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Research article
Comparison of various aspects of women’s lives between infertile and women with and without tubal ligation: a comparative cross-sectional study
Shahideh Jahanian Sadatmahalleh
Tarbiat Modares University Faculty of Medical Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7006-8487
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The aim of this study is to compare anxiety, depression, body image, self-esteem, sexual function (SF), and quality of life (QoL) between infertile women and women with or without tubal ligation (TL).
Methods: This cross-sectional study was conducted on 600 women, distributed equally as infertile women, women with or without TL, who met the inclusion criteria. They were selected from the Royan Institute in Tehran (Iran) and a number of health care centers in Tehran (Iran) from May 2017 to February 2019. The subjects were asked to fill out the Short Form Health Survey (SF-12), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg’ Self-Esteem Scale (RSES). One-way ANOVA was used to find the statistical differences between the three groups.
Results: Mean scores of all FSFI domains were found to be lower in the TL women and the differences between the three groups were statistically significant in all domains. Women with TL had more female sexual dysfunction (FSD) (22.43±5.30 vs 24.79±4.74 vs 28.03±3.29, P˂0.001). There was a significant difference between the three groups in SF-12 scores (76.59±13.14 vs 68.49±14.47 vs 78.87±12.62, P˂0.001). Also, there was a significant difference between the three groups in anxiety, depression, and total scores HADS (P˂0.001). Infertile women had lower body image (P˂0.05) and self-esteem was lower in the TL group (P˂0.05).
Conclusions: Our findings reveal the adverse effects of TL on the anxiety and depression, sexual life, body image, and QoL of women. It is recommended that the awareness and knowledge of health-care professionals regarding the side-effects of TL in the above-mentioned aspects of women’s lives should be increased and discussed with patients.
Keywords
Infertility, Tubal Ligation, Sexual Function, Quality of Life, Depression
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CURRENT STATUS: Under Revision
Version 2
Posted 11 Jan, 2021
No community comments so far
Editorial decision: Minor revision
On 10 Jan, 2021
Review #2 received
Received 08 Jan, 2021
Reviewer #2 agreed
On 30 Dec, 2020
Reviewer #1 agreed
On 28 Dec, 2020
Review #1 received
Received 28 Dec, 2020
Editor assigned
On 27 Dec, 2020
Reviewers invited
Invitations sent on 27 Dec, 2020
Submission checks complete
On 27 Dec, 2020
Editor invited
On 27 Dec, 2020
No comments provided
Editorial decision: Major revision
On 19 Oct, 2020
Review #2 received
Received 10 Oct, 2020
Reviewer #4 agreed
On 25 Sep, 2020
Reviewer #3 agreed
On 23 Sep, 2020
Reviewer #2 agreed
On 22 Sep, 2020
Reviewer #1 agreed
On 04 Sep, 2020
Review #1 received
Received 04 Sep, 2020
Reviewers invited
Invitations sent on 16 Aug, 2020
Editor assigned
On 25 Jun, 2020
First submitted
On 24 Jun, 2020
Submission checks complete
On 24 Jun, 2020
Editor invited
On 24 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
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This preprint is under consideration at BMC Women's Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Comparison of various aspects of women’s lives between infertile and women with and without tubal ligation: a comparative cross-sectional study
Shahideh Jahanian Sadatmahalleh
Tarbiat Modares University Faculty of Medical Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7006-8487
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Revision
Version 2
Posted 11 Jan, 2021
No community comments so far
Editorial decision: Minor revision
On 10 Jan, 2021
Review #2 received
Received 08 Jan, 2021
Reviewer #2 agreed
On 30 Dec, 2020
Reviewer #1 agreed
On 28 Dec, 2020
Review #1 received
Received 28 Dec, 2020
Editor assigned
On 27 Dec, 2020
Reviewers invited
Invitations sent on 27 Dec, 2020
Submission checks complete
On 27 Dec, 2020
Editor invited
On 27 Dec, 2020
No comments provided
Editorial decision: Major revision
On 19 Oct, 2020
Review #2 received
Received 10 Oct, 2020
Reviewer #4 agreed
On 25 Sep, 2020
Reviewer #3 agreed
On 23 Sep, 2020
Reviewer #2 agreed
On 22 Sep, 2020
Reviewer #1 agreed
On 04 Sep, 2020
Review #1 received
Received 04 Sep, 2020
Reviewers invited
Invitations sent on 16 Aug, 2020
Editor assigned
On 25 Jun, 2020
First submitted
On 24 Jun, 2020
Submission checks complete
On 24 Jun, 2020
Editor invited
On 24 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The aim of this study is to compare anxiety, depression, body image, self-esteem, sexual function (SF), and quality of life (QoL) between infertile women and women with or without tubal ligation (TL).
Methods: This cross-sectional study was conducted on 600 women, distributed equally as infertile women, women with or without TL, who met the inclusion criteria. They were selected from the Royan Institute in Tehran (Iran) and a number of health care centers in Tehran (Iran) from May 2017 to February 2019. The subjects were asked to fill out the Short Form Health Survey (SF-12), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg’ Self-Esteem Scale (RSES). One-way ANOVA was used to find the statistical differences between the three groups.
Results: Mean scores of all FSFI domains were found to be lower in the TL women and the differences between the three groups were statistically significant in all domains. Women with TL had more female sexual dysfunction (FSD) (22.43±5.30 vs 24.79±4.74 vs 28.03±3.29, P˂0.001). There was a significant difference between the three groups in SF-12 scores (76.59±13.14 vs 68.49±14.47 vs 78.87±12.62, P˂0.001). Also, there was a significant difference between the three groups in anxiety, depression, and total scores HADS (P˂0.001). Infertile women had lower body image (P˂0.05) and self-esteem was lower in the TL group (P˂0.05).
Conclusions: Our findings reveal the adverse effects of TL on the anxiety and depression, sexual life, body image, and QoL of women. It is recommended that the awareness and knowledge of health-care professionals regarding the side-effects of TL in the above-mentioned aspects of women’s lives should be increased and discussed with patients.