BMC Women's Health最新文献

{"title":"Female sexual dysfunction is independently associated with depressive symptom burden in premenopausal pelvic floor clinic patients: a cross-sectional analysis.","authors":"Mengxiong Li, Yun Liu, Dan Mo, Juanhua Li, Juan He, Tian Li","doi":"10.1186/s12905-026-04890-5","DOIUrl":"10.1186/s12905-026-04890-5","url":null,"abstract":"<p><strong>Background: </strong>Female sexual dysfunction (FSD) is common among women attending pelvic floor clinics, yet its independent association with depressive symptom burden has not been systematically examined within a multidomain pelvic floor cohort.</p><p><strong>Aim: </strong>To determine whether FSD is independently associated with Self-Rating Depression Scale (SDS) scores in premenopausal women undergoing structured pelvic floor evaluation, and whether cumulative pelvic floor phenotype load (urinary, pain, and FSD domains) relates to SDS in an overall positive ordinal pattern.</p><p><strong>Methods: </strong>Retrospective cross-sectional study of 876 premenopausal women at one pelvic floor center (2020); multivariable regression used a complete-case sample of 764 women with all covariates. FSD was defined by FSFI total ≤ 26.55; domains included POP-Q stage ≥ I prolapse, urinary SUI/OAB, pelvic pain (chronic pain or VAS ≥ 1), and FSD. Primary phenotype burden counted three non-prolapse domains (urinary, pelvic pain, FSD; range 0-3); sensitivity analyses used four-domain scores including prolapse. HC3-robust linear regression evaluated FSD in clinical and extended (PFDI-20 and I-QOL) models.</p><p><strong>Outcomes: </strong>SDS (continuous); phenotype burden gradient; adjusted regression coefficients.</p><p><strong>Results: </strong>FSD was present in 530 women (60.5%). Mean SDS was higher with than without FSD (33.04 ± 8.36 vs. 30.15 ± 7.96; P < 0.001). Mean SDS increased across higher three-domain burden strata (0 domains: 29.0, n = 164; 1: 32.4, n = 353; 2: 32.1, n = 267; 3: 34.5, n = 92; Spearman r = 0.158, P < 0.001), with similar means in the one- and two-domain groups. In the clinical model (n = 764; R² = 0.115), FSD had the largest coefficient (β = 3.14; 95% CI 1.97-4.31), with smaller independent effects for urinary phenotype and defecation dysfunction; lactation was inversely associated (β = -4.02; 95% CI - 5.40 to - 2.64). In the extended model (R² = 0.164), FSD remained significant (β = 2.52; 95% CI 1.36-3.67) while urinary effects attenuated; PFDI-20 and I-QOL were independently associated with SDS.</p><p><strong>Clinical implications: </strong>FSD showed the largest adjusted association with depressive symptoms among evaluated phenotypes in this cross-sectional cohort. These findings support considering sexual function assessment alongside brief mood screening in pelvic floor clinics, particularly among women with higher multidomain burden, while recognizing that only associations-not causality-can be inferred.</p><p><strong>Strengths & limitations: </strong>Strengths include a large premenopausal cohort, standardized multidomain phenotyping, self-administered FSFI with physician-recorded total scores, a continuous SDS endpoint, and HC3 regression. Limitations include cross-sectional single-center data, near-universal POP stage I+ (limiting POP subgroup contrasts), and systematic differences between regression-eligible an","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13599284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029906","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":"Living with adenomyosis and involuntary childlessness: a qualitative interview study.","authors":"Katharina Weiss, Annika Hiller, Niko Kohls, Karin Meissner","doi":"10.1186/s12905-026-04880-7","DOIUrl":"10.1186/s12905-026-04880-7","url":null,"abstract":"<p><strong>Background: </strong>Adenomyosis is a chronic gynecological condition associated with pain, abnormal uterine bleeding, and impaired fertility. However, little is known about the psychosocial experiences and coping strategies of individuals with adenomyosis and involuntary childlessness. This study aimed to explore their experiences, perceived psychological burden, and coping strategies, while additionally incorporating the perspectives of gynecological specialists.</p><p><strong>Methods: </strong>This qualitative interview study included 20 individuals with a medically documented diagnosis of adenomyosis recruited across three German-speaking countries as well as five specialists in obstetrics and gynecology practicing in Germany. Semi-structured online interviews addressed diagnostic and healthcare experiences, information needs, psychological burden, and coping strategies. Data were analyzed using qualitative content analysis with summarizing and structuring approaches, complemented by thematic-descriptive analysis.</p><p><strong>Results: </strong>Participants described prolonged pathways to diagnosis, including experiences of misdiagnosis and perceived medical invalidation, as well as fragmented care, insufficient information, and limited psychosocial support. They reported substantial psychosocial burden in the context of chronic symptoms and involuntary childlessness. Coping strategies included self-care, boundary-setting, social support, stable relationships, psychotherapy, peer exchange, and maintaining a positive mindset. Feeling taken seriously by healthcare professionals and receiving a diagnosis were frequently described as important experiences in the coping process. Specialists provided complementary perspectives and reported structural barriers, including limited consultation time and insufficient reimbursement. Concomitant or suspected endometriosis was documented in a substantial proportion of participants, limiting the attribution of reported symptoms and burden specifically to adenomyosis.</p><p><strong>Conclusion: </strong>The study shows that individuals with adenomyosis and involuntary childlessness experience prolonged diagnostic delays, fragmented care, and significant psychosocial burden, underscoring the need for holistic, patient-centered care that integrates medical, psychosocial, and reproductive health needs. Given the qualitative and diagnostically heterogeneous sample, these findings should be considered hypothesis-generating and warrant further evaluation in larger, more diverse studies.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966490","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":"Indian rural women's suicide beliefs and experiences: female suicidality as escape from and protest against a life usurped of agency.","authors":"Debasruti Ghosh, Sunil K Verma, Moneerah Mohammad ALmerab, Mohammed A Mamun, Satchit Prasun Mandal, Saswati Bhattacharya, Saurabh Raj","doi":"10.1186/s12905-026-04676-9","DOIUrl":"10.1186/s12905-026-04676-9","url":null,"abstract":"<p><strong>Background: </strong>Suicide remains a significant public health concern in India, with women from rural areas bearing a disproportionate burden that remains under-researched. This study aimed to explore beliefs about suicide and understandings related to suicidality among women living in rural Bihar.</p><p><strong>Method: </strong>Using a qualitative narrative inquiry approach, four Focus Group Discussions were conducted across four villages in Bihar, India, where deaths by suicide among women had occurred during the previous two years. A total of 39 women aged 18-47 years participated who were purposively recruited from these communities. Six women (15.4%) reported a personal history of suicidal ideation. All participants had been exposed to suicide among women in their family or community, with 16 (41.0%) reporting exposure within their family and 23 (59.0%) reporting exposure within their village. Data were analysed using Riessman's narrative framework.</p><p><strong>Findings: </strong>Participants described suicide among women as a response to persistent perceived violations of women's human rights within family and community settings. Narratives highlighted restrictions on personal autonomy and decision-making, emotional and physical abuse, marital and reproductive pressures, economic dependence, and the stigma and exclusion faced by widows. Women were often expected to endure suffering in silence, with limited opportunities to seek support or challenge their circumstances. Within these contexts, participants frequently interpreted suicidality as both an escape from intolerable distress and a form of protest against conditions that denied women agency, dignity, and recognition.</p><p><strong>Conclusion: </strong>Suicidality among rural women in Bihar cannot be understood solely as an outcome of individual psychopathology. Rather, participants portrayed suicide as a culturally shaped response to enduring familial, social, and gender-based oppression. These findings suggest the need for community-based mental health support, gender-transformative interventions, and policy reforms that protect women's rights, strengthen their social and economic resources, and expand opportunities for autonomy, safety, and well-being.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13591895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015787","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":"Correction: Factors of the reproductive life plan for married and employed Japanese women considering having children.","authors":"Shizuko Angerhofer, Mikako Yoshida, Fumi Atogami, Yasuka Nakamura, Yoko Takeishi, Toyoko Yoshizawa","doi":"10.1186/s12905-026-04830-3","DOIUrl":"10.1186/s12905-026-04830-3","url":null,"abstract":"","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850024","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":"Psychometric properties of the Chinese version of the Meno-D in perimenopausal women.","authors":"Ningyan Li, Xinyi Tian, Jingyue Wang, Qi Liu, Chenyu Jia, Tingting Lu, Wenjuan Wang, Minli Zhu, Yuhang Ma, Jinzhi Li","doi":"10.1186/s12905-026-04831-2","DOIUrl":"10.1186/s12905-026-04831-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Perimenopausal depression poses a significant public health challenge in China, yet the absence of a culturally validated, condition-specific screening tool contributes to substantial underdiagnosis. Given the cultural tendency for Chinese patients to express psychological distress via somatic complaints, we hypothesized that the factor structure of the Meno-D in a Chinese sample would diverge from its original Western five-factor model. Accordingly, this study conducted the first cross-cultural adaptation and psychometric validation of the scale in this population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Following Brislin's translation framework, the 12-item Meno-D was translated and adapted through expert review and cognitive debriefing. A total of 357 eligible perimenopausal women (mean age: 50.460 ± 3.156 years, range 45-55; 44.8% urban, 20.4% town, 34.7% rural) were recruited from gynecological outpatient clinics and randomly split into subsamples for exploratory (n = 157) and confirmatory (n = 200) factor analyses. Content, construct, convergent, discriminant and concurrent validity (with the PHQ-9 as reference scale), internal consistency, split-half reliability and two-week test-retest reliability were comprehensively evaluated. Acceptable model fit thresholds were defined as χ²/df &lt; 3, RMSEA &lt; 0.08, and CFI ≥ 0.90.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Exploratory factor analysis revealed a two-factor structure (Somatic-Physiological and Emotional-Cognitive Symptoms), which demonstrated superior fit (χ²/df = 2.042, RMSEA = 0.072, CFI = 0.962) compared to the original five-factor model (χ²/df = 4.611, RMSEA = 0.135, CFI = 0.890). The scale showed acceptable convergent validity (AVE = 0.566-0.679; CR = 0.901-0.914), discriminant validity (inter-factor r = 0.338), and strong concurrent validity with the PHQ-9 (r = 0.760, p &lt; 0.001). In this sample, 15.7% of participants screened positive for depressive symptoms, defined as PHQ-9 total score ≥ 10. Reliability was excellent (Cronbach's α = 0.897 total; split-half = 0.800; ICC = 0.921). The mean total score of 11.224 (range: 0-38) indicated a mild symptom burden in this outpatient sample, with the condensed two-factor structure reflecting the prominent somatic complaints characteristic of this population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study provides preliminary psychometric evidence for the Chinese version of the Meno-D, demonstrating satisfactory reliability and construct validity in a sample of perimenopausal women. However, several methodological constraints must be acknowledged. Data were collected from a single-center clinical convenience sample, and women receiving antidepressants or hormone replacement therapy were excluded. Furthermore, diagnostic accuracy validated against structured clinical interviews has not yet been established, and clinically meaningful cutoff scores remain unavailable. These limitations restrict the generalizability and clinical appli","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13540891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879227","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":"Comparing different techniques of uterine artery occlusion during laparoscopic myomectomy: a randomized controlled trial.","authors":"Ahmed Shoukry, Omar Ashraf Aboali, Manar Fayez Abdelquader, Ahmed M H Gouda","doi":"10.1186/s12905-026-04799-z","DOIUrl":"10.1186/s12905-026-04799-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Laparoscopic myomectomy carries a risk of significant intraoperative bleeding. Although uterine artery occlusion is used to reduce blood loss, its overall benefit compared with no occlusion and the relative performance of different occlusion techniques remain uncertain. This study primarily compared uterine artery occlusion, performed using different techniques, versus no occlusion during laparoscopic myomectomy, and secondarily explored the feasibility, safety, operative outcomes, and short-term ovarian reserve outcomes of temporary clipping, shoelace suture, and permanent bipolar coagulation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This prospective, single-blind, four-arm randomized controlled trial was conducted in Egypt. Of 61 randomized participants with symptomatic uterine leiomyomas, 60 received their allocated intervention and were included in the modified intention-to-treat analysis. Participants were assigned using an intended 1:1:1:1 allocation ratio. The final analyzed groups were uterine artery clipping (n = 15), shoelace suture (n = 15), bipolar coagulation (n = 16), and no occlusion (control; n = 14). The prespecified primary analysis compared uterine artery occlusion performed using different techniques versus no occlusion for estimated intraoperative blood loss and 24-hour haemoglobin decline. Secondary analyses included exploratory four-group comparisons of estimated blood loss, haemoglobin decline, operative time, and transfusion requirement, together with postoperative ovarian reserve markers-anti-Müllerian hormone and antral follicle count-assessed three months after surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the prespecified primary comparison, uterine artery occlusion performed using different techniques did not produce a detectable reduction in estimated intraoperative blood loss compared with no occlusion (median 260 mL [IQR 160-400] vs. 205 mL [IQR 190-300]; Hodges-Lehmann estimated difference 30 mL, 95% CI - 50 to 110; p = 0.416). Mean 24-hour haemoglobin decline was also similar between groups (1.17 ± 0.78 vs. 1.11 ± 0.44 g/dL; p = 0.759; Cohen's d = 0.07). Operative time was longer with uterine artery occlusion (median 160 vs. 120 min; p = 0.007). Blood transfusion was required in 11 of 46 participants (23.9%) in the occlusion group and none of 14 participants in the no-occlusion group (risk difference 23.9% points, 95% CI 0.2-37.9; Fisher's exact p = 0.053). In secondary exploratory four-group analyses, estimated blood loss differed among techniques. Bipolar coagulation had the lowest observed median blood loss and the shortest operative time among the occlusion techniques; however, superiority over no occlusion was not established. At three months, no detectable between-group differences in postoperative anti-Müllerian hormone or antral follicle count were detected after adjustment for the corresponding baseline values and age.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;In this trial, uterine arter","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148825393","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":"A multilevel analysis of the predictive effects of internal migration and region of residence on women's empowerment in Nigeria.","authors":"Ugochukwu Simeon Asogwa, Chukwuedozie K Ajaero, Oliver Razum, Ijeoma D Ajaero","doi":"10.1186/s12905-026-04805-4","DOIUrl":"https://doi.org/10.1186/s12905-026-04805-4","url":null,"abstract":"<p><strong>Background: </strong>Despite growing research interest on the influences of migration and regions of residence on human behaviors, studies on the influences of migration and region of residence on women empowerment especially in sub-Saharan Africa are lacking. Thus, this study investigated migration status and region of residence as correlates of women empowerment in Nigeria.</p><p><strong>Methods: </strong>The study utilized data of 37,762 women aged 15-49 years from the 2024 Nigeria Demographic and Health Survey. The outcome variables were indices of household decision making, financial decision-making, sexual right, experience of wife beating, and tolerance of wife beating while the contextual variables were migration status and region of residence. Analyses were carried out using descriptive statistics, chi-square tests and multilevel logistic regression models.</p><p><strong>Results: </strong>More women (78%) reported good domestic violence index, while 67% were involved in good sexual rights index and 38% of the women indicated good household decision making index. The full model indicated significantly lower odds of women being involved in household decision making (OR = 0.90, p < 0.05), financial decision making (OR = 0.35, p < 0.000) and the experience of wife beating (OR = 0.02, p < 0.000). On the other hand, good their sexual right (OR = 1.05, p > 0.05) and tolerance of wife beating (OR = 1.28, p < 0.05) indicated increased odds. All the regions with the exception of the North East region were significantly associated with increased likelihoods of household decision, financial decision and domestic violence indices. Rural non-migrants, urban non-migrants, as well as rural-urban and urban-urban migrants were significantly associated with increased likelihood of low tolerance of wife beating index. Other covariates which significantly increased the odds of women empowerment in at least three of the outcome indices were higher education levels, higher education levels of spouses, being of Igbo ethnicity and regions of residence.</p><p><strong>Conclusion: </strong>The study has shown that contextual-level factors of migration status and region of residence significantly influenced women empowerment indices. The findings demonstrate that regional inequalities and migration dynamics are central to understanding women's empowerment in Nigeria.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788488","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":"Measuring premenstrual disorders in adolescence: prevalence of premenstrual syndrome and premenstrual dysphoric disorder and psychometric validation of the PMS-I-Y in a German-speaking sample.","authors":"Jette Geßner, Alexandra Döpke, Luisa Concetta Valenti, Hanna Christiansen, Cornelia Weise","doi":"10.1186/s12905-026-04752-0","DOIUrl":"10.1186/s12905-026-04752-0","url":null,"abstract":"<p><strong>Background: </strong>Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are common conditions associated with significant impairment and distress across multiple domains of functioning, including academic and occupational settings. Although menstruation, and with it the potential onset of PMS or PMDD, typically begins in early adolescence, research in adolescent populations remains limited. Therefore, the present study was conducted to examine the prevalence of PMS and PMDD in German-speaking adolescents, and to evaluate the psychometric properties of the adolescent-adapted version of the Premenstrual Impact Questionnaire (PMS-I-Y).</p><p><strong>Methods: </strong>In this cross-sectional online study, 521 adolescents aged 14-18 years from Germany, Austria and Switzerland were recruited via Instagram. Premenstrual symptoms were assessed using the PMS-Q-Y. Participants meeting criteria for at least mild PMS completed the PMS-I-Y to assess symptom-related impairment. Severity classifications were based on operationalized questionnaire criteria derived from DSM-5 and PSST-A frameworks. Confirmatory and exploratory factor analyses were conducted to examine factorial validity. Convergent and discriminant validity were assessed using correlations with symptom severity and personality traits.</p><p><strong>Results: </strong>A substantial proportion of participants reported clinically relevant premenstrual burden, with 46.6% meeting criteria for moderate-to-severe PMS and 22.5% meeting criteria for PMDD. Factor-analytic results indicated a strong general factor of premenstrual impairment alongside psychological and functional components. Convergent validity was supported by strong associations with symptom severity (r = .65 - .75). Discriminant validity was indicated by negligible correlations with openness, extraversion, and agreeableness (all r ≤ .08), small negative correlations with conscientiousness (r = - .11 to - 0.13), and small to moderate positive correlations with neuroticism (r = .16 - .33).</p><p><strong>Conclusions: </strong>Premenstrual symptoms are highly prevalent and associated with substantial psychological and functional burden in adolescents. The PMS-I-Y, an adolescent-adapted version of an existing instrument, shows promising psychometric properties for assessing premenstrual impairment in this age group. However, findings should be interpreted with caution due to the use of retrospective self-report measures, potential sampling bias resulting in a self-selected sample, and the lack of prospective diagnostic assessment. Accordingly, prevalence estimates reflect retrospective symptom reporting operationalized questionnaire criteria rather than clinical diagnoses.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757990","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":"Latent profile analysis of stigma and medical coping among patients with vaginitis: a cross-sectional study.","authors":"Yingshi Li, Li Yuan, Zhijia Zhang, Song Li, Qihua Huang","doi":"10.1186/s12905-026-04653-2","DOIUrl":"10.1186/s12905-026-04653-2","url":null,"abstract":"<p><strong>Background: </strong>Vaginitis is a common chronic condition among genital tract infections. Its sensitive anatomical location and tendency to recur not only impact individual health but also affect psychological well-being and coping strategies. This study aimed to identify latent profiles of stigma and medical coping among patients with vaginitis and to examine their associated factors, providing evidence for tailored health education.</p><p><strong>Methods: </strong>Patients with vaginitis attending a gynecology clinic between January and March 2024 were recruited. Data were collected using the General Information Questionnaire, Social Impact Scale (SIS), Medical Coping Questionnaire (MCMQ), and Perceived Social Support Scale (PSSS). Latent profile analysis was conducted to identify subgroups based on stigma and coping patterns, and associated factors were examined using univariate analyses and multinomial logistic regression. This study was approved by the Research Ethics Committee of Guangdong Provincial Hospital of Traditional Chinese Medicine, and informed consent was obtained from all participants.</p><p><strong>Results: </strong>A total of 211 patients with vaginitis were included in this study. Their average SIS score was 52.22 ± 12.27, and their average PSSS score was 56.67 ± 12.00. Based on both stigma and medical coping strategies, three latent profiles were identified: Low Stigma-Active Coping Group (25.1%), Moderate Stigma-Conventional Coping Group (58.8%), and High Stigma-Negative Coping Group (16.1%). Multivariable logistic regression analysis showed that, using the Low Stigma-Active Coping Group as the reference category, unemployment was a risk factor for membership in the Moderate Stigma-Conventional Coping Group (OR = 2.909) and the High Stigma-Negative Coping Group (OR = 6.266). Having a \"basic understanding\" of vaginitis (OR = 0.072) and higher social support (OR = 0.960) were protective factors for membership in the Moderate Stigma-Conventional Coping Group. Age < 46 years (18-24 years: OR = 0.025; 25-35 years: OR = 0.028; 36-45 years: OR = 0.026), having a \"basic\" or \"partial\" understanding of vaginitis (OR = 0.042; OR = 0.065), and perceived social support (OR = 0.889) were protective factors against membership in the High Stigma-Negative Coping Group (P < 0.05).</p><p><strong>Conclusions: </strong>Patients with vaginitis exhibit heterogeneity in their experiences of stigmatization and medical coping strategies. Based on the distinct stigma and coping profiles identified in this study, healthcare professionals should implement targeted interventions. These interventions could help to reduce stigma levels and encourage positive coping strategies among patients with vaginitis. However, this study is limited by its cross-sectional design and single-center setting, and future multicenter and longitudinal studies are warranted to further validate these findings.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015823","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 relationship between partner attachment, psychological well-being, and menopausal symptoms in postmenopausal women.","authors":"Şener Çetin Nurdilan, Simge Öztürk, Çetin Yasin","doi":"10.1186/s12905-026-04758-8","DOIUrl":"10.1186/s12905-026-04758-8","url":null,"abstract":"<p><strong>Objective: </strong>This research aimed to determine the relationship between menopausal symptoms experienced by postmenopausal women and their levels of spousal attachment and psychological well-being.</p><p><strong>Methods: </strong>This descriptive research was conducted with 1334 postmenopausal women. Data were collected using the Personal Introduction Form, Experiences in Close Relationships Inventory-II (ECR-R), Psychological Well-Being Scale (PWS) and Menopause Rating Scale (MRS).Descriptive statistics and Pearson correlation analysis were used to analyze the data. Data were analyzed using descriptive statistics, Pearson correlation, and Cronbach alpha reliability coefficients.</p><p><strong>Results: </strong>The mean age of the participants was 58.38 ± 7.41 years, and the mean age at menopause was 48.9 ± 3.73 years. A low-level positive correlation was found between menopausal symptoms and both anxious (r = .286, p < .001) and avoidant spousal attachment (r = .182, p < .001). Conversely, a low-level negative correlation was identified between menopausal symptoms and psychological well-being (r=-.220, p < .001). These findings indicate that higher insecure partner attachment is associated with increased menopausal symptoms, whereas higher psychological well-being is associated with fewer symptoms.</p><p><strong>Conclusion: </strong>The results highlight the importance of psychosocial factors in the menopausal experience. Higher insecure partner attachment was associated with increased menopausal symptoms, whereas higher psychological well-being was associated with fewer symptoms. Interventions targeting emotional support, relationship quality, and psychological well-being may be relevant areas for future research. Future studies should include diverse populations and examine additional factors such as social support, marital satisfaction, and lifestyle characteristics to better understand their relationship with menopausal health.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988078","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}