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Taghavi SA, Aramesh S, Azizi-Kutenaee M, Allan H, Safarzadeh T, Taheri M, Salari S, Khashavi Z, Bazarganipour F. The influence of infertility on sexual and marital satisfaction in Iranian women with polycystic ovary syndrome: a case-control study. Middle East Fertil Soc J 2021. [DOI: 10.1186/s43043-020-00047-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Abstract
Background
The purpose of the present study was to evaluate sexual and marital satisfaction in couples with polycystic ovary syndrome (PCOS). A case-control study was conducted on 90 couples with PCOS and 90 healthy couples as a control group. Three measures were used to evaluate sexual function and marital satisfaction: the female sexual function index (FSFI), the Larson sexual satisfaction, and the ENRICH marital satisfaction measures.
Results
The results of this study show that the mean scores of sexual function, sexual satisfaction, and marital satisfaction were significantly lower in PCOS couples compared with the control group (P < 0.05). Infertility was reported as the strongest predictive factor for sexual function and marital satisfaction in couples with PCOS (P < 0.05). Compared to the control group, sexual and marital satisfaction was lower in patients with PCOS and their partners.
Conclusion
Since infertility is the strongest predictive factor for the sexual health of couples with PCOS and sexual health is important in family health and marital life, sexual counseling may prove beneficial for these patients.
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Bazarganipour F, Taghavi SA, Asemi Z, Allan H, Khashavi Z, Safarzadeh T, Pourchangiz S, Zare F, Ghasemi S, Karimi Z, Azizi Kutenaee M. The impact of irritable bowel syndrome on health-related quality of life in women with polycystic ovary syndrome. Health Qual Life Outcomes 2020; 18:226. [PMID: 32660493 PMCID: PMC7358924 DOI: 10.1186/s12955-020-01428-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 06/02/2020] [Indexed: 12/15/2022] Open
Abstract
Background The objectives of this study were to compare the prevalence and quality of life (QOL) of irritable bowel syndrome (IBS) in women with polycystic ovary syndrome (PCOS) compared with healthy women. Methods This was a case-control study of 201 women recruited at an infertility clinic in Iran. The control group were healthy women (n = 100) and the comparison group, women with PCOS (n = 101). Data were collected by clinical Rome III criteria to determine the IBS, Bristol scale for stool consistency and IBS QOL. Results The reporting of IBS symptoms were higher in PCOS (20.7%) than control group (11%) (P = 0.05). The IBS QOL score in the IBS + PCOS group was lower than other groups (IBS+ non PCOS, non IBS + PCOS, non IBS+ non PCOS; scores in food avoidance and worries about health domains were significant (P < 0.01). Conclusions We conclude that having PCOS and an increased level of LH/FSH tends to cause IBS symptoms. IBS + PCOS women experience significant impaired quality of life scores particularly in relation to worries about health and food avoidance. These results offer further insights into IBS in PCOS women and their functional status and wellbeing.
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Affiliation(s)
- Fatemeh Bazarganipour
- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
| | | | - Zatollah Asemi
- Research Center for Biochemistry and Nutrition in Metabolic Diseases, Institute for Basic Sciences, Kashan University of Medical Sciences, Kashan, IR, Iran
| | - Helen Allan
- Centre for Critical Research in Nursing & Midwifery, School of Health & Education, Middlesex University, London, UK
| | - Zahra Khashavi
- Infertility Clinic, Omeleila Hospital, Bandar Abbas, Hormozgan, Iran
| | - Tahereh Safarzadeh
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Shamsi Pourchangiz
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Fatemeh Zare
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Samaneh Ghasemi
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Zivar Karimi
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Maryam Azizi Kutenaee
- Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
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Khashavi Z, Homaei A, Koohnavard F, Kamrani E, Spinaci M, Luwor RB, Archang M, Agarwal A, Henkel R. Novel additive for sperm cryopreservation media: Holotheria parva coelomic cavity extract protects human spermatozoa against oxidative stress-A pilot study. Andrologia 2020; 52:e13604. [PMID: 32324915 DOI: 10.1111/and.13604] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 02/24/2020] [Accepted: 03/27/2020] [Indexed: 11/28/2022] Open
Abstract
Cryopreservation is the most effective method for preserving semen for a long period of time. However, during the freeze-thaw process, production of reactive oxygen species (ROS) leads to a steep reduction in sperm fertility indices. In this study, we tested the effects of the extract of the coelomic cavity of five Holotheria parva, a marine organism rich in antioxidants, for its ROS-scavenging activity and cryoprotective effects on oxidative stress. Using a total of 50 semen samples, our results demonstrated that doses of 250 and 500 µg/ml of H. parva coelomic cavity extract significantly increased sperm vitality as compared to the control (p < .05). The addition of 250 µg/ml of the extract exerted a significant positive effect on sperm motility. Moreover, sperm DNA damage and ROS production were significantly reduced at extract concentrations of 250 and 500 µg/ml (p < .05). To the best of our knowledge, the results of this study represent the first demonstration of the possibility of improving sperm parameters and reducing ROS production and DNA damage by supplementing sperm freezing media with H. parva coelomic extract. Our results suggested that H. parva coelomic extract could be useful for improving the fertilising ability of frozen-thawed human semen.
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Affiliation(s)
- Zahra Khashavi
- Infertility Therapy and IVF Center of Om-e-Leila Hospital, Bandar Abbas, Iran
| | - Ahmad Homaei
- Department of Marine Biology, Faculty of Marine Science and Technology, University of Hormozgan, Bandar Abbas, Iran
| | | | - Ehsan Kamrani
- Department of Marine Biology, Faculty of Marine Science and Technology, University of Hormozgan, Bandar Abbas, Iran.,Department of Fisheries Science, Faculty of Marine Science and Technology, University of Hormozgan, Bandar Abbas, Iran
| | - Marcella Spinaci
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Rodney B Luwor
- Department of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia
| | - Mahsa Archang
- Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Ashok Agarwal
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Ralf Henkel
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA.,Department of Medical Biosciences, University of the Western Cape, Cape Town, South Africa
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Amirjani S, Asemi Z, Bazarganipour F, Aramesh S, Allan H, Sayadi M, Tabatabaei MS, Mohamadian Z, Zabti F, Iranpak N, Heydarzadeh A, Taghavi SA, Badehnoosh B, Khashavi Z. Dietary intake and lifestyle behaviour in different phenotypes of polycystic ovarian syndrome: a case-control study. J Hum Nutr Diet 2019; 32:413-421. [PMID: 30859625 DOI: 10.1111/jhn.12646] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
BACKGROUND The present study aimed to compare dietary intake and lifestyle behaviour in women with polycystic ovarian syndrome (PCOS) and healthy women. METHODS One hundred and sixty healthy women (partner with male infertility) were recruited to a control group; 168 women with PCOS (diagnosed on ultrasound) were recruited to a case study group for this cross-sectional comparative study. The case group was classified into three phenotypes based on the presence or absence of menstrual disorder (M), hyperandrogenism (HA) and polycystic ovary according to sonography (PCO): HA+PCO (n = 53), PCO+M (n = 57) and M+HA+PCO (n = 66). Dietary intake and lifestyle behaviour were measured using a food frequency questionnaire and a lifestyle questionnaire. RESULTS The mean energy (P < 0.001) and fat (P < 0.001) intakes were greater in PCOS groups compared to the control group. The average energy and fat intakes were greater in HA+M+PCO group after age and body mass index (BMI) adjustment compared to the other phenotypes (P < 0.001). In comparison with the control group, lifestyle scores were lower in the PCOS group in the fields of physical activity, weight and nutrition control after age and BMI adjustment (P < 0.001). The average score of lifestyle in the fields of physical activity, weight and nutrition control, and psychological health was lower in the phenotype HA+M+PCO compared to the other phenotypes (P < 0.001). CONCLUSIONS A limited energy and fat intake is strongly recommended in Iranian women with PCOS, especially for phenotype HA+M+PCO. Consultation with respect to improvement of psychological health and the importance of weight and nutrition control, as well as appropriate physical activity, is advocated, especially in patients with phenotype HA+M+PCO.
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Affiliation(s)
- S Amirjani
- Department of Gynecology and Obstetrics, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Z Asemi
- Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran
| | - F Bazarganipour
- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
| | - S Aramesh
- Department of Gynecology and Obstetrics, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
| | - H Allan
- Centre for Critical Research in Nursing & Midwifery, School of Health & Education, Middlesex University, London, UK
| | - M Sayadi
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - M-S Tabatabaei
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Z Mohamadian
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - F Zabti
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - N Iranpak
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - A Heydarzadeh
- Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - S A Taghavi
- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
| | - B Badehnoosh
- Department of Gynecology and Obstetrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Z Khashavi
- Hazratezahra Infertility Center, Bandar Abbas, Iran
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Hekmatzadeh SF, Bazarganipour F, Hosseini N, Allan H, Jalali S, Abbasian Z, Barani A, Balochi F, Khademi S, Mahmoudi T, Niknam R, Khashavi Z, Taghavi SA. Psychometrics properties of the Iranian version of fertility quality of life tool: A cross- sectional study. Int J Reprod Biomed 2018. [DOI: 10.29252/ijrm.16.3.191] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Saffari M, Khashavi Z, Valiani M. The Effect of Auriculotherapy on the Stress and the Outcomes of Assistant Reproductive Technologies in Infertile Women. Iran J Nurs Midwifery Res 2018; 23:8-13. [PMID: 29344039 PMCID: PMC5769191 DOI: 10.4103/ijnmr.ijnmr_105_16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Background: Infertility means failure to achieve pregnancy after one year of regular unprotected sexual intercourse. Infertile women may experience severe stress and depression. Numerous studies have indicated that auriculotherapy could reduce stress. Thus, the aim of the present study was to determine the effect of auriculotherapy on the stress and the outcome assisted reproductive technology in infertile women. Materials and Methods: The present study was a clinical trial that was conducted on 56 infertile women aged 20–45, who were assigned into two groups of intervention and control, from November 2014 to November 2015. The control group only received the routine treatments, while the intervention group, in addition to their routine treatment, received auriculotherapy for 8–10 sessions during menstrual cycle. Both groups completed Newton's Fertility Problem Inventory in three stages. The datasets collected for the study were analyzed using independent t-test, repeated-measures analysis of variance, and Chi-square test. Results: The mean score of stress in the intervention group decreased significantly, compared to the control group prior to the embryo transfer and pregnancy test stages. Although insignificant, the rate of pregnancy in the intervention group was higher than the control group. There was a significant increase in the rate of clinical pregnancy in the intervention group, compared to the control. Conclusions: The results indicated that auriculotherapy might be effective in reducing stress and improving the outcome of assisted reproductive treatment.
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Affiliation(s)
- Mozhgan Saffari
- Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zahra Khashavi
- Om-e-Leila fertility and infertility center, Bandar Abbas, Iran
| | - Mahboubeh Valiani
- Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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Taghavi SA, Bazarganipour F, Allan H, Khashavi Z, Reisi N, Dosha N, Aghili F, Keramati M, Zahedi S, Aji-Ramkani A. Pelvic floor dysfunction and polycystic ovary syndrome. HUM FERTIL 2017. [PMID: 28635410 DOI: 10.1080/14647273.2017.1292003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The purpose of this study was to compare the prevalence of pelvic floor dysfunction (PFD) symptoms in patients with and without polycystic ovary syndrome (PCOS) and among different PCOS phenotypes. This was a case-control study. All participants were assessed using ultrasonography to determine the presence or absence of polycystic ovaries (PCO) and allocated to the case or control group (having healthy females whose husbands were diagnosed with male infertility). The case group was then further subdivided into the three phenotypes according to the presence or absence of menstrual dysfunction (M), hyperandrogenism (HA) and PCO on ultrasonography. Pelvic floor dysfunction was assessed by the Pelvic Floor Distress Inventory-20 (PFDI-20). Briefly, the reported pelvic organ prolapse (POP) symptoms were higher in PCOS group (p = 0.05). The mean PFD score in the HA + M + PCO group was higher compared to other phenotypes although the difference did not reach significant level (p > 0.05). However, there was a significant positive correlation between luteinising hormone (LH) level and the POP symptom portion of the PFDI-20 (p < 0.05). The reported POP symptoms were higher in PCOS group especially in HA + M + PCO phenotype. The findings suggest that higher levels of LH might correlate to symptoms of POP.
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Affiliation(s)
- Seyed Abdolvahab Taghavi
- a Fertility and Infertility Research Center, Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Fatemeh Bazarganipour
- a Fertility and Infertility Research Center, Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Helen Allan
- b Centre for Critical Research in Nursing & Midwifery, School of Health & Education, Middlesex University , London , UK
| | | | - Nasrin Reisi
- d Student Research Committee , Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Nadiyeh Dosha
- d Student Research Committee , Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Fatemeh Aghili
- d Student Research Committee , Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Mohadeseh Keramati
- d Student Research Committee , Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Sedigheh Zahedi
- d Student Research Committee , Hormozgan University of Medical Sciences , Bandar Abbas , Iran
| | - Amireh Aji-Ramkani
- d Student Research Committee , Hormozgan University of Medical Sciences , Bandar Abbas , Iran
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