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The Effect of Sexual Counseling Based on the Ex-Plissit and Better Models on the Sexual Satisfaction of Infertile Women Following Assisted Reproductive Treatment Failure



Rahimi Shandiz A1 ; Karimi FZ1, 2 ; Masoumi R3, 4 ; Mazlom SR5
Authors
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Authors Affiliations
  1. 1. Dept. of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  3. 3. Dept. of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Source: HAYAT Published:2024

Abstract

Background & Aim: Considering that a decline in sexual satisfaction after assisted reproductive treatment failure can cause a decrease in the overall quality and satisfaction of life, the present study was conducted to compare the effect of sexual counseling based on EX-PLISSIT and BETTER models on the sexual satisfaction of infertile women following the failure of assisted reproductive technologies. Methods & Materials: This randomized clinical trial, conducted in 2022, involved 66 infertile women who had experienced unsuccessful assisted reproductive treatments and were referred to the Milad Infertility Center of Imam Reza (AS) Hospital in Mashhad, Iran. The participants were divided into two intervention groups – EX-PLISSIT and BETTER – and received individual sexual counseling across four weekly sessions, comprising two face-to-face and two virtual sessions. Data were collected using the Sexual Satisfaction Scale for Women (SSSW) and subsequently analyzed using SPSS software version 25, through chi-square, independent t-tests, Mann-Whitney, and Wilcoxon tests. Results: After the intervention, there were no statistically significant differences in the total scores of sexual satisfaction and its components between the two groups (P>0.05), with the exception of relational anxiety (P=0.021). Intra-group comparisons revealed a significant increase in the total scores of sexual satisfaction and its components within each group after the intervention, as compared to before the intervention (P<0.05). Conclusion: Sexual counseling utilizing the EX-PLISSIT and BETTER models was found to be an effective, affordable, and side-effect-free method in enhancing sexual satisfaction among infertile women after the failure of assisted reproductive methods, particularly by addressing relational anxiety. © 2024 The Authors.
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1. The Effect of Better-Based Sex Counseling on Sexual Quality of Life in Infertile Women: A Randomized Controlled Clinical Trial, Sexuality and Disability (2022)
2. The Effect of Cognitive Behavioral Therapy on Sexual Function in Infertile Women: A Randomized Controlled Clinical Trial, Journal of Sex and Marital Therapy (2019)
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