Volume 10, Issue 3 (2022)                   Health Educ Health Promot 2022, 10(3): 593-602 | Back to browse issues page

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Adeli M, Moghaddam-Banaem L, Shahali S, Ghandi N. Changes in Sexual Life in Women with Genital Warts: A Qualitative Study. Health Educ Health Promot 2022; 10 (3) :593-602
URL: http://hehp.modares.ac.ir/article-5-61529-en.html
1- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- “Department of Dermatology, School of Medicine” and “Autoimmune Bullous Diseases Research Center, Razi Hospital”, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (1336 Views)
Aims: This study aimed to explore changes in sexual life in women with genital warts.
Participants & Methods: A qualitative study was conducted in Tehran, Iran, from January 2019 to February 2020 on a purposeful sample of 14 women and 2 couples with genital warts. Data were collected through unstructured interviews and analyzed using a conventional content analysis approach.
Findings: After conducting 23 interviews with 18 participants about understanding and experiencing sexual function following genital warts, a total of 224 initial codes were extracted. The central theme obtained was: “instability in sexual function” which includes 4 main categories: "Changes in the patient and spouse desire”, “Changes in the patient and spouse arousal”, “Changes in the patient and spouse orgasm “and” dyspareunia”.
Conclusion: This study revealed the perceptions and experiences of women with genital warts about changes in their sexual life, which are often not expressed in quantitative studies. The results showed that genital warts have significant negative effects on various aspects of female sexual function. It seems that recognizing women's sexual dysfunction after getting genital warts may help health workers and women take effective and practical measures to improve their sexual function and health.

 
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Article Type: Qualitative Research | Subject: Sexual Health Education/Promotion
Received: 2022/04/4 | Accepted: 2022/06/27 | Published: 2022/07/24
* Corresponding Author Address: (moghaddamb@modares.ac.ir)

References
1. Chan A, Brown B, Sepulveda E, Teran-Clayton L. Evaluation of fotonovela to increase human papillomavirus vaccine knowledge, attitudes, and intentions in a low-income Hispanic community. BMC Res Notes. 2015;8:615. [Link] [DOI:10.1186/s13104-015-1609-7]
2. Zhang Y, Jiang S, Lin H, Guo X, Zou X. Application of dermoscopy image analysis technique in diagnosing urethral condylomata acuminata. Anais Brasileiros de Dermatologia. 2018;93(1):67-71. [Link] [DOI:10.1590/abd1806-4841.20186527]
3. Yu X, Zheng H. Infections after photodynamic therapy in Condyloma acuminatum patients: incidence and management. Environl Sci Pollut Res. 2018:1-6. [Link] [DOI:10.18632/oncotarget.23996]
4. Khopkar US, Rajagopalan M, Chauhan AR, Kothari-Talwar S, Singhal PK, Yee K, et al. Prevalence and burden related to genital warts in India. Viral immunol. 2018;31(5):346-51. [Link] [DOI:10.1089/vim.2017.0157]
5. Daugherty M, Byler T. Genital wart and human papillomavirus prevalence in men in the United States from penile swabs: results from National Health and Nutrition Examination Surveys. Sex Transm Dis. 2018;45(6):412-6. [Link] [DOI:10.1097/OLQ.0000000000000761]
6. Hasanzadeh Mofrad M, Jedi L, Ahmadi S. The role of human papilloma virus (HPV) vaccines in prevention of Cervical Cancer, review article. Iranian J Obstet Gynecol Infertil. 2016;19(21):22-9. [Persian] [Link]
7. Mahdavi S, Kamalinejad M, Emtiazy M, Enayatrad M, Naghshi M. The epidemiologic investigation of genital warts within the females referred to Shahid Sadoughi hospital in Yazd-a case series study. J Community Health Res. 2015;4(3):168-76. [Persian] [Link]
8. Herweijer E, Ploner A, Sparén P. Substantially reduced incidence of genital warts in women and men six years after HPV vaccine availability in Sweden. Vaccine. 2018;36(15):1917-20. [Link] [DOI:10.1016/j.vaccine.2018.02.097]
9. Patel H, Wagner M, Singhal P, Kothari S. Systematic review of the incidence and prevalence of genital warts. BMC Infect Dis. 2013;13(1):39. [Link] [DOI:10.1186/1471-2334-13-39]
10. Taheri R, Bayatani N, Razavi M, Mirmohammadkhani M. Risk factors for genital wart in men. KOOMESH. 2017;19(2):320-6. [Persian] [Link]
11. Bollerup S, Baldur-Felskov B, Blomberg M, Baandrup L, Dehlendorff C, Kjaer SK. Significant reduction in the incidence of genital warts in young men 5 years into the danish human papillomavirus vaccination program for girls and women. Sex Transm Dis. 2016;43(4):238-42. [Link] [DOI:10.1097/OLQ.0000000000000418]
12. Canvin M, Sinka K, Hughes G, Mesher D. Decline in genital warts diagnoses among young women and young men since the introduction of the bivalent HPV (16/18) vaccination programme in England: an ecological analysis. Sex Transm Infect. 2017;93(2):125-8. [Link] [DOI:10.1136/sextrans-2016-052626]
13. Park IU, Introcaso C, Dunne EF. Human papillomavirus and genital warts: a review of the evidence for the 2015 centers for disease control and prevention Sex Transm Dis treatment guidelines. Clin Infect Dis. 2015;61 Suppl 8:S849-55. [Link] [DOI:10.1093/cid/civ813]
14. Soori T, Hallaji Z, Noroozi-Nejad E. Genital warts in 250 Iranian patients and their high-risk sexual behaviors. Arch Iranian Med. 2013;16(9):518-20. [Link]
15. Akcali S, Goker A, Ecemis T, Kandiloglu AR, Sanlidag T. Human papilloma virus frequency and genotype distribution in a Turkish population. Asian Pac J Cancer Prev. 2013;14(1):503-6. [Link] [DOI:10.7314/APJCP.2013.14.1.503]
16. Behzadi P, Behzadi E, Ranjbar R, Saberfar E. Cervical cancer and human papilloma virus (HPV)-viral cervical cancer. MOJ Cell Sci Rep. 2015;2(3):55-8. [Link] [DOI:10.15406/mojcsr.2015.02.00026]
17. Jahdi F, Khademi K, Khoei EM, Haghani H, Yarandi F. Reproductive factors associated to human papillomavirus infection in Iranian woman. J Fam Reprod Health. 2013;7(3):145. [Link]
18. Escalas J, Rodriguez-Cerdeir C, Guerra-Tapia A. Impact of HPV infection on the quality of life in young women. Open Dermatol J. 2009;3:137. [Link] [DOI:10.2174/1874372200903010137]
19. Drolet M, Brisson M, Maunsell E, Franco EL, Coutlée F, Ferenczy A, et al. The impact of anogenital warts on health-related quality of life: a 6-month prospective study. Sex Transm Dis. 2011;38(10):949-56. [Link] [DOI:10.1097/OLQ.0b013e3182215512]
20. El-esawy FM, Ahmed HM. Effect of genital warts on female sexual function and quality of life: an Egyptian study. Human Androl. 2017;7(2):58-64. [Link] [DOI:10.21608/ha.2017.3919]
21. Aslan E, Fynes M. Female sexual dysfunction. Int Urogynecol Pelvic Floor Dysfunct. 2008;19(2):293-305. [Link] [DOI:10.1007/s00192-007-0436-3]
22. Parkpinyo N, Chayachinda C, Thamkhantho M. Factors associated with sexual dysfunction in women experiencing anogenital warts at Siriraj hospital. J Med Assoc Thail. 2020;103:359-64. [Link]
23. Zargar Shoushtari S, Afshari P, Abedi P, Tabesh H. The effect of face-to-face with telephone-based counseling on sexual satisfaction among reproductive aged women in Iran. J Sex Mar Ther. 2015;41(4):361-7. [Link] [DOI:10.1080/0092623X.2014.915903]
24. Parva M, Lotfi R, Nazari MA, Kabir K. The effectiveness of sexual enrichment counseling on sexual assertiveness in married women: a randomized controlled trial. Shiraz E Med J. 2018;19(1):e14552. [Link] [DOI:10.5812/semj.14552]
25. Mahdoodizaman M, Razaghi S, Amirsardari L, Hobbi O, Ghaderi D. The relationship between interpersonal cognitive distortions and attribution styles among divorce applicant couples and its impact on sexual satisfaction. Iranian J Psychiatry Behav Sci. 2016;10(3):e5644. [Link] [DOI:10.17795/ijpbs-5644]
26. Farbod E, Ghamari M, Majd MA. Investigating the effect of communication skills training for married women on couples' intimacy and quality of life. SAGE Open. 2014;4(2). [Link] [DOI:10.1177/2158244014537085]
27. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. Lippincott Williams & Wilkins; 2011. [Link]
28. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-15. [Link] [DOI:10.1111/j.1365-2648.2007.04569.x]
29. Zhang Y, Wildemuth B. Qualitative analysis of content. USA: Libraries Unlimited Inc; 2009. [Link]
30. Nahidi M, Nahidi Y, Kardan G, Jarahi L, Aminzadeh B, Shojaei P, et al. Evaluation of sexual life and marital satisfaction in patients with anogenital wart. Actas Dermo-Sifiliográficas. 2019;110(7):521-5. [Spanish] [Link] [DOI:10.1016/j.adengl.2018.08.001]
31. Campaner AB, Junior NV, Giraldo PC, Passos MRL. Adverse psychosexual impact related to the treatment of genital warts and cervical intraepithelial neoplasia. J Sex Transm Dis. 2013;2013:264093. [Link] [DOI:10.1155/2013/264093]
32. Kazeminejad A, Yazadani Charati J, Rahmatpour G, Masoudzadeh A, Bagheri S. Comparison of quality of life in anogenital warts with control group. Tehran Univ Med J. 2019;76(10):692-8. [Link]
33. Tas B, Kulacaoglu F, Altuntas M. Effects of sociodemographic sexual and clinical factors and disease awareness on psychosexual dysfunction of refugee patients with anogenital warts in Turkey: a cross-sectional study. BiomedRes. 2017;28(12):5601-8. [Link]
34. Dominiak-Felden G, Cohet C, Atrux-Tallau S, Gilet H, Tristram A, Fiander A. Impact of human papillomavirus-related genital diseases on quality of life and psychosocial wellbeing: results of an observational, health-related quality of life study in the UK. BMC Public Health. 2013;13:1065. [Link] [DOI:10.1186/1471-2458-13-1065]
35. Jeng CJ, Lin H, Wang LR. The effect of HPV infection on a couple's relationship: a qualitative study in Taiwan. Taiwane J Obstet Gynecol. 2010;49(4):407-12. [Link] [DOI:10.1016/S1028-4559(10)60090-3]
36. Wang KL, Jeng CJ, Yang YC, Chen CA, Cheng WF, Chen TC, et al. The psychological impact of illness among women experiencing human papillomavirus-related illness or screening interventions. J Psychosom Obstet Gynaecol. 2010;31(1):16-23. [Link] [DOI:10.3109/01674820903564440]
37. Woodhall S, Ramsey T, Cai C, Crouch S, Jit M, Birks Y, et al. Estimation of the impact of genital warts on health-related quality of life. Sex Transm Infect. 2008;84(3):161-6. [Link] [DOI:10.1136/sti.2007.029512]
38. Lin H, Jeng CJ, Wang LR. Psychological responses of women infected with cervical human papillomavirus: a qualitative study in Taiwan. Taiwan J Obstet Gynecol. 2011;50(2):154-8. [Link] [DOI:10.1016/j.tjog.2011.01.035]
39. Daley EM, Perrin KM, McDermott RJ, Vamos CA, Rayko HL, Packing-Ebuen JL, et al. The psychosocial burden of HPV: a mixed-method study of knowledge, attitudes and behaviors among HPV+ women. J Health Psychol. 2010;15(2):279-90. [Link] [DOI:10.1177/1359105309351249]

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