Background and objective: Reproductive tract infections (RTI) can have serious consequences, such as miscarriage and infertility. Infertility is a growing universal phenomenon, "crossed nearly all cultures and societies almost all over the World", that has a tremendous impact on women's quality of life and their psychological well-being. This is due to various stress and anxiety factors experienced by them at each stage of their life. To decrease and prevent developing psychological distress the psychological aspects of infertility should be receive more attention. The objectives of this study were to assess the prevalence rate of reproductive tract infections and the psychological consequences amongst those women who were infertile in relation to their sociodemographic characteristics, fertility history, assisted reproductive technology (ART) and RTI. Methods: Interview questionnaire with a convenience sample of 399 infertile women who were admitted to inpatient wards and/or attending to outpatient gynecological and infertility clinics at University Hospital, Health insurance Hospital and general Hospital in Beni-Suef City. Results: About 27.6% of study subjects had reproductive tract infections. Socio-cultural factors, gynecological issues, reproductive tract infections aggravated psychological distress amongst those women who were infertile in Northern Upper Egypt. A highly statistically significant deviation was observed (p = .000). Conclusions: Negative psychological consequences of childlessness are common and morbid in Northern, Upper Egyptian infertile women. Furthermore, infertility and psychological distress are associated in a complex way, which has to be taken care by the nurses and the clinicians to promote the quality of life of the women undergoing infertility treatment.

Background: Improving quality of care has been a necessary goal for family planning programmes worldwide. Services should be convenient, accessible and acceptable to clients. In addition, it is essential to provide follow-up care to ensure continuity of services and an adequate logistics system to ensure continuity of supplies. Patient satisfaction is reportedly a useful measure to provide a direct indicator of quality in health care. Thus, it is needed to be measured frequently. Aim: To assess the association between quality of family planning services and client's satisfaction level in maternal & child health centers in Port Said city. Subject and Methods: A cross sectional descriptive research design included two main convenient samples were recruited in the study through 5 months, the family planning nurses (20) and clients attending these centers (240). The study was carried out at ten family planning clinics in ten centers representing the five districts of Port Said. Results: Statistically significant difference correlation was found between quality of family planning counseling of nurses practice and their number of received training program, the mean percentage of the client's (95.4%) were satisfied with family planning services. Conclusions: The number of received training program affects quality of family planning counseling of nurse's practice, providers of the services and the provided services affect the client satisfaction.

Background: Although dyspareunia is one of the common health issues, up-till-now it remains neglected in Eastern communities such as in Egypt, especially in Upper Egypt, where investigation or even taking of such problems is considered а taboo. The couples deny it on the grounds of shame; regardless of whether they feel а need for further consultation about it. Aim: Exploration prevalence of dyspareunia, its related factors, and its associated anxiety among Upper Egyptian women in Ɓeni-Ѕuef city, Egypt, Study the effect of counseling using PLӀSSӀΤ on dyspareunia and related anxiety. Subjects and methods: Α cross-sectional study using Counseling sheet following PLӀSSӀΤ model, Numerical Rating Scale, Calibrated scale and Beck Anxiety Inventory. Results: Of all the participants, 25.0% exposed to reproductive tract infection (RΤӀ), 23.5% had a history of gynecologic/pelvic surgery, 11.0% were menopauses, 86.5% were multipara. Of the 173 women, 52 % normal vaginal birth with episiotomy, 10.1% gave birth assisted by ventouse. Of 160 (76.9%) who were delivered vaginally, 65.3% had perineal tears. Person correlation coefficient test (г) illustrated, the greater the pain, the greater the anxiety, however, no statistically significant difference was found. Between the 2 mentioned variables. Progressive declining in dyspareunia, after counseling using PLӀSSӀΤ model, throughout 3-months follow up regardless sociodemographic characteristics, obstetrical, gynecological health and sexual behavior characteristics. Statistically significant difference between dyspareunia in pre/post counseling of at р-values <0.05. Conclusion: Our results confirm the strong link between dyspareunia and anxiety as well as the effectiveness of counseling using PLӀSSӀΤ model in the alleviation of women's dyspareunic pain and its associated anxiety. Recommendations: Active approaches are needed to overcome shame and embarrassment, and the stigma that may be associated with asking about common sexual health issues by activating the role of maternity health nurses in gynecologic clinics to enhance women's knowledge regarding sexual health issues.

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Background: Breast and gynecological cancer are the most common type of cancer in women and need rehabilitation programs to improve QOL. Aim of the study was to assess the effectiveness of nursing intervention program on QOL improvement in women undergoing treatment for gynecological and breast cancer. Study design: A quasi experimental study design. Sample and settings: A randomly selected sample of 100 women diagnosed with gynecological and breast cancer who attended the oncology institute, and divided to two groups, the study group and control group. Tool structured interview questionnaire included socio-personal data, oncology treatment side effects record, reproductive concerns scale, female sexual function index, impact of event scale" cancer specific stress", and functional assessment of cancer therapy-general. Results: Quality of life of the intervention group with breast and gynecological cancer have been improved under the influence of the nursing intervention program. Conclusion and Recommendations:The nursing intervention program showed evidence of improved QOL, with a reduction in the sexual dysfunction, and lower stress levels. It was suggested to heighten awareness about the breast and gynecological cancer treatment-related side effects among the nursing staff.