“Nothing Is Like Before”: Iranian Women with Human Papillomavirus' Sexual Life

Published:November 08, 2021DOI:https://doi.org/10.1016/j.nurpra.2021.09.024

      Abstract

      Human papillomavirus (HPV) has an adverse effect on the patient’s emotional and sexual health. The current study explored the sexual life of women after HPV diagnosis. In this qualitative content analysis study, 20 Iranian women positive for HPV shared their sexual life through face-to-face, semistructured interviews. “Nothing is like before” reflected women’s experiences of their sexual life after the HPV diagnosis. It comprised 3 categories: abnormal sex life, new attitude toward sexuality, and myths and misconceptions. More attention is needed to the way health care providers and doctors educate women about HPV transmission and HPV treatment because they shape women’s perceptions of HPV.

      Keywords

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      References

        • Centers for Disease Control and Prevention
        Human Papillomavirus (HPV) Statistics Basic Information about HPV and Cancer. 2020. Accessed February 7, 2021.
        • de Martel C.
        • Plummer M.
        • Vignat J.
        • Franceschi S.
        Worldwide burden of cancer attributable to HPV by site, country and HPV type.
        Int J Cancer. 2017; 141: 664-670
        • Centers for Disease Control and Prevention
        Basic Information about HPV and Cancer. Accessed February 8, 2021.
        • Centers for Disease Control and Prevention
        Cancers Caused by HPV. Accessed February 8, 2021.
        (Available from:)
        • Small Jr., W.
        • Bacon M.A.
        • Bajaj A.
        • et al.
        Cervical cancer: a global health crisis.
        Cancer. 2017; 123: 2404-2412
        • Lewitowicz P.
        • Nasierowska-Guttmejer A.
        • Rokita W.
        • et al.
        HPV genotyping and p16/Ki-67 test significantly improve detection rate of high-grade cervical squamous intraepithelial lesion.
        Arch Med Sci. 2019; 16: 87-93
        • Benard V.B.
        • Saraiya M.
        • Greek A.
        • et al.
        Overview of the CDC Cervical Cancer (Cx3) Study: an educational intervention of HPV testing for cervical cancer screening.
        J Womens Health (Larchmt). 2014; 23: 197-203
        • Bennett K.F.
        • Waller J.
        • Ryan M.
        • Bailey J.V.
        • Marlow L.A.V.
        The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): a systematic review.
        Psychooncology. 2019; 28: 1959-1970
        • Lin H.
        • Jeng C.J.
        • Wang L.R.
        Psychological responses of women infected with cervical human papillomavirus: a qualitative study in Taiwan.
        J Obstet Gynecol. 2011; 50: 154-158
        • Caruso S.
        • Bruno M.T.
        • Cianci S.
        • Di Pasqua S.
        • Minona P.
        • Cianci A.
        Sexual behavior of women with diagnosed HPV.
        Sex Marital Ther. 2019; 45: 569-573
        • Ferenidou F.
        • Salakos N.
        • Vaidakis N.
        • et al.
        The impact of HPV diagnosis on women’s sexual and mental health: preliminary findings.
        Clin Exp Obstet Gynecol. 2012; 39: 79-82
        • Clarke P.
        • Ebel C.
        • Catotti D.N.
        • Stewart S.
        The psychosocial impact of human papillomavirus infection: implications for health care providers.
        Int J STD AIDS. 1996; 7: 197-200
        • Mercan R.
        • Mercan S.
        • Durmaz B.
        • et al.
        Sexual dysfunction in women with human papilloma virus infection in the Turkish population.
        J Obstet Gynaecol. 2019; 39: 659-663
        • Parente Sa Barreto J.A.
        • de Sá Barreto Marinho M.N.A.
        • Figueiredo Vidal E.C.
        • Pinto A.G.A.
        • de Souza Aquino P.
        • Figueirêdo Vidal E.C.
        Feelings of women with human papilloma virus regarding their infection: an exploratory study.
        Online Braz J Nurs. 2016; 15: 382-392
        • Salavatiha Z.
        • Farahmand M.
        • Shoja Z.
        • Jalilvand S.
        A meta-analysis of human papillomavirus prevalence and types among Iranian women with normal cervical cytology, premalignant lesions, and cervical cancer.
        J Med Virol. 2021; 93: 4647-4658
        • Baghi H.B.
        • Yousefi B.
        • Oskouee M.A.
        • Aghazadeh M.
        HPV vaccinations: a Middle Eastern and north African dilemma.
        Lancet Infect Dis. 2017; 17: 18-19
        • Burnard P.
        • Gill P.
        • Stewart K.
        • Treasure E.
        • Chadwick B.
        Analysing and presenting qualitative data.
        Br Dent J. 2008; 204: 429
        • Lincoln Y.S.
        • Guba E.G.
        But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation.
        New Dir Prog Eval. 1986; : 73-84
        • Jeng C.J.
        • Lin H.
        • Wang L.R.
        The effect of HPV infection on a couple’s relationship: a qualitative study in Taiwan.
        Taiwan J Obstet Gynecol. 2010; 49: 407-412
        • Nagele E.
        • Reich O.
        • Greimel E.
        • Dorfer M.
        • Haas J.
        • Trutnovsky G.
        Sexual activity, psychosexual distress, and fear of progression in women with human papillomavirus-related premalignant genital lesions.
        J Sex Med. 2016; 13: 253-259
        • Reed B.D.
        • Ruffin M.T.
        • Gorenflo D.W.
        • Zazove P.
        The psychosexual impact of human papillomavirus cervical infections.
        J Fam Pract. 1999; 48: 110-111
        • Latifnejad Roudsari R.
        • Javadnoori M.
        • Hasanpour M.
        • Hazavehei S.M.
        • Taghipour A.
        Socio-cultural challenges to sexual health education for female adolescents in Iran.
        Iran J Reprod Med. 2013; 11: 101
        • Santos B.D.
        • Moreira C.S.
        • Vilaça M.
        • Carvalho E.
        • Pereira M.G.
        Dyadic adjustment and sexual satisfaction in HPV diagnosed Portuguese women: a longitudinal study.
        J Sex Marital Ther. 2020; 46: 564-575
        • Tong A.
        • Sainsbury P.
        • Craig J.
        Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.
        Int J Qual Health Care. 2007; 19: 349-357
        • Rahmani A.
        • Merghati-Khoei E.
        • Moghaddam-Banaem L.
        • Hajizadeh E.
        • Montazeri A.
        The viewpoints of sexually active single women about premarital sexual relationships: a qualitative study in the Iranian context.
        Int J High Risk Behav Addict. 2016; 5e23159

      Biography

      All authors are affiliated with the University of Medical Sciences, Tehran, Iran. Kowser Qaderi, PhD, Department of Midwifery and Reproductive Health, Nursing and Midwifery School.

      Biography

      Mehrmaz Geranmayeh, PhD, is an associate professor, Department of Midwifery and Reproductive Health, Nursing and Midwifery School.

      Biography

      Seyedeh Tahereh Mirmolaci, PhD, is an assisstant professor, Department of Midwifery and Reproductive Health, Nursing and Midwifery School, and can be contacted at [email protected] .

      Biography

      Farnaz Farnam, PhD, is an associate professor, Department of Midwifery and Reproductive Health, Nursing and Midwifery School. Shahrzad Sheikh Hasani is an assistant professor, Gynecology Oncology Department, Iman Khomeini Hospital Complex.