الفهرس 
Acknowledgements
Complications and Sid effects of IUDsOnly 14 pages are availabe for public view
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Abstract
Summary
Birth control, also known as contraception and fertility control methods, is a method and device that used to prevent pregnancy. Contraception has been used since ancient times, but effective and safe methods and devices of birth control only became available in the 20th century.
An intrauterine device (IUDs) is a small contraceptive device that is put into the uterus (womb) to prevent pregnancy. The two types available are the copper IUDs and the hormonal IUDs (Mirena) The hormonal IUDs contains progesteroen, which is a synthetic version of the hormone progesterone that female make naturally Both types are among the most effective methods of family planning and can stay in place for five years or more
IUDs affect sperm movement and survive in the womb, stopping these cells from reaching and fertilizing the ovum. IUDs can also change the lining of the uterus to prevent a fertilized ovum from sticking. The hormonal IUDs can make the fluid at the cervices of the uterus thicker, and stop sperm from getting through.
Some people have side effects after using an IUDs. They usually go away in about 3–6 months, once your body gets used to the visitor in your uterus (womb). Side effects can include: pain after the IUDs is put in, cramping or backaches for a few days after the IUDs is put in, spotting between menstruation, irregular periods, heavier periods and worse menstrual cramps.
In some studies, women have reported a loss of libido while using the hormonal (plastic) IUDs. However, it’s still not clear whether IUDs have any direct effect on your sex and orgasm, or whether this is due to
74
other factors and causes .some women say that they feel worried that their partner will be able to feel the IUDs during sex, but in fact this happens very rarely.
Feminine hygiene products also called menstrual hygiene products are personal care products used by women during menstruation, vaginal discharge, and other bodily functions related to the vulva and vagina. Products meant to ”cleanse” the area of the vulva or inside of the vagina, such as feminine deodorants, douche, feminine powders, feminine soaps, and feminine wipes have also been described as ”feminine hygiene” products. These products may lead to allergic reaction and irritation as the vagina naturally flushes out bacteria. Many health professionals advise against douching because it can change the balance of vaginal flora and acidity.
This study was aimed to assess feminine hygiene among IUDs users and the effect of IUDs on sexual function. Descriptive exploratory research design was used to conduct this study.
This study was carried out in outpatient clinics of family planning at Salama Abdulla family planning center at Sohag City (west Sohage) and ministry of health Akhmeem hospital (East Sohage). The sample was consisting of a convenience sample 500 women who were coming to outpatient clinics in Sohag governorate.
Data collection procedure was conducted in over 8 months from January 2018 to August 2018. The researcher was available in the study settings 3 days per week in each study setting from 9:00a.m to 1: p.m.
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Inclusion criteria:
- Users of intra uterine device who attending the family planning center at Sohag City and ministry of health using IUDS from 6 months to 3years, agree to participate in the study.
-Age between 18- 45 years.
Tools
I:Intreview Questionnaire
It was divided into five parts:
Part 1 –sociodemographic data: patient’s age, level of education, occupation and resident.
Part 2-Menstrual history includes: age of menarche, duration, regularity interval and any menstrual abnormalities.
Part 3-Obstetric history which includes: gravidity, parity, type of delivery (normal, caesarian section)
Part 4- Feminine hygiene which include: vaginal douches; spray; suppository sanitary pads, kind of under wear, technique of vaginal cleaning.
Part 5- Family Planning history which include: IUD usage duration, indications and any discomfort or complications ;( metrorrhagia, spotting, infection, gastrointestinal infection, blood loss, sexual problems and unwanted pregnancy)
Tool II- Sexual Function Scale: Which include sexual orgasm,vaginal lubrication, frequency of sexual desire, enjoyment, arousal, ‘tense’ feelings, feeling ‘close and comfortable with the husband
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and male husbands’ experience of sexual problems, it consist of nine items ,the response will be yes (1)or no(2)
The scale include :1 sexual orgasm, 2-vaginal lubrication,3- frequency of sexual desire,4- enjoyment,5- arousal, 6-‘tense’ feelings, 7-feeling ‘close 8- comfortable with the husband 9- male husbands’ experience of sexual problems.
The main finding of this study revealed that:
-The mean age of studied women was (34.19 ± 8.54) years between the age of 18-45 years.
-More than half of them from urban area.
- Large number of clients using IUDs had problems (70%) of them.
- There is highly significance between the way of cleaning vagina and vaginitis P-value (0.000*).
-There is no statically significance between having IUDs and difference in libido, there is highly significance between having vaginitis and feel uncomfortable and pain during sexual relation p- value (0.030*).
-There is highly significance between having cervicitis and feel uncomfortable and pain during sexual relation p- value (0.000*).
This study concluded that: there is many problems can occur to women while using IUDs as contraception method.
Feminine hygiene affected women’s health and contributing to make cervicitis, vaginitis and sexual problem.
This study recommended that: health education and hygiene guideline should educate to women while having contraceptive method especially
77
IUDs. Developing in service training program for nurses regardingSummary
Birth control, also known as contraception and fertility control methods, is a method and device that used to prevent pregnancy. Contraception has been used since ancient times, but effective and safe methods and devices of birth control only became available in the 20th century.
An intrauterine device (IUDs) is a small contraceptive device that is put into the uterus (womb) to prevent pregnancy. The two types available are the copper IUDs and the hormonal IUDs (Mirena) The hormonal IUDs contains progesteroen, which is a synthetic version of the hormone progesterone that female make naturally Both types are among the most effective methods of family planning and can stay in place for five years or more
IUDs affect sperm movement and survive in the womb, stopping these cells from reaching and fertilizing the ovum. IUDs can also change the lining of the uterus to prevent a fertilized ovum from sticking. The hormonal IUDs can make the fluid at the cervices of the uterus thicker, and stop sperm from getting through.
Some people have side effects after using an IUDs. They usually go away in about 3–6 months, once your body gets used to the visitor in your uterus (womb). Side effects can include: pain after the IUDs is put in, cramping or backaches for a few days after the IUDs is put in, spotting between menstruation, irregular periods, heavier periods and worse menstrual cramps.
In some studies, women have reported a loss of libido while using the hormonal (plastic) IUDs. However, it’s still not clear whether IUDs have any direct effect on your sex and orgasm, or whether this is due to
74
other factors and causes .some women say that they feel worried that their partner will be able to feel the IUDs during sex, but in fact this happens very rarely.
Feminine hygiene products also called menstrual hygiene products are personal care products used by women during menstruation, vaginal discharge, and other bodily functions related to the vulva and vagina. Products meant to ”cleanse” the area of the vulva or inside of the vagina, such as feminine deodorants, douche, feminine powders, feminine soaps, and feminine wipes have also been described as ”feminine hygiene” products. These products may lead to allergic reaction and irritation as the vagina naturally flushes out bacteria. Many health professionals advise against douching because it can change the balance of vaginal flora and acidity.
This study was aimed to assess feminine hygiene among IUDs users and the effect of IUDs on sexual function. Descriptive exploratory research design was used to conduct this study.
This study was carried out in outpatient clinics of family planning at Salama Abdulla family planning center at Sohag City (west Sohage) and ministry of health Akhmeem hospital (East Sohage). The sample was consisting of a convenience sample 500 women who were coming to outpatient clinics in Sohag governorate.
Data collection procedure was conducted in over 8 months from January 2018 to August 2018. The researcher was available in the study settings 3 days per week in each study setting from 9:00a.m to 1: p.m.
75
Inclusion criteria:
- Users of intra uterine device who attending the family planning center at Sohag City and ministry of health using IUDS from 6 months to 3years, agree to participate in the study.
-Age between 18- 45 years.
Tools
I:Intreview Questionnaire
It was divided into five parts:
Part 1 –sociodemographic data: patient’s age, level of education, occupation and resident.
Part 2-Menstrual history includes: age of menarche, duration, regularity interval and any menstrual abnormalities.
Part 3-Obstetric history which includes: gravidity, parity, type of delivery (normal, caesarian section)
Part 4- Feminine hygiene which include: vaginal douches; spray; suppository sanitary pads, kind of under wear, technique of vaginal cleaning.
Part 5- Family Planning history which include: IUD usage duration, indications and any discomfort or complications ;( metrorrhagia, spotting, infection, gastrointestinal infection, blood loss, sexual problems and unwanted pregnancy)
Tool II- Sexual Function Scale: Which include sexual orgasm,vaginal lubrication, frequency of sexual desire, enjoyment, arousal, ‘tense’ feelings, feeling ‘close and comfortable with the husband
76
and male husbands’ experience of sexual problems, it consist of nine items ,the response will be yes (1)or no(2)
The scale include :1 sexual orgasm, 2-vaginal lubrication,3- frequency of sexual desire,4- enjoyment,5- arousal, 6-‘tense’ feelings, 7-feeling ‘close 8- comfortable with the husband 9- male husbands’ experience of sexual problems.
The main finding of this study revealed that:
-The mean age of studied women was (34.19 ± 8.54) years between the age of 18-45 years.
-More than half of them from urban area.
- Large number of clients using IUDs had problems (70%) of them.
- There is highly significance between the way of cleaning vagina and vaginitis P-value (0.000*).
-There is no statically significance between having IUDs and difference in libido, there is highly significance between having vaginitis and feel uncomfortable and pain during sexual relation p- value (0.030*).
-There is highly significance between having cervicitis and feel uncomfortable and pain during sexual relation p- value (0.000*).
This study concluded that: there is many problems can occur to women while using IUDs as contraception method.
Feminine hygiene affected women’s health and contributing to make cervicitis, vaginitis and sexual problem.
This study recommended that: health education and hygiene guideline should educate to women while having contraceptive method especially
77
IUDs. Developing in service training program for nurses regardingالملخص العربي
مقدمة
وساا تنظيم ااسلظالمسانظالضا وواالظاسعاا ظلوساا تنظضماامظالخضاانظاوظوساا تنظيم ااسلظال ااوللظ -
والامجا هظ ااظةلا رظةا ظدا ظاوظا وا ظيساي لظلضمامظالخضانظ اساظالوسا تنظيساي لظضماسظو ا ظ
دوسنظولك ظوس تنظضممظالخضنظالاضملظ ظاولفا لهظا لخ ظضي خلظوقدظواظالق ظالاش س ظ
واخ ظض ظا لظ ساظالوس تنظاللولهظ, اوظةلا رظةا ظا ارظ اةس رظيوعامظ ا انظالا خلظلضمامظ -
الخضن,سوجاا ظضمااهظموةاا ظاللولااهظالمخ ساااظواللولااهظال) ضوما ضس سماا (ظالاسحظسخيااوحظةلاااظ ضااو ظ
الل وجسيس و ظو وظ ضو ظ ام ةاظسشالهظ ضاو ظالل وجسايس و ظالدلساااظالاسحظسيكاو ظوااظجسالظ
الامثاظ وسايل ظاللولهظلموةسهظض ظاكث ظالوس تنظو ةسلسهظواسي اض ظلاس ظالساس ا ظ كضا ظاماهظيياا حظ
وي رظاسي اضهظالاظ ضسظسموا ظاوظاكث
ساضنظاللولهظ ا انظالا خلظةلااظضمامظخ كالظالخسواما ظالضموسالظكضا ظاماهظس)ا ظلق ت)ا ظخسال ظ -
اسعاا ظساضانظةلاااظيةسسا ظلد مالظالا خلظلكاااظسضماامظاللوسعاالظالض االلظضاا ظالي ا ) ظلااهظوخاا و ظ
الخضنظ,كض ظا ظاللولهظال) ضوماظساضنظةلاظزسا رظساضوظولزوجالظالسا تنظالضوجاو ظوااظةما ظالا خلظ
لكاظسضممظالخسوام ظض ظال ونظالاظالسه
لاضظالسس ا ظاللاياظسسي ض ظاللولهظسا مس ظض ظلاضظالاةا ا ضظالج ملسالظولكا ظ اساظ -
الاة ا ضظس ة ظض ظييلاشاظواظغعو ظض ظ 6 3 ظاشا) ظضا ظي كسلاهظووجاو اظ ا انظالا خل ظوضا ظ -
ا الظ اساظالاةا ا ضظالج ملسالظبالشااو ظلا للظلاا ظي كسله,خا و ظيقل ا ظ خضساهظ,وجاو ظ دا ا ظ لظ
لس ظوي ا ظالخسضظوزس رظوي ي) ظوزس رظاليقل ظالض خلهظل)
وض ظالج س ظل لسك ظامهظواظلاضظال ا س ظوج ظيةسس ظواظال غللظالجمسسلظلا ظاسياض نظ -
اللولاهظال) ضاوماظولكماهظخيااظ اساظاللخ اهظلاظسوجا ظ لسانظضالالظوواعاعظا ظكا ظل ساهظيا ثس ظةلااظ
يةسسا ظالمشاواظوال غساهظالجمساسلظاوظلاظ اوظا ظكا ظ اساظسخا ظلسالهظا ا ظولكماهظيا ا زض ظضامظي كساهظ
اللولااهظ كضا ظا ظلاااضظالسااس ا ظاشاا ظالاااظ لق)اا ظلشاا ظا ظازواج)اا ظضاا ظالضضكاا ظا ظسشاا واظ
س سودظاللولهظاثم ءظالجض عظولك ظ ساظم ا ظض ظسخ ظ
وس تنظاليم سفظالمس تسلظوالياظيا فظاسع ظلوس تنظالم والظالش اسلظالضساي ضلظاثما ءظ -
وي رظالخسضظب اظةل ظ رظة ظوس تنظيم سفظش سلظيسياضنظلواسدلظالسس ا ظاثم ءظوي رظالخسضظ
اوظةم ظوجو ظاو ا ا ز ظض)للسلظاوظاو ا ا ز ظي صظضمدقهظالا ملظ
ويساي لظ اساظالوسا تنظوااظيم سافظضمدقالظالا مالظاوظ ا انظالض)لانظضثانظبضزسانظالا واتعظ -
,اليشدسفظالض)للاظ,الضس خس ظ,ال لو ظالدلاظوالضم سنظالضلللهظ ظ ساظالضميج ظض ظالضضك ظا ظ
ييسلهظواظخا و ظخس ساسلظاوظالي) لا ظوي)سجا ظوااظضمدقالظالا ماهظم ا ا ظلا ظ اساظالضمدقالظيقاولظ
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ليم سافظاللكي سا ظلا ا ل) ظدلساسا ظ كضا ظا ظالكثسا ظضا ظ لا ا ءظال اخلظسم اخو ظلاا ظاساي الظ اساظ
الضم ف ظلام) ظياضنظةلاظا يلانظاليواز ظو جالظالخ ضعاسلظلللكي سا ظالدلساسالظالضوجاو اظوااظ اساظ
الضمدقلظ
الهدف من الد ا رسة : -
تهدف الد ا رسة الى:
يقسسلظالم ولظالمس تسلظلس ظضسي ضاظاللولهظوي ثس ظاللولهظةلاظالو سفلظالجمسسلظ
طرق البحث:
تصمميم البحث
لق ظاسي لظي ضسسلظاسيكش واظو فاظلاضنظ ساظال ا سلظ
مكان البحث:
يلظاجا ا ءظ اساظال ا سالظوااظةا ظ 2ظضا ظالاضا ك ظبالاسا ا ظال جسالظلض كازظسالاضلظةلا ا ظ
”ش ظسو ج”ظوالاس ا ظال جسلظلضسيشفاظا ضسلظالض كزحظ”غ هظسو ج”
عينة البحث:
شضل ظال ا سلظ 055 ظسس اظسسي ض ظاللولهظواظويا اظلاظيقانظةا ظ 6ظاشا) ظولاظيزسا ظةا ظ 3ظ
سموا ظ
- يلظيجضسمظةسملظاللخ ظواظ لانظ 8ظاش) ظل اسلظض ظش) ظسم س ظ 2508 ظالااظشا) ظاغسادسظ
2508 ظك ظالل خ ظسيواج ظواظالاض ك ظالض لظلاخسظالاسملظض ظالس ةلظ 9ظ ال خ ظالااظ
الس ةلظ 0ظ ) ا ظ
- معايير الاشتمال :
- جميع السيدات اللاتى يستخدمن اللولب كوسيله منع حمل فتره لا تقل عن 6 اشهرر لالا تييهد
عن 3 سنوات لايوافقن على المشاركه فى الدراسة.
- العمر بين 81 اقل من 54 سنه. -
ادوات البحث :
يلظاسي الظالا وا ظالي لسلب
- اسيض رظاسيلس ظوضق لللظش سلظ
- اسيلس س ظليقسسلظالو سفلظالجمسلظ
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النتائج :
اسفرت نتائج الد ا رسة عن مايلى :
ك مااا ظال ااا تصظال سضوج ا وسااالظوالاجيض ةسااالظلاااس ظالساااس ا ظكااا لاياظبضيوساادظالاضاا ظ -
+31,09 ظ 8,01 (سمهظ,اكث ظض ظم فظالخ لا ظض ظالخع ظ
- وج ظة ظكلس ظض ظالخ لا ظلمسللظ% 75 سا مو ظض ظضش كنظضمظاللولهظ
- يوج ظةلا لظوثسقلظلس ظد سقلظيم سفظالض)لنظوخ و ظالي) ل ظض)للسلظ
- لاظيوج ظةلا لظوثسقهظلس ظاسي الظاللولهظوخ و ظا يلافظواظال غللظالجمسسلظ وجا ظةلا الظ
وثسقلظلس ظالالي) ل ظالض)للسهظوالي) ل ظةم ظال خلظوالشاو ظلا لظال ا خلظوالاللظاثم ءظالالا لظ
الجمسسلظ
الخلاصة :
- اوعااخ ظال ا ساالظالخ لساالظامااهظسوجاا ظالا ساا ظضاا ظالضشااكلا ظاليااااظي ااسهظالسااس ا ظاثماا ءظ
اسي اض)لظاللولهظكوسسللظلضممظالخضن
- اوعااخ ظال ا ساالظا ظ ماا وظةلا االظلااس ظالم واالظالمساا تسلظوخاا و ظالي) لاا ظةماا ظالاا خلظ
وضش كنظجمسسه
التوصيات :
- سجهظةلاظالسس ا ظالاياظسسي ض ظاللولهظالخ ونظةلاظل م ضجظيثقسفاظواظكسفسهظاليا ضنظ
ضمظاللولهظكوسسللظضممظخضنظوكسفسهظالام سلظلضدقلظالا مهظوالض)لنظ
- امش ءظل م ضجظ ضاظلي سهظالضض ع ظةلااظالضشاكلا ظوالاثا ظالج ملسالظاليااظضا ظالضضكا ظ
ا ظسسلل) ظاللولهظوكسفسلظاليا ضنظضا) ظواوعنظالد ظللم ولالش سلظللسس ا