International Journal of Reproductive BioMedicine
International Journal of Reproductive BioMedicine
IJRM
Medical Sciences
http://ijrm.ir
1
admin
2476-4108
2476-3772
10.29252/ijrm
en
jalali
1401
6
1
gregorian
2022
9
1
20
9
online
1
fulltext
en
جنبه های سلامت باروری/جنسی در زنان مبتلا به سندرم تخمدان پلی کیستیک: یک بررسی مروری یکپارچه
Sexual and reproductive health aspects in women with polycystic ovary syndrome: An integrative review
Pregnancy Health
Review article
Review Article
<div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">سندرم تخمدان پلی­کیستیک (</span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) یکی از شایع</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">­</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ترین اختلالات غدد درون</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">­</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ریز در زنان است که بر سلامت جنسی و باروری آنها تأثیر می­گذارد.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این مطالعه مروری یکپارچه با هدف شناسایی جنبه­های مختلف سلامت جنسی و باروری</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در زنان مبتلا به </span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">با استفاده از تلفیق یافته</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">­</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های مطالعات قبلی انجام شد.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش ­ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مطالعه مروری یکپارچه حاضر توسط جستجوی مرور سیستماتیک الکترونیکی از 1052 مقاله چاپ شده از آپریل 2000 تا مارس 2020 با استفاده از پایگاه­های</span></span><span dir="LTR" style="font-size:10.0pt">PubMed</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">SCOPUS </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">Web of Science </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">EMbase </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">Google Scholar </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">MEDLINE </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">Science Direct </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">،</span></span><span dir="LTR" style="font-size:10.0pt">Ovid </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و کتابخانه </span></span><span dir="LTR" style="font-size:10.0pt">Cochrane</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">انجام شد. پس از ارزیابی حداقل 2 محقق بر اساس معیارهای ورود و خروج، 27 مقاله پذیرفته شد. داده­ها با استفاده از تحلیل موضوعی مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">9 درونمایه اصلی از جنبه­های سلامت جنسی و باروری</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">بدست آمد که شامل 1) تأثیر عوارض مربوط به </span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">بر سلامت باروری؛ 2) تأثیر طولانی مدت </span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">بر الگوهای باروری؛ 3) </span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">و پیامدهای نامطلوب باروری و بارداری؛ 4) نیاز زنان به دانستن عوارض بیماری؛ 5) بار مالی ناشی از بیماری؛ 6) تجربیات زندگی و کیفیت زندگی زنان؛ 7) اختلالات جنسی؛ 8) نگرانی­ها و مسائل روانی زنان؛ و 9) احساسات و نقش­های زنانگی بوده.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه­ گیری:</span></span></b> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ما توانستیم جنبه­های مختلف نیازهای سلامت جنسی و باروری را برای زنان مبتلا به </span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">شناسایی و دسته</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">­</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">بندی کنیم. این دستهبندی میتواند ارزیابی جامعتری از سلامت جنسی و باروری، از جمله مسائلی که قبلاً نادیده گرفته شدهاند را تسهیل کند. پیشنهاد می­شود این جنبه ­ها در برنامه­ ریزی­ های بهداشتی مربوط به زنان مبتلا به </span></span><span dir="LTR" style="font-size:10.0pt">PCOS</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در نظر گرفته شود.</span></span></span></span></span></span></span><br>
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<div style="text-align: justify;"><span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b>Background:</b> Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women worldwide, affecting their sexual and reproductive health (SRH).</span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b>Objective:</b> This integrative review aimed to identify SRH aspects in women with PCOS by consolidating the findings from previous studies.</span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b>Materials and Methods:</b> The present integrative review<b><i> </i></b>was conducted through an electronic systematic review search of 1052 manuscripts published from April 2000 to March 2020 using PubMed, SCOPUS, Web of Science, Embase, Google Scholar, MEDLINE, Science Direct, Ovid, and the Cochrane Library. After at least 2 researchers evaluated the articles based on the inclusion and exclusion criteria, 27 papers were accepted. The data were analyzed by thematic analysis.</span></span><br>
<span style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:12.0pt">Results:</span></b><span lang="EN-GB" style="font-size:12.0pt"> 9 main themes </span><span style="font-size:12.0pt">of SRH </span><span lang="EN-GB" style="font-size:12.0pt">were obtained: 1) the impact of PCOS-related complications on reproductive health; 2) the lifelong effect of PCOS on reproductive patterns; 3) PCOS and adverse reproductive and pregnancy outcomes; 4) women's need for understanding complications; 5) the financial burden of the disease; 6) women's life experiences and quality of life; 7) sexual disorders; 8) psychological concerns and issues; and 9) femininity feelings and roles.</span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b>Conclusion: </b>We were able to identify and categorize various aspects of SRH needs for women with PCOS. These categories can facilitate a more comprehensive assessment of SRH, including previously neglected areas. We suggest that these aspects should be considered in the health plans of women with PCOS.</span></span><br>
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سندرم تخمدان پلی کیستیک, سلامت باروری, سلامت جنسی, زنان.
Polycystic ovary syndrome, Reproductive health, Sexual health, Women.
723
738
http://ijrm.ir/browse.php?a_code=A-10-1880-1&slc_lang=en&sid=1
Mehri
Kalhor
mehrikalhor@modares.ac.ir