ArticleHealth science reports2026
"Silent Suffering": Affirming Iranian Women's Right to Sexual Health Through a Whatsapp-Based "Good Enough Sex" Counseling Program: A Parallel-Group Randomized Controlled Trial.
Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Infertility profoundly affects women's sexual health and psychological well-being, particularly in cultures where childbearing defines female identity and sexuality remains a taboo subject. In Iran, no randomized controlled trial has evaluated a culturally adapted digital psychosexual intervention for infertile women. Methods: This parallel-group, single-blind randomized controlled trial was conducted from September 2021 to April 2022 at two major infertility centers in Urmia, Iran. A total of 100 infertile women (aged 25-35 years) were recruited via convenience sampling and then randomly allocated to either a 6-week WhatsApp-based Good Enough Sex (GES) counseling program ( Results: The intervention group showed significant improvements in sexual satisfaction (mean increase: 41.92 points) and significant reductions in infertility-related stress (mean reduction: 108.90 points) immediately post-intervention, with effects largely sustained at 1-month follow-up ( Conclusions: Among this sample of infertile Iranian women, WhatsApp-based GES counseling was associated with reduced infertility-related stress and improved sexual satisfaction. Because the sample was recruited by convenience sampling from two referral centers, was relatively small, used restrictive eligibility criteria, and had only 1-month follow-up, these findings should be considered promising preliminary evidence. Larger multicenter randomized trials with more diverse populations and longer follow-up are needed before conclusions about generalizability can be drawn. If confirmed, this approach may offer a useful adjunct to infertility care in culturally conservative settings. Policy Implications: In conservative societies where sexual health discussions are stigmatized, infertility clinics may consider integrating WhatsApp-based GES counseling into routine care. Policymakers could support training providers in this model and digital ethics, and health authorities can leverage this approach to replace online misinformation with evidence-based education. Trial Registration: IRCT20210926052593N1, The date of registration: 13-10-2021.
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