Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Perception of Female Identity in Women with Premature Ovarian Insufficiency: A Qualitative Study

Authors
Somayeh Moukhah 1
Behzad Ghorbani 2
Zahra Behboodi Moghadam 1
Simin Zafardoust 2
Azadeh Haji Parvaneh 3
Elham Alinaghi 3
Rasoul Moukhah 4
1 Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2 Nanobiotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
3 Avicenna Fertility Center, Avicenna Research Institute, ACECR, Tehran, Iran
4 Department of Quality Assurance, Pasteur Institute of Karaj, Tehran, Iran
10.18502/jri.v24i1.11909
Abstract
Background: Premature ovarian insufficiency (POI) occurs in women before the age of 40. Although the outcomes of POI in women include its adverse effects on general health, sexual-reproductive health, and finally reduced quality of life. One of the first adverse consequences is a threat to female identity of the patients. The purpose of the present study was to investigate the perception and experience of women with POI about female identity. Methods: In this qualitative study, interviews were conducted with 15 women having POI. Data included participants' recorded voices that were analyzed using conventional content analysis. Results: After content analysis of the interviews with a focus on the perception and experience of women with POI about female identity, four categories emerged; they included the failure in realization of motherhood dream, the importance of menstruation, construction of female identity, and attempts to normalize the situation. Conclusion: After analyzing the emerged categories obtained by interviewing with POI women, it seems that physicians need to pay special attention to the distortion of the female identity of these patients and educate the medical team about the importance of the effect of treatment on improving their emotional health.
Keywords
Female Identity
primary ovarian insufficiency
qualitative research
Nelson LM. Clinical practice. Primary ovarian insufficiency. N Engl J Med. 2009;360(6):606-14.
Kumar N, Manesh I. Premature ovarian insufficiency: aetiology and long term consequences. Int J Womens Health. 2017;3(2):45-58.
Podfigurna-Stopa A, Czyzyk A, Grymowicz M, Smolarczyk R, Katulski K, Czajkowski K, et al. Premature ovarian insufficiency: the context of long-term effects. J Endocrinol Invest. 2016;39(9):983-90.
Greil AL. Infertility and psychological distress: a critical review of the literature. Soc Sci Med. 1997;45(11):1679-704.
Singer D, Hunter MS. Dealing with loss of fertility. Br Med J. 1997;315(7099):66.
Singer D, Hunter MS. The experience of premature menopause: a thematic discourse analysis. J Reprod Infant Psychol. 1999;17(1):63-81.
Ventura J, Davis M, Calis K, Koziol D, Covington S, Nelson L. Symptoms of depression and their impact on daily functioning in women with spontaneous premature ovarian failure. Fertil Steril. 2006; 86(3):S54.
Groff AA, Covington SN, Halverson LR, Fitzgerald OR, Vanderhoof V, Calis K, et al. Assessing the emotional needs of women with spontaneous premature ovarian failure. Fertil Steril. 2005;83(6):1734-41.
Schmidt PJ, Cardoso GMP, Ross JL, Haq N, Rubinow DR, Bondy CA. Shyness, social anxiety and impaired self-esteem in Turner syndrome and premature ovarian failure. JAMA. 2006;295(12):1374-6.
Van der Voort K, Grabill J, Troendle S, Covington L, Nelson LM. Women with spontaneous premature ovarian failure have reduced self-esteem and perceived social support. Fertil Steril. 2003;84:S22.
van der Stege JG, Groen H, van Zadelhoff SJ, Lambalk CB, Braat DD, van Kasteren YM, et al. Decreased androgen concentrations and diminished general and sexual well being in women with premature ovarian failure. Menopause. 2008;15(1):23-31.
Benetti-Pinto CL, De Almeida DM, Makuch MY. Quality of life in women with premature ovarian failure. Gynecol Endocrinol. 2011;27(9):645-9.
The impact of premature ovarian failure on quality of life: results from the UK 1958 Birth Cohort. 2011;26(suppl 1):108-10.
Sergeant J. An exploration of women's identity during menopause: a grounded theory study [dissertation]. [Roehampton]: University of Roehampton. 2016. 58 p.
Cheek JM. Identity orientations and self-interpretation. In: Buss DM, Cantors N, editors. Personality psychology: recent trends and emerging directions. New York: Springer; 1989. p. 275-85.
American Psychological association. Identity. dictionary.apa.org. Retrieved 2022-02-22.
Weinreich P. The operationalisation of identity theory in racial and ethnic relations. In: Rex J, Mason D, Mason DS, editors. Cambridge: Cambridge University Press; 1986. p. 299-320.
Leary MR. What is the self? a plea for clarity. Self Identity. 2004;3(1):1-3.
Karimi M, Samani RO, Shirkavand A. A qualitative study of the experiences of infertile woman in Iran. Payesh. 2015;14(4):453-65.
Thorn P. Understanding infertility: psychological and social considerations from a counselling perspective. Int J Fertil Steril. 2009;3(2):48-51.
Charmaz, K. The body identity and self: adapting to impairment. Sociol Q. 1995;36(4):657-80.
Hunter MS, O’Dea I. Menopause: bodily changes and multiple meanings. In: Ussher JM, editor. Body talk. London: Routledge; 2002. p. 211-34.
Paechter C. Educating the other: gender, power and schooling. 1st ed. London: Routledge; 1998. 152 p.
Beauvoir S. The second sex. London: Random House; 1949. 873 p.
Minnaar TA. Is ovarian cancer the end of womanhood? a feminist theological engagement [dissertation]. [Stellenbosch]. Stellenbosch University; 2018. 148 p.
Hungr C, Sanchez-Varela V, Bober SL. Self-image and sexuality issues among young women with breast cancer: practical recommendations. Rev Invest Clin. 2017;69(2):114-22.
Yazdkhasti M, Negarandeh R, Behboodi-Moghadam Z. Threat of the feminine identity: The emerging structure in exploring the process of women's empowerment for menopause management: a grounded theory study. Int J Med Res Health Sci. 2016;5(11):509-20.
European Society for Human Reproduction and Embryology (ESHRE) Guideline Group on POI, Webber L, Davies M, Anderson R, Bartlett J, Braat D, et al. ESHRE guideline: management of women with premature ovarian insufficiency. Hum Reprod. 2016;31(5):926-37.
Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. 5th ed. Philadelphia: Lippincott Wil-liams & Wilkins; 2011. 419 p.
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia:Lippincott: Williams and Wilkins; 2017. 723 p.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15 (9):1277-88.
Zhang Y, Wildemuth BM. Qualitative analysis of content. In: Wildemuth BM, editor. Applications of social research methods to questions in information and library science. UK: Libraries Unlimited. 2016. p.1-12.
Wildemuth BM. Applications of social research methods to questions in information and library science. 2nd ed. UK: Libraries Unlimited; 2016. 433 p.
Lincoln SY, Guba EG. Naturalistic inquiry. 1st ed. Thousand Oaks: SAGE; 1984. 382 p.
Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: a focus on trustworthiness. SAGE Open. 2014;4(1):2158244014522633.
Birks M, Mills J. Grounded theory: a practical guide. 2nd ed. London: SAGE; 2015. 24 p.
Pasquali EA. Premature menopause and self-concept disjunctions: a case for crisis management. J Psychosoc Nurs Ment Health Serv. 2002;40(9):20-9.
Orshan SA, Furniss KK, Forst C, Santoro N. The lived experience of premature ovarian failure. J Obstet Gynecol Neonatal Nurs. 2001;30(2):202-8.
Nauman I. Aspects of Mary and the church through the centuries. Campus ministry at the university of dayton: Marian Resources. 2010. 128 p.
Skultans V. The symbolic significance of menstruation and the menopause. Man. 1970;5(4):639-51.
Golezar S, Keshavarz Z, Tehrani FR, Ebadi A. An exploration of factors affecting the quality of life of women with primary ovarian insufficiency: a qualitative study. BMC Women's Health. 2020;20 (1):163.
Boughton MA. Premature menopause: multiple disruptions between the woman's biological body experience and her lived body. J Adv Nurs. 2002;37(5):423-30.
Panos K. Generations of fertility: a bioethical and evolutionary analysis [dissertation]. [DePauw]: DePauw University; 2019. 101 p.
Rafique S, Sterling EW, Nelson LM. A new approach to primary ovarian insufficiency. Obstet Gynecol Clin North Am. 2012;39(4):567-86.
Lockley GS. Premature menopause–the experiences of women and their partners [dissertation]. [Swinburne]: Swinburne University of Technology; 2015. 201 p.
Bagheri M, Jafarabadi M, Rahimparvar SF, Nourbala AA, Moghadam ZB. Concerns of infertile women Candidates for egg donation: a qualitative study. J Family Reprod Health. 2020;14(1):21-31.
Ezadyar N, Ahmadnia S, Saiedmirzaiee SM, Azin A, Yazdani Safa M, Eyzadyar N, et al. To choose the oocyte donation as a way of becoming a mother (Phenomenological study of infertile women’s in Royan Institute). J Iranian Social Stud. 2014;8(1):6-21.
Purewal S, van den Akker OB. British women’s attitudes towards oocyte donation: ethnic differences and altruism. Patient Educ Couns. 2006;64(1-3):43-9.
Moukhah S, Ghorbani B, Behboodi-Moghadam Z, Zafardoust S. Perceptions and experiences of women with premature ovarian insufficiency about sexual health and reproductive health. BMC Womens Health. 2021;21(1):54.
Journal of Reproduction & Infertility
Volume 24, Issue 1
Winter 2023
Pages 49-57