Women's health (London, England)最新文献

{"title":"Dysorgasmia in women: Case report and preliminary assessment guide.","authors":"Simon Gabriël Beerten, Kristien Coteur","doi":"10.1177/17455057241267100","DOIUrl":"10.1177/17455057241267100","url":null,"abstract":"<p><p>Dysorgasmia in women is an infrequent reason for consulting a clinician. In this article, the authors describe the case of a woman with right-sided pelvic pain immediately after orgasm. Dysorgasmia is likely to negatively impact sexual health but is rarely discussed in medical literature. Furthermore, assessment and treatment guidelines for clinicians are currently lacking. Therefore, the authors conducted a literature review and created a preliminary assessment guide, considering both medical and gray literature. A brief flowchart was developed which can facilitate the assessment of dysorgasmia in women for clinicians and improve the quality of care for patients. Further research on the etiology and pathophysiology of dysorgasmia in women is warranted, as is a more proactive attitude of clinicians to discuss sexual health. More guidance on diagnosis and treatment is needed.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241267100"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast care considerations for transgender and gender-diverse patients.","authors":"Evelyn F Carroll, Christine Rogers, Margaret Summerside, Chandler S Cortina","doi":"10.1177/17455057241289706","DOIUrl":"10.1177/17455057241289706","url":null,"abstract":"<p><p>Transgender and gender-diverse (TGD) persons represent a small but growing population in the United States. Accessing inclusive, equitable, and evidence-based healthcare remains a challenge for this patient population. Many TGD persons seek gender-affirming care, including gender-affirming hormonal therapy (GAHT) and gender-affirming surgery (GAS), to help ameliorate the physical and mental aspects of their gender incongruence. Both GAHT and GAS induce clinically important histopathologic and anatomic changes in breast tissue. Consequently, breast care in TGD persons has become an increasingly recognized topic of importance in gender-affirming care. However, there remains a scarce but growing base of literature specifically addressing the unique healthcare needs of breast care in TGD patients. This article will review how to establish trusting patient-provider relationships for TGD patients, gender inclusivity in breast clinics and imaging centers, the influence of GAHT and GAS on breast tissue, breast cancer screening recommendations and barriers, and breast cancer risk and treatment considerations in TGD persons.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241289706"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No one listens to us, we know this, so we participated: Qualitative evidence from menstruation research during the COVID-19 pandemic.","authors":"Eleanor J Junkins, Samar Chehab, Katharine Mn Lee, Kathryn Bh Clancy","doi":"10.1177/17455057241285189","DOIUrl":"10.1177/17455057241285189","url":null,"abstract":"<p><strong>Background: </strong>We created a survey to assess menstrual side effects after COVID-19 vaccination when we noticed news stories that denied or discounted the experiences of tens of thousands of menstruating and formerly menstruating people who reported experiencing bleeding changes. This survey had an unprecedented response hundreds of times higher than we had anticipated (<i>n</i> = 101,824).</p><p><strong>Objectives: </strong>We investigated what motivated our sample to participate without remuneration to understand both general motivations for survey participation as well as why this survey captured the interest of so many.</p><p><strong>Design: </strong>We used open-ended responses from our online, mixed-method survey collected from April to October 2021.</p><p><strong>Methods: </strong>Using computer-assisted qualitative data analysis tools in R, we conducted a thematic analysis on open-ended responses. We used topic modeling to cluster the data, synthesize responses across 22,737 participants, and inform the themes summarizing the responses to \"What is your interest in this project?\" We compared and contrasted responses across groups (racial identity, ethnicity, gender) to examine whether the themes were representative across the demographic groups in our study.</p><p><strong>Results: </strong>The themes that characterized participants' interest in participating were vaccine effects and women's/people's health, personal experience related to the vaccine, and a love for science and data. We compared responses among demographic subgroups to avoid an overfocus on majority group responses and found the themes were reflected across each group. Lastly, we found our themes reflected multiple types of altruism.</p><p><strong>Conclusion: </strong>These results were important in showing how emergent research that focuses on the concerns of potential participants can encourage high response rates from both marginalized and majority communities. Inclusive practices and familiarity with the research team built credibility that engendered trust with the public.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241285189"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of aerobic exercise on cardiometabolic health in postmenopausal females: A systematic review and meta-analysis of randomized controlled trials.","authors":"Eric Huynh, Elise Wiley, Kenneth S Noguchi, Hanna Fang, Marla K Beauchamp, Maureen J MacDonald, Ada Tang","doi":"10.1177/17455057241290889","DOIUrl":"10.1177/17455057241290889","url":null,"abstract":"<p><strong>Background: </strong>After menopause, reductions in ovarian hormones increase the risk of cardiovascular disease. Aerobic exercise training has been shown to reduce cardiovascular risk in older adults, but its effectiveness in postmenopausal females is less definitive.</p><p><strong>Objectives: </strong>The objectives of this study were to examine the: (1) effects of aerobic training, and (2) association between aerobic training intensity and cardiometabolic health outcomes in postmenopausal females.</p><p><strong>Design: </strong>Systematic review and meta-analysis of randomized controlled trials.</p><p><strong>Data sources and methods: </strong>Six electronic databases were searched from inception to July 21, 2023 for aerobic training interventions reporting cardiometabolic outcomes in postmenopausal females. Data were synthesized qualitatively and random-effects meta-analyses and subgroup analyses (light, moderate, and vigorous intensity) were performed. Grading of Recommendations, Assessment, Development and Evaluation was used to assess the certainty of evidence.</p><p><strong>Results: </strong>Fifty-nine studies (<i>n</i> = 4,225; 45-78 years old) were identified, 53 (<i>n</i> = 3,821) were included in the quantitative analyses. Aerobic training interventions varied in frequency (3-21×/week), intensity, type, time (8-60 min/session), and duration (3-52 weeks). Aerobic training improved systolic blood pressure (mean difference (MD) = -4.41 mmHg, 95% confidence interval (95%CI) [-7.29, -1.52], <i>p</i> = 0.01), resting heart rate (MD = -3.08 bpm, 95%CI [-5.11, -1.05], <i>p</i> < 0.01), body mass index (BMI, MD = -0.65 kg/m², 95%CI [-0.99, -0.31], <i>p</i> < 0.01), waist circumference (MD = -2.03 cm, 95%CI [-2.65, -1.41], <i>p</i> < 0.01), body fat (MD = -2.57 kg, 95%CI [-3.65, -1.49], <i>p</i> < 0.01), low-density lipoprotein cholesterol (MD = -10.46 mg/dL, 95%CI [-16.31, -4.61], <i>p</i> < 0.01), high-density lipoprotein cholesterol (MD = 3.28 mg/dL, 95%CI [0.20, 6.36], <i>p</i> = 0.04) and cardiorespiratory fitness (standardized MD = 1.38, 95%CI [1.13, 1.64], <i>p</i> < 0.01). There was a very low certainty of evidence for all outcomes. In subgroup analyses, light- and vigorous intensities were beneficial for BMI with no effect for moderate-intensity exercise (<i>p</i> < 0.01). Light intensity showed a beneficial effect (<i>p</i> = 0.02) for glucose levels (<i>p</i> < 0.01) and triglycerides; there was no effect with moderate or vigorous intensities.</p><p><strong>Conclusion: </strong>Aerobic training may improve cardiometabolic health outcomes in postmenopausal females. There may be differential effects of exercise intensity on BMI, blood triglycerides, and blood glucose; however, this warrants further investigation.</p><p><strong>Registration: </strong>PROSPERO-CRD42022313350.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241290889"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pubic hair removal practices among women: Findings from a U.S. nationally representative survey.","authors":"Hannah Javidi, Margaret L Walsh-Buhi, Rebecca F Houghton, Debby Herbenick, Eric R Walsh-Buhi","doi":"10.1177/17455057241296982","DOIUrl":"10.1177/17455057241296982","url":null,"abstract":"<p><strong>Background: </strong>Pubic hair removal (PHR) is common among women in the United States, and understanding current practices is important for public health efforts. The most recent national study focusing on U.S. women's PHR habits and their correlates was conducted over a decade ago.</p><p><strong>Objectives: </strong>The current study aims to provide an updated understanding of PHR practices among U.S. women, examining prevalence, methods, frequency, and motivations. We also examine characteristics of women who choose to remove their pubic hair.</p><p><strong>Design: </strong>A cross-sectional, nationally representative survey administered in Spring 2023 via Ipsos KnowledgePanel.</p><p><strong>Methods: </strong>Women (<i>N</i> = 522, ages 18-85 years) responded to items inquiring about their demographic characteristics, sexual behaviors, and social media use, as well as methods, prevalence, and motivations associated with PHR. We examine various demographic and behavioral correlates of lifetime and recent PHR among women.</p><p><strong>Results: </strong>Findings reveal that the majority of U.S. women have removed their pubic hair at some point in their lifetime, and almost half have done so within the past month. Frequency and preferred styles of PHR varied among women, indicating a wide range of individual preferences. Among top motivating factors for PHR were perceived cleanliness, comfort, and wanting to look good in a bikini. Race, age, and history of sexual activity were all statistically significant predictors of lifetime and recent PHR.</p><p><strong>Conclusions: </strong>Findings from the current study may assist skincare professionals in better addressing patient/client PHR needs and concerns while promoting health. Studies should continue examining trends in PHR over time, its relation to societal perceptions of beauty, and its implications for health and well-being.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241296982"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing client engagement and alleviating period product insecurity: A cross-sectional study of community-based period supply banks' distribution of free period products through intermediary partner agencies in the United States.","authors":"Kelley Ec Massengale, Lynn H Comer, Kelsey M Bowman, Susan Van Ness","doi":"10.1177/17455057241259731","DOIUrl":"10.1177/17455057241259731","url":null,"abstract":"<p><strong>Background: </strong>Period products like pads, tampons, and a variety of disposable and reusable hygiene supplies constitute just one facet essential for effectively managing menstruation in a way that allows an individual to feel comfortable carrying out their daily routine. Given the absence of comprehensive public policies ensuring access to period products for economically disadvantaged menstruating individuals, community-based basic needs banks, particularly period supply banks, were established to alleviate the challenges faced by those experiencing period product insecurity. These initiatives specifically aim to furnish essential menstrual products to individuals in need.</p><p><strong>Objectives: </strong>This study aimed to assess any organizational benefits experienced by community-based organizations distributing period products on behalf of period supply banks.</p><p><strong>Design: </strong>This cross-sectional study is a formative evaluation of the distribution of free period products by period supply banks, which provide access to essential menstrual hygiene products for individuals in need through partnership with community-based partner agencies.</p><p><strong>Methods: </strong>Staff members at agencies distributing period products were invited to complete an anonymous web-based survey at two different time points about their agency's experiences distributing free period products. All participants provided informed consent via the web-based survey.</p><p><strong>Results: </strong>Agency staff reported that since they started providing period products, clients were more likely to: start a conversation about other needs (66.7%), extend the length of their relationship with the agency (60.0%), keep scheduled appointments (62.1%), ask for assistance with another need (75.0%), communicate between visits (42.4%), participate in other agency programming (55.9%), and seek other agency services (73.5%). Due to a shortage of period products, 41% of agencies have had to turn away clients needing period supplies.</p><p><strong>Conclusion: </strong>Period supply banks, in collaboration with community-based partner agencies, enhance access to both menstrual products and the associated support, fostering engagement with diverse resources and opportunities among recipients. However, addressing unmet needs necessitates policies and additional funding to ensure universal access to essential hygiene supplies for everyone to thrive and actively participate in society.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241259731"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive models for lymph node metastasis in endometrial cancer: A systematic review and bibliometric analysis.","authors":"He Li, Junzhu Wang, Guo Zhang, Liwei Li, Zhihui Shen, Zhuoyu Zhai, Zhiqi Wang, Jianliu Wang","doi":"10.1177/17455057241248398","DOIUrl":"10.1177/17455057241248398","url":null,"abstract":"<p><strong>Background: </strong>Lymph node metastasis is associated with a poorer prognosis in endometrial cancer.</p><p><strong>Objective: </strong>The objective was to synthesize and critically appraise existing predictive models for lymph node metastasis risk stratification in endometrial cancer.</p><p><strong>Design: </strong>This study is a systematic review.</p><p><strong>Data sources and methods: </strong>We searched the Web of Science for articles reporting models predicting lymph node metastasis in endometrial cancer, with a systematic review and bibliometric analysis conducted based upon which. Risk of bias was assessed by the Prediction model Risk Of BiAS assessment Tool (PROBAST).</p><p><strong>Results: </strong>A total of 64 articles were included in the systematic review, published between 2010 and 2023. The most common articles were \"development only.\" Traditional clinicopathological parameters remained the mainstream in models, for example, serum tumor marker, myometrial invasion and tumor grade. Also, models based upon gene-signatures, radiomics and digital histopathological images exhibited an acceptable self-reported performance. The most frequently validated models were the Mayo criteria, which reached a negative predictive value of 97.1%-98.2%. Substantial variability and inconsistency were observed through PROBAST, indicating significant between-study heterogeneity. A further bibliometric analysis revealed a relatively weak link between authors and organizations on models predicting lymph node metastasis in endometrial cancer.</p><p><strong>Conclusion: </strong>A number of predictive models for lymph node metastasis in endometrial cancer have been developed. Although some exhibited promising performance as they demonstrated adequate to good discrimination, few models can currently be recommended for clinical practice due to lack of independent validation, high risk of bias and low consistency in measured predictors. Collaborations between authors, organizations and countries were weak. Model updating, external validation and collaborative research are urgently needed.</p><p><strong>Registration: </strong>None.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241248398"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11085025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of transcutaneous electrical nerve stimulation for menstrual pain relief: A randomized control trial.","authors":"Bailey McLagan, Joshua Dexheimer, Nicole Strock, Shayna Goldstein, Stephanie Guzman, David Erceg, E Todd Schroeder","doi":"10.1177/17455057241266455","DOIUrl":"10.1177/17455057241266455","url":null,"abstract":"<p><strong>Background: </strong>Abdominal pain due to menses (primary dysmenorrhea) is an extremely pervasive and debilitating symptom affecting up to 90% of menstruating individuals.</p><p><strong>Objective: </strong>The objective of this randomized control trial was to investigate the effect of a commercial transcutaneous electrical nerve stimulation unit, Therabody PowerDot^® (Therabody Inc., Los Angeles) on dysmenorrhea compared with non-steroidal anti-inflammatory drug use.</p><p><strong>Design: </strong>This was a randomized cross-over study.</p><p><strong>Methods: </strong>A total of 47 participants agreed to participate in the study, with 34 completing it. Participants completed treatments across three consecutive menstrual cycles in randomized order: single-unit transcutaneous electrical nerve stimulation (Uno), dual unit transcutaneous electrical nerve stimulation (Duo), and non-steroidal anti-inflammatory drug use (Control). Upon onset of dysmenorrhea, participants applied transcutaneous electrical nerve stimulation to their abdomen for a minimum of 30 min. Control participants were instructed to take non-steroidal anti-inflammatory drugs as needed. Surveys were used to record pain before and after treatment. We hypothesized that the PowerDot would decrease self-reported pain scores, and decrease non-steroidal anti-inflammatory drug consumption during menses.</p><p><strong>Results: </strong>Participants experienced a statistically and clinically significant reduction in pain during the Control (-3.52 ± 1.9), Uno (-2.10 ± 1.6), and Duo (-2.19 ± 1.7) cycles (<i>p</i> < 0.001). The doses of non-steroidal anti-inflammatory drugs consumed during the Control cycle (3.5 ± 2.6), was significantly different as compared with that of Uno (1.5 ± 3.0), or Duo (1.1 ± 2.6) (<i>p</i> = 0.004).</p><p><strong>Conclusions: </strong>Use of a commercial transcutaneous electrical nerve stimulation unit results in significant decrease in pain. Although not as robust as the relief in pain induced by non-steroidal anti-inflammatory drugs, the adverse events of transcutaneous electrical nerve stimulation are minimal in comparison. Therefore, transcutaneous electrical nerve stimulation appears to be a viable alternative to pain relief from dysmenorrhea.</p><p><strong>Clinical trial registration: </strong>NCT05178589.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241266455"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Danazol's use for menstrual suppression in transgender individuals: A retrospective multi-site cohort study.","authors":"Ava Scatoni, Zaine Roberts, Elizabeth R Boskey, Steven Staffa, Rosemary Claire Roden, Emile Redwood, Frances Grimstad","doi":"10.1177/17455057241265081","DOIUrl":"10.1177/17455057241265081","url":null,"abstract":"<p><strong>Background: </strong>Danazol is a synthetic progestin with androgenic effects that is approved by the Food and Drug Administration for treatment of endometriosis, benign fibrocystic breast disease, and hereditary angioedema. In recent years, increasing numbers of transgender and nonbinary individuals seeking menstrual suppression have been offered danazol due to its potential to both induce amenorrhea and cause reversible androgenic side effects including pigmentation of vellus hairs and voice changes, which may be desirable in this population. There are currently no studies assessing use of danazol within the transgender population for menstrual suppression.</p><p><strong>Objective: </strong>This study's primary aim was to evaluate the use of danazol as a menstrual suppression agent in transgender patients.</p><p><strong>Design: </strong>This was a retrospective multisite cohort study of all individuals who had been on danazol at two tertiary care centers between 2000 and 2022.</p><p><strong>Methods: </strong>All patients prescribed danazol were identified using a search of the electronic medical records. For demographic purposes, comparisons were made between those who did and did not use danazol for the purpose of menstrual suppression. A detailed chart review was then performed to analyze the experiences of menstrual suppression in transgender and nonbinary patients.</p><p><strong>Results: </strong>Most transgender and nonbinary patients on danazol for menstrual suppression remained on it at their most recent follow-up visit, and many charts noted improvements in gender dysphoria, pelvic pain, dysmenorrhea, endometriosis, and heavy menstrual bleeding. Most transgender patients achieved amenorrhea.</p><p><strong>Conclusion: </strong>Danazol may be a reasonable option for menstrual suppression in transgender and nonbinary patients. Our findings show its potential to not only induce amenorrhea but cause desired androgenic symptoms and improve gender dysphoria, pelvic pain, dysmenorrhea, endometriosis, and heavy bleeding. While the androgenic effects of danazol are less desirable in cisgender populations, it is an attractive option for menstrual suppression in transgender and nonbinary patients.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241265081"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11273706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women living with infertility in Iran: A qualitative content analysis of perception of dignity.","authors":"Fateme Mohammadi, Sorur Javanmardifard, Mostafa Bijani","doi":"10.1177/17455057241260027","DOIUrl":"10.1177/17455057241260027","url":null,"abstract":"<p><strong>Background: </strong>Globally, infertility is known as a major problem which can ruin a couple's relationship. In recent years, many studies have addressed the causes of infertility, the outcomes of treatments for infertility, and the effects of infertility on couples' mental health; however, the concept of dignity of women living with infertility has never been examined in depth.</p><p><strong>Objective: </strong>This study aimed to explore the dignity of women living with infertility in Iran.</p><p><strong>Design: </strong>This qualitative research was conducted via conventional content analysis approach.</p><p><strong>Methods: </strong>This qualitative study was conducted in Iran from February to December 2022. In this research, the data were collected through face-to-face semi-structured in-depth interviews with 23 women living with infertility selected via purposive sampling. The interviews were continued until reaching the data saturation point. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribed, and analyzed through Graneheim and Lundman style content analysis, with data management done using the MAXQDA software. To achieve the accuracy and validity of the study, the four-dimension criteria by Lincoln and Guba, namely credibility, dependability, conformability, and transformability, were considered and used.</p><p><strong>Results: </strong>Analysis of the qualitative data yielded three themes and eight subthemes. The three main themes were (1) overcoming identity crises (overcoming dysthymia, coping with unaccomplished motherhood), (2) respect for personal identity (respect for confidentiality; respect for beliefs, values, and attitudes; avoidance of stigma and pity), and (3) compassion-focused therapy (sympathizing, mental and spiritual support, and enhancement of life skills).</p><p><strong>Conclusion: </strong>Dignity of women living with infertility encompasses overcoming identity crises, respect for personal identity, and compassion therapy. The policymakers and administrators in the healthcare system can use the findings of this study to create a proper clinical environment toward preserving the dignity of women living with infertility.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241260027"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11155321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}