The Effect of Psychosexual Education on Promoting Sexual Function, Genital Self-Image, and Sexual Distress among Women with Rokitansky Syndrome: A Randomized Controlled Clinical Trial

Vosoughi, Nafiseh; Maasoumi, Raziyeh; Mehrizi, Ali Asghar Haeri; Ghanbari, Zinat

doi:10.1016/j.jpag.2021.06.008

Cited by 9 publications

(9 citation statements)

References 36 publications

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“…Psychological interventions have been recommended to address the psychological challenges during MRKH treatment. Previous studies focused on sexual psychology concluded that 8-week e-learning improved sexual function and genital self-image and reduced sexual distress in MRKH patients [ 15 ]. Besides, a cognitive-behavioral group intervention based on the negative evaluation of femininity has been performed, and it obtained satisfactory improvements in psychological symptoms on the Symptom Check-List (SCL-90-R) [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological intervention in women with Mayer-Rokitansky-Küster-Hauser syndrome after artificial vaginoplasty: a prospective study

et al. 2022

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Introduction and hypothesis The negative psychological impact on women with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is long-lasting, resulting from not only the disease itself, but also the cumbersome and painful treatment process. However, little is known about the postoperative psychological status of these patients and related interventions to improve mental health. Here, in our study, we postulated that mental disorders exist in MRKH patients with a surgical neovagina and that psychological intervention will be helpful. Methods Thirty MRKH women who had undergone vaginoplasty were enrolled. All patients had received psychological interventions since February 2020. Depression and anxiety questionnaires prior to and 2 weeks after the final intervention were recorded. Results Before intervention, among 30 MRKH patients after artificial vaginoplasty, the median depression score was 6.00 (25th/75th percentile, 0.00/7.00), and the median anxiety score was 4.00 (25th/75th percentile, 1.00/7.00). After intervention, women’s depression ( p < 0.001) and anxiety ( p < 0.001) scores significantly decreased. The median depression score was 0.00 (25th/75th percentile, 0.00/3.00), and the median anxiety score was 1.00 (25th/75th percentile, 0.00/3.25). Furthermore, stratified analysis found that the depression ( p = 0.029) and anxiety ( p = 0.019) scores both improved when intervention was performed within 12 months postoperatively. Conclusions MRKH patients are at a great risk of depression and anxiety problems after artificial vaginoplasty. Early psychological intervention can alleviate these symptoms. Ongoing psychological support was needed to eliminate emotional burden during MRKH treatment, and further study is sorely needed to identify its appropriate timing and method.

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Section: Discussionmentioning

confidence: 99%

Psychological intervention in women with Mayer-Rokitansky-Küster-Hauser syndrome after artificial vaginoplasty: a prospective study

et al. 2022

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“…Psychosexual education via e-learning proved to be an effective intervention for improving sexual function, genital self-image and sexual distress in women with MRKH syndrome (Vosoughi et al, 2022).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Effectiveness of non‐surgical interventions to improve health and well‐being in women living with Mayer–Rokitansky–Kuster–Hauser syndrome: A systematic review

Baby,

Pallam,

Hayter

2023

Journal of Advanced Nursing

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AimThe aim of this paper is to present the evidence on the effectiveness of non‐surgical interventions to improve health and well‐being in women living with Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome.DesignSystematic review guided by Preferred Reporting Items for Systematic Reviews checklist.Data SourcesThe search was conducted between June and September 2022 across the following databases: CINAHL, EMBASE, Medline, PsycINFO and Cochrane. Trial registries (clinicaltrials. gov, World Health Organization International Clinical Trials Registry Platform (ICTRP), Cochrane Controlled Trials Register‐CCTR), Google scholar, dissertations, conference proceedings and reference lists of included studies were also searched. Corresponding authors, formal and informal MRKH groups were contacted to obtain any significant studies or reviews.Review MethodsEligible were only English‐language empirical studies of any time period. The review followed narrative synthesis.ResultsTwenty‐three studies were identified that fit the inclusion criteria which included 1540 MRKH syndrome affected women. Four studies were on psychological interventions (n = 85) and 19 studies (vaginal dilation therapy n = 897, coital dilation n = 57) focused on non‐surgical vaginal dilation as a measure to vaginal agenesis in MRKH syndrome.ConclusionsClearly, vaginal dilation is a viable initial treatment option for women with MRKH syndrome. There is limited evidence that ‘coital dilation’ is an effective method of dilation for vaginal agenesis. The literature, however, supports the need for psychological intervention to improve health and well‐being.ImpactWomen with MRKH syndrome who require dilation can receive guidance and support from their healthcare providers, particularly sexual and reproductive health nurses, clinical nurse specialists and gynaecologists. From the point of diagnosis, clinical psychologists should be involved. As much as feasible, family and partner support can be encouraged.Patient or Public ContributionNo patient or public contribution.

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“…Studies have suggested various methods for sexual education for adolescents. In some studies, the parents of the adolescents were educated, and the effect of sex educational intervention was determined on the adolescents [18][19][20][21][22][23][24][25][26]. One of the related methods is theater-based sex education [27].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Theatre-Based Interventions for Sexual Health Education to Adolescents: A Systematic Review

Mohandespour

Maasoumi²,

Pourmand³

et al. 2023

JHNM

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Introduction: Sexual education programs are necessary for adolescents. According to the literature, adolescents find theater-based interventions more acceptable and memorable than traditional didactic teaching methods. Objective: This study aims to summarize all the available primary research with theater-based interventions for sexual health education to adolescents. Materials and Methods: In this systematic review, studies were searched in the databases of Web of Science, PubMed, Scopus, ScienceDirect, ProQuest, Magiran, SID, and IranDoc, which were written in English or Farsi from 2011 to 2021. Quantitative and mix-method studies with a theater-based intervention for sexual education were selected. Results: All of the 7 selected studies determined the impact of theater-based sex education on sexual activity and sexually transmitted diseases, and four studies on “psychological issues related to sexual health “or “healthy relationship” or “sexual violence.” The outcomes of the studies included increasing knowledge and self-efficacy and improving attitudes regarding sexual health, the intended age of first sex, and less risky behavior in condom usage. Also, two studies determined the appropriate method for theater-based sex education for adolescents. Conclusion: Theater is an attractive and effective method of sexual education for adolescents. It is recommended that further interventional theater-based studies on adolescents should not only emphasize the biological aspects of reproduction but also focus on acquiring healthy behaviors.

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The Effect of Psychosexual Education on Promoting Sexual Function, Genital Self-Image, and Sexual Distress among Women with Rokitansky Syndrome: A Randomized Controlled Clinical Trial

Cited by 9 publications

References 36 publications

Psychological intervention in women with Mayer-Rokitansky-Küster-Hauser syndrome after artificial vaginoplasty: a prospective study

Psychological intervention in women with Mayer-Rokitansky-Küster-Hauser syndrome after artificial vaginoplasty: a prospective study

Effectiveness of non‐surgical interventions to improve health and well‐being in women living with Mayer–Rokitansky–Kuster–Hauser syndrome: A systematic review

The Impact of Theatre-Based Interventions for Sexual Health Education to Adolescents: A Systematic Review

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