evaluated using Mann-Whitney analyses, and open-ended questions and field observations were thematised for further analysis.</p></div><div><h3>Results</h3><p>Seventy-three maternity care professionals participated in the course. Of these, 69 (95%) completed a pre-course questionnaire, and 71 (97%) a post-course questionnaire. The quantitative data found a significant difference in various participant measures such as increase in self-efficacy in existential communication and understanding of existential communication. Qualitative data from the questionnaires and field observations led to six different themes including topics such as the need for reflection with peers and the presence of existential within maternity care.</p></div><div><h3>Conclusions</h3><p>The course evaluation suggested an increase in participants’ awareness of existential aspects of maternity care and improved self-reflection and existential awareness.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"41 ","pages":"Article 100983"},"PeriodicalIF":1.8,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000387/pdfft?md5=834820a2655e78f08bfb46f60f0f4969&pid=1-s2.0-S1877575624000387-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140524","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":"Thoughts and experiences of well-educated fathers about their role when breastfeeding difficulties arose","authors":"Barbro Ljungberg ,&nbsp;Panagiotis Papachristou ,&nbsp;Sofia Zwedberg","doi":"10.1016/j.srhc.2024.100982","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100982","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate how fathers or partners perceive their roles as new parents when confronted with early breastfeeding challenges, how they navigate these difficulties, and the specific type of support they seek from the Child Health Care Centre (CHCC).</p></div><div><h3>Method</h3><p>In-depth, individual interviews conducted with 12 partners of women for whom breastfeeding was difficult. Reflexive thematic analysis was applied on the interview data.</p></div><div><h3>Results</h3><p>Interviews resulted in three themes: 1) ‘It is a revolutionary time to be a new father’ represented a tumultuous time when fathers wanted to be involved in all decisions and part of a strong team with their partners. 2) ‘When a breastfeeding problem arose’; fathers questioned the sovereignty of breast milk and began to seek more knowledge. They experienced a strong social norm about breastfeeding that led to feelings of guilt for their partners. They felt helpless when their partners suffered and lacked support. 3) ‘Child Health Care Centre’s duty’; was instrumental, as knowledge and competence were found to be important for trust. The fathers wanted concrete solutions to breastfeeding problems and more conversations of support with the CHCC nurse.</p></div><div><h3>Conclusion</h3><p>Well-educated fathers desire to protect their partners as they experience suffering due to a robust social norm telling them that breastfeeding is best. This can result in them starting to question the sovereignty of breast milk. Fathers need support to help their partners successfully during breastfeeding. They want counselling to strengthen their role as parents and help them build trusting teams with their partners.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100982"},"PeriodicalIF":1.8,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000375/pdfft?md5=b476a9e58715d9118db6555ca8c5c218&pid=1-s2.0-S1877575624000375-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090604","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":"Strengthening healthcare delivery in Rwanda: Implementation science training for reproductive health researchers","authors":"Julie M. Buser ,&nbsp;Marie Laetitia Ishimwe Bazakare ,&nbsp;Gerard Kaberuka ,&nbsp;Ella August ,&nbsp;Madeleine Mukeshimana ,&nbsp;Rachel Gray ,&nbsp;Diomede Ntasumbumuyange ,&nbsp;Faelan E. Jacobson-Davies ,&nbsp;Tamrat Endale ,&nbsp;Olive Tengera ,&nbsp;Yolanda R. Smith","doi":"10.1016/j.srhc.2024.100980","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100980","url":null,"abstract":"<div><h3>Background</h3><p>Addressing the gap between research and practice is crucial for enhancing reproductive healthcare outcomes. In Rwanda and other low- and middle-income countries, bolstering health researchers’ implementation science (IS) capacity is essential. We present a pre-post-intervention study assessing the influence of an intensive IS training program on Rwandan reproductive health researchers’ perceived IS knowledge and self-efficacy in applying IS in their own research.</p></div><div><h3>Methods</h3><p>To introduce IS principles, we held a one-day training for a diverse cohort of 25 sexual and reproductive health researchers in Rwanda. The training encompassed modules on IS concepts, methodologies, and practical applications. Pre- and post-training assessments gauged changes in participants’ perceived IS knowledge and self-efficacy in applying IS in their own work.</p></div><div><h3>Results</h3><p>The study revealed a significant improvement in self-efficacy related to performing IS related tasks. Researchers reported heightened confidence in designing and implementing evidence-based interventions. In terms of perceived knowledge, participants retained what they learned at 4 months. The training fostered a collaborative learning environment, encouraging participants to exchange ideas and experiences.</p></div><div><h3>Conclusion</h3><p>Targeted training in IS appears to enhance reproductive health researchers’ capacity to translate research into practice, potentially leading to improved healthcare outcomes in Rwanda. Moving forward, we advocate for the Ministry of Health to establish structures for IS research agenda-setting, particularly for sexual and reproductive health and rights. Ideally, universities, health systems, and research institutions will incorporate IS capacity strengthening into their routine activities. Ongoing training is crucial to reinforce and expand IS knowledge. Our findings are expected to inform future interventions and guide policy development.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100980"},"PeriodicalIF":1.8,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000351/pdfft?md5=303bf37adc825ffad51f5a2e746afa24&pid=1-s2.0-S1877575624000351-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140901250","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":"Model of perinatal care but not prenatal stress exposure is associated with birthweight and gestational age at Birth: The Australian birth in the time of COVID (BITTOC) study","authors":"Mia A. McLean ,&nbsp;Chloé Klimos ,&nbsp;Belinda Lequertier ,&nbsp;Hazel Keedle ,&nbsp;Guillaume Elgbeili ,&nbsp;Sue Kildea ,&nbsp;Suzanne King ,&nbsp;Hannah G. Dahlen","doi":"10.1016/j.srhc.2024.100981","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100981","url":null,"abstract":"<div><h3>Objective</h3><p>The present study aimed to understand, relative to standard care, whether continuity of care models (private midwifery, continuity of care with a private doctor, continuity of care with a public midwife), and women’s experience of maternity care provision, during the perinatal period buffered the association between prenatal maternal stress (PNMS) and infant birth outcomes (gestational age [GA], birth weight [BW] and birth weight for gestational age [BW for GA]).</p></div><div><h3>Methods</h3><p>2207 women who were pregnant in Australia while COVID-19 restrictions were in place reported on their COVID-19 related objective hardship and subjective distress during pregnancy and provided information on their model of maternity care. Infant birth outcomes (BW, GA) were reported on at 2-months postpartum.</p></div><div><h3>Results</h3><p>Multiple linear regressions showed no relationship between PNMS and infant BW, GA or BW for GA, and neither experienced continuity of care, nor model of maternity care moderated this relationship. However, compared with all other models of care, women enrolled in private midwifery care reported the highest levels of experienced continuity of care and birthed infants at higher GA. BW and BW for GA were higher in private midwifery care, relative to standard care.</p></div><div><h3>Conclusion</h3><p>Enrollment in continuous models of perinatal care may be a better predictor of infant birth outcomes than degree of PNMS exposure. These results highlight the possibility that increased, continuous support to women during pregnancy may play an important role in ensuring positive infant birth outcomes during future pandemics.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100981"},"PeriodicalIF":1.8,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913863","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":"Testing the feasibility of a translated and culturally adapted person-centred training programme in maternal and newborn healthcare in Democratic Republic of Congo: A process evaluation","authors":"Ewa Carlsson Lalloo ,&nbsp;Frida Temple ,&nbsp;Marie Berg ,&nbsp;Urban Berg ,&nbsp;Alumeti Munyali Désiré ,&nbsp;Aline Mulunda ,&nbsp;Malin Bogren","doi":"10.1016/j.srhc.2024.100979","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100979","url":null,"abstract":"<div><h3>Objective</h3><p>Ensuring quality of maternal and newborn healthcare is challenging in the Democratic Republic of Congo (DRC) as the maternal and newborn mortality and morbidity rate is high. Essential for quality care is a person-centred approach. One model of person-centred care (PCC) has been developed at Gothenburg University. To support its implementation a training programme, “Mutual Meetings”, has been developed. This study aims to test the feasibility of a translated and culturally adapted version of this PCC training programme for healthcare providers in the maternal and newborn healthcare context of DRC.</p></div><div><h3>Methods</h3><p>The PCC programme was translated into French and tested in a workshop with 31 maternal and newborn healthcare providers in eastern DRC. The feasibility of the programme was evaluated through focus group interviews and individual interviews. The interview transcripts were analysed deductively using key components in a process evaluation framework including fidelity, dose, reach, adaptation, acceptability, and application.</p></div><div><h3>Results</h3><p>The French PCC programme exceeded the participants’ expectations and was found being applicable in both teaching and clinical setting with some suggested contextual modifications. Its pedagogic structure including a participatory reflective approach, was perceived innovative and inspirational, mediated a sense of comfort, and enabled the participants to use a person-centred approach towards each other.</p></div><div><h3>Conclusion</h3><p>The results show that the French on-site version of the PCC training programme was valid in terms of feasibility and how it was received by the participants. The study demonstrates the importance of contextual adaptation of complex interventions in new settings.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100979"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187757562400034X/pdfft?md5=190c5fa760dec9ccc59acc71e8047831&pid=1-s2.0-S187757562400034X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140947572","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":"Episiotomy and the medicalization make childbirth worse for women","authors":"Ingela Wiklund","doi":"10.1016/j.srhc.2024.100977","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100977","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100977"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906097","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":"Maternity care for women from ethnic minority backgrounds in North-West England: A grounded theory study","authors":"Sarah J Farrell ,&nbsp;Tracey A. Mills ,&nbsp;Tina Lavender","doi":"10.1016/j.srhc.2024.100978","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100978","url":null,"abstract":"<div><h3>Aim</h3><p>To understand the maternity experiences of women from minority ethnic groups who had given birth in an NHS trust in the North-West of England, and experiences of midwives caring for them.</p></div><div><h3>Background</h3><p>Women from minority ethnic groups have poorer maternity outcomes compared with other women. Research about maternity experiences of women from minority ethnic groups is limited but suggests that they have poorer experiences.</p></div><div><h3>Method</h3><p>Constructivist grounded theory was used as the framework for the study. Thirteen women and sixteen midwives were interviewed to elicit views and maternity experiences of women from minority ethnic groups. Interviews were transcribed, analysed, and focused codes developed into theoretical codes resulting in an emergent grounded theory.</p></div><div><h3>Findings</h3><p>Four sub-categories emerged: ‘I was feeling protected’, ‘it is just literally empowering them, ‘it will affect them more’, and ‘if people speak out it will help other people’. These sub-categories generated a substantive theory: ‘striving towards equity and women centred care’.</p></div><div><h3>Discussion</h3><p>Culturally sensitive, relational care made women feel safe and trust their care providers. Information provision led to reassurance and enabled women to make choices about their care. Midwives’ workload compromised care provision and disproportionally affected women from minority ethnic groups, especially those who do not speak English. Women from minority groups are less likely to complain and be represented in feedback.</p></div><div><h3>Conclusion</h3><p>Culturally sensitive care is meeting the individual needs of many women; however, non– English speakers are disproportionally and negatively affected by midwives’ workload, attitudes, or service challenges, reducing their reassurance and choice.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100978"},"PeriodicalIF":1.8,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822837","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":"“Navigating in a maze without a map“. Partners’ experiences of hyperemesis gravidarum- a qualitative study","authors":"Louise Lindgren ,&nbsp;Sophia Holmlund ,&nbsp;Johanna Dunge ,&nbsp;Malin L. Nording ,&nbsp;Marie-Therese Vinnars ,&nbsp;Maria Lindqvist","doi":"10.1016/j.srhc.2024.100976","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100976","url":null,"abstract":"<div><h3>Objective</h3><p>A supportive environment for women with Hyperemesis Gravidarum is crucial but not always provided. There is a lack of research regarding Hyperemesis Gravidarum, its impact on the family, and the partner's perception of supporting their spouse. Thus, this study aims to explore partners’ experiences of Hyperemesis Gravidarum during their spousés pregnancy.</p></div><div><h3>Methods</h3><p>Data were gathered through 13 individual, semi-structured, in-depth, digital interviews with partners of women who had experienced Hyperemesis Gravidarum and analysed with Qualitative Content Analysis. The partners were recruited through advertisement on a social media platform and were exclusively males, representing 8 of 21 Swedish regions. The mean age was 34, and they had, on average, 1 previous child. The mean time from the experience to the interview was 12 months.</p></div><div><h3>Findings</h3><p>The main theme, “Navigating in a maze without a map”, explains partners’ situation as stressful and demanding when their spouse suffers from Hyperemesis Gravidarum, with insufficient support and guidance from healthcare providers. The analysis resulted in three themes: “Standing alone with a demanding responsibility”, “Being in a lottery when facing healthcare”, and “Climbing the mountain together.” The themes display challenges within everyday life and healthcare, as well as strained relations within the family.</p></div><div><h3>Conclusion</h3><p>Partners experience a need to support their spouse in every aspect of daily life and advocate for adequate healthcare. Healthcare professionals must support and acknowledge the partners' struggles during the demanding situation with Hyperemesis Gravidarum.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100976"},"PeriodicalIF":1.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000314/pdfft?md5=061268163062810a3e10113dd949da46&pid=1-s2.0-S1877575624000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818435","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":"Perceived associations between the menstrual cycle and Attention Deficit Hyperactivity Disorder (ADHD): A qualitative interview study exploring lived experiences","authors":"Isabel Bürger,&nbsp;Kerstin Erlandsson,&nbsp;Catrin Borneskog","doi":"10.1016/j.srhc.2024.100975","DOIUrl":"10.1016/j.srhc.2024.100975","url":null,"abstract":"<div><h3>Background</h3><p>The research gap regarding Attention Deficit Hyperactivity Disorder (ADHD) in people who were assigned female at birth has led to a lack of knowledge and adequate approaches in clinical practice, as well as diagnosis processes. Recent studies report potential associations between reproductive hormones and ADHD, but existing research remains scarce.</p></div><div><h3>Aim</h3><p>This study aims to explore the experiences of people who perceive an association between their menstrual cycle and their ADHD symptoms.</p></div><div><h3>Methodology</h3><p>Design and Method.</p><p>A qualitative research design with an inductive approach was used. Ten participants were interviewed, using semi-structured, in-depth interviews. The data was transcribed, coded, and analyzed using reflexive thematic analysis according to Braun and Clarke.</p></div><div><h3>Results</h3><p>Findings show participant’s perceived associations between their ADHD and their menstrual cycle: participants reported experiencing ADHD symptom mor severe during the mid-luteal phase of the menstrual cycle. Other results showed uncertainty around ADHD medication in relation to the cycle and varied experiences with health care encounters as well as heightened challenged around menstrual health management.</p></div><div><h3>Conclusions</h3><p>This study provides insights to how perceived associations between ADHD and the menstrual cycle might be experienced. This report highlights the need for further research and theory about the potential associations between ADHD and reproductive hormones. The researchers strongly suggested that forthcoming ADHD studies consider times of key hormonal changes, such as puberty and menarche, menopause, hormonal birth control, pregnancy, hormone treatment, and more.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"40 ","pages":"Article 100975"},"PeriodicalIF":1.8,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000302/pdfft?md5=b739108227e9adf80bcdddf415c1db63&pid=1-s2.0-S1877575624000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789611","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}