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Showing 7 results for Khoei

Zahra Salmani, Ali Zargham Boroujeni, Mehrdad Salehi, Therese K.killeen, Effat Merghati-Khoei,
Volume 13, Issue 7 (9-2015)
Abstract

Background: In recent years, a growing number of interventions for treatment of female orgasmic problems (FODs) have emerged. Whereas orgasm is a extra biologically and learnable experience, there is a need for practitioners that to be able to select which therapy is the most appropriate to their context.
Objective: In this critical literature review, we aimed to assess areas of controversy in the existing therapeutic interventions in FOD with taking into accounted the Iranian cultural models.
Materials and Methods: For the present study, we conducted an extensive search of electronic databases using a comprehensive search strategy from 1970 till 2014. This strategy was using Google Scholar search, “pearl-growing” techniques and by hand-searching key guidelines, to identify distinct interventions to women's orgasmic problem therapy. We utilized various key combinations of words such as:" orgasm" OR "orgasmic "," female orgasmic dysfunction" OR Female anorgasmia OR Female Orgasmic Disorder ", orgasmic dysfunction AND treatment, “orgasm AND intervention”. Selection criteria in order to be included in this review, studies were required to: 1 employ clinical-based interventions, 2 focus on FOD.
Results: The majority of interventions (90%) related to non-pharmacological and other were about pharmacological interventions. Self-direct masturbation is suggested as the most privilege treatment in FOD. Reviewing all therapies indicates couple therapy, sexual skill training and sex therapy seem to be more appropriate to be applied in Iranian clinical settings.
Conclusion: Since many therapeutic interventions are introduced to inform sexually-related practices, it is important to select an intervention that will be culturally appropriate and sensitive to norms and values. Professionals working in the fields of health and sexuality need to be sensitive and apply culturally appropriate therapies for Iranian population. We further suggest community well defined protocols to screen, assessment and management of women’ sexual problems such as FOD in the Iranian settings.
Masoumeh Abad, Hossein Malekafzali, Masoumeh Simbar, Hassan Seyed Mosaavi, Effat Merghati Khoei,
Volume 14, Issue 5 (5-2016)
Abstract

Background: Health-related quality of life is affected by electromagnetic field exposure in each person everyday life. However, this is extremely controversial issue.
Objective: Investigation of the associations between electromagnetic field exposure and miscarriage among women of Tehran.
Materials and Methods: In this longitudinal study, 462 pregnant women with gestational age <12 wks from seven main regions of Tehran city in Iran with similar social and cultural status were participated. Women were interviewed face-to face to collect data. Reproductive information was collected using medical file recorded in those hospitals the subjects had delivery. The measuring device measured electromagnetic waves, Narda safety test solutions with valid calibration date at the entrance door of their houses.
Results: A significant likelihood of miscarriage in women who exposed to significant level of electromagnetic wave. However, this association was not confirmed by Wald test.
Conclusion: This study may not provide strong or consistent evidence that electromagnetic field exposure is associated or cause miscarriage. This issue may be due to small sample size in this study.
 
Zahra Karimian, Effat Merghati Khoei, Raziyeh Maasoumi, Marzieh Araban, Mahbube Rasolzade, Shahrokh Aghayan, Seied Ali Azin,
Volume 15, Issue 4 (6-2017)
Abstract

Background: Iranian sexology researchers have emphasized the need for highquality scientific data on the dimensions of sexuality among adults, particularly withcultural considerations. Best practice and the delivery of sexual health services relyon rigorous facts extracted from surveys, but often those facts cannot be availabledue to the lack of culturally-sensitive questionnaires.
Objective: The aim of this study was to show the validity and reliability of thePersian version of the Acquisition of Sexual Information Test (ASIT), a measureselected due to its assemblages with Iranian culture.
Materials and Methods: Forward-backward procedure was applied to translate the50 items-Acquisition of Sexual Information Test from English into Persian. Afterlinguistic validation, a cross-sectional study was carried out and psychometricproperties of the Iranian version of five-dimension questionnaire were tested in athirty sample of reproductive-age, married, healthy and sexually active women. Facevalidity was assessed by qualitative and quantitative methods. Content validity wasalso assessed by calculating two quantitative indicators as content validity index(CVI) and content validity ratio (CVR). In the qualitative phase, experts assessed thequestionnaire from aspects such as wording, grammar, item allocation, and scaling.Reliability was assessed by test-retest analyses.
Results: Impact score was 1.5 in all questions. , the majority of participants (83.3%)stated that the overall level of content qualitative validity of the questionnaire for thetarget population was high but some of the questions were irrelevant to sexualknowledge such as questions in regard to sexual self-concept and human evolution.Many questions (90%) gained a CVR less than 0.56, and all of them gained CVIslower than 0.7. Correlation in test-retest reliability was 0.85 that was considered tobe acceptable.
Conclusion: Regardless of our initial assumptions about selecting the Acquisition ofSexual Information Test, the Persian version of sexual knowledge questionnaireseems to be culturally inappropriate for Iranian women. Although, we need surveydata for assessing the evidence-based needs for sexual health and best practice, butthe questions addressing various dimensions of sexuality such as knowledge must beculturally sensitive, comprehensive and appropriate. Our findings suggest that ASITas a well-known measure should be used in Iranian population with caution. It mustbe re-validated in different adult populations than that we selected in this study.
Zohreh Ghorashi, Mohammad Najafi, Effat Merghati Khoei,
Volume 15, Issue 12 (12-2017)
Abstract

Background: Islamic doctrine and related teachings play a seminal role in constructing the sexual performance of followers, women in particular.
Objective: The aim was to explore women’s understandings of Islamic Shiite principles related to their sexuality.
Materials and Methods: In a qualitative content analysis approach, four individual interviews and seven focus groups conducted in Rafsanjan, a big city in Kerman province in Iran. Content analysis was used to extract meanings and themes.
Results: Three major themes were emerged describing the sexual concepts and religious-related teachings concerning women's sexual understandings and performances: “unconditional sexual submission” (Tamkin), “paradox between virtue and unconditional sexual submission” and “misconceptions”.
Conclusion: Religious teachings have a basic and comprehensive role in sexuality construction and sexual health of women. However, occasional inconsistency between beliefs, learning and sexual expectations, practices, and situations would lead to jeopardize the psychological and somatic health of women. Religious-related misconceptions have essential role in creating sexual problems.
Effat Merghati Khoei, Tahoora Alavi, Raziyeh Maasoumi, Fatemeh Sheikhan,
Volume 16, Issue 5 (May 2018)
Abstract

Background: Women constitute about half of the Iranian population. Sexual behaviour is one of the most important elements in their lives. Identifying the elements associated with sexual behaviours seems necessary in order to draw a thorough picture of Iranian women's sexuality.
Objective: To elicit information from Iranian women at their reproductive ages on sexual behaviours related to their elements including sexual capacity, sexual motivation, performance and sexual scripts.
Materials and Methods: Study participants involved 295 women at reproductive age from five different cities. Women completed a national self-reporting questionnaire on elements related to sexual behaviours. The elements included sexual capacity, sexual motivation, sexual performance, and sexual script. Pearson’s correlation variance analysis and multi-linear regression were used to analyze data.
Results: Significant positive correlation was found between the sexual capacity, motivation, performance, and sexual script (p<0.001). Linear regression showed that the effective variable on the sexual performance were women's ages (p=0.02), and tertiary education (p=0.05). A significant association was found between age and sexual motivation score, too. A significant relation was observed between the history of pregnancy and level of education with a positive response to sexual script questions.
Conclusion: Identifying the elements of sexual behaviours would help women understand their sexual behaviours and related influencing factors. Therefore, enrichment of women's sexuality is needed; also a well-planned educational program is a need for women to understand their sexuality-related potentials.
Sina Mojaverrostami, Narjes Asghari, Mahsa Khamisabadi, Heidar Heidari Khoei,
Volume 17, Issue 12 (December 2019)
Abstract

Background: Polycystic ovary syndrome (PCOS) is a widespread endocrine disorder, affecting approximately 20% of women within reproductive age. It is associated with hyperandrogenism, obesity, menstrual irregularity, and anovulatory infertility. Melatonin is the main pineal gland hormone involved in the regulation of the circadian rhythm. In recent years, it has been observed that a reduction in melatonin levels of follicular fluid exists in PCOS patients. Melatonin receptors in the ovary and intra-follicular fluid adjust sex steroid secretion at different phases of ovarian follicular maturation. Moreover, melatonin is a strong antioxidant and an effective free radical scavenger, which protects ovarian follicles during follicular maturation.
Objective: In this paper, we conducted a literature review and the summary of the current research on the role of melatonin in PCOS.
Materials and Methods: Electronic databases including PubMed/MEDLINE, Web of Science, Scopus, and Reaxys were searched from their inception to October 2018 using the keywords ″Melatonin″ AND ″Polycystic ovary syndrome" OR "PCOS.″
Results: Based on the data included in our review, it was found that the administration of melatonin can improve the oocyte and embryo quality in PCOS patients. It may also have beneficial effects in correcting the hormonal alterations in PCOS patients.
Conclusion: Since metabolic dysfunction is the major finding contributing to the initiation of PCOS, melatonin can hinder this process via its improving effects on metabolic functions.
 
Nader Aghakhani, Béatrice Marianne Ewalds-Kvist, Fatemeh Sheikhan, Effat Merghati Khoei,
Volume 18, Issue 1 (January 2020)
Abstract

Background: There are concerns and diverse experiences related to infertility and childlessness. The lived experience of infertile people from various cultures needs to be explored.
Objective: The aim of this qualitative study was to explore Iranian women experiences of their infertility.
Materials and Methods: The data comprised interviews about fertility issues in the Persian language with eighteen women, aged 17-45 yr old, who agreed to be interviewed at the Mottahari Infertility Treatment Clinic, affiliated to the Urmia University of Medical Sciences about their fertility problems. They were approached by the researchers at the time of their first visit. The verbatim transcribed interviews were analyzed using deductive conventional content analysis.
Results: The experiences of the informants were conceptualized into four major themes: 1) Shock (subthemes: Disbelief and Denial); 2) Reaction (subthemes: Distress, Guilt, Loss of self-esteem and Sexual reluctance); 3) Processing (subthemes: Internal processing, Avoidance, Marriage at risk, External processing, Stigma caused by the family and Stigma caused by the community) and 4) Reorientation (subthemes: Forgetting, Marriage to saving marriage and Sexual consent).
Conclusion: Infertility can be a challenging condition. Considering that infertility-related issues affect Iranian women more contextual factors is necessary. So, culturally sensitive and gender specific protocols are suggested to provide suitable and about culturally sensitive and gender-specific protocols is a necessity in order to provide suitable care to infertile women.

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