The Effect of Counseling Based on Sexual Self-Concept via Social Networks on Smartphone in Infertile Women: A Randomized Controlled Trial

Document Type: Original Article


1 Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran

2 Social Determinants of of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran

3 Fellow of European Committee of Sexual Medicine, Department of Health Promotion, Institute for Health Sciences Research, ACECR, Tehran, Iran

4 Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran Endocrinology and Metabolism Research Center

5 Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran ,Iran


Background: Infertility can affect the physical, mental and emotional aspects of a person’s life. This
study aimed to investigate the effect of sexual counseling via social networks on Smartphone in sexual
self-concept of infertile women.
Methods: In a randomized controlled trial, 80 eligible infertile women referred to the fertility centers
of Alborz University of Medical Sciences from April to July 2018. They were randomly assigned
into intervention) sexual counseling with routine infertility counseling) and control groups )routine
infertility counseling). Eight counseling sessions via social networks were held for both groups.
The Snell’s sexual self-concept questionnaire was completed by participants before and after the
intervention. The data were analyzed using SPSS 19 with a significance level of P<0.05.
Results: The mean age of women was 30.76±0.72 years and the most infertility duration was more
than 36 months. The results of a repeated measure showed that there were significant differences
in positive self-concept domain between the two groups during the time by comparing the means
(120.4±17.9 versus 105.1±16.8). We also found an increasing trend of the scores in positive sexual selfconcept domain (110.6±18.42, 120.1±18.7, 120.4±17.9) (P<0.001) and a decrease in negative sexual selfconcept domain (24.3±7.87, 20.2±7.77, 19.65±6.97) (P<0.001) in intervention group. In the situational
self-concept, there were no difference between the two groups during the time )P=0.06)
Conclusion: The results obtained in the present study showed that counseling through social networks
was effective in improving the sexual self-concept in infertile women, thus ameliorating the couples’
sexual relations.
Trial Registration Number: IRCT20160503027728N9



  1. Berek JS. Berek & Novak’s gynecology. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
  2. Fritz MA, Speroff L. Clinical gynecologic endocrinology and infertility. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2011.
  3. Onat G, Kizilkaya*Beji N. Effects of infertility on gender differences in marital relationship and quality of life: a case-control study of Turkish couples. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2012;165:243-8.
  4. Hasanpoor-Azghdy SB, Simbar M, Vedadhir A. The emotional-psychological consequences of infertility among infertile women seeking treatment: results of a qualitative study. Iranian Journal of Reproductive Medicine. 2014;12:131-8.
  5. World Health Organization. Infertility definitions and terminology. Geneva: World Health Organization; 2009. [cited May 2018]. Available from:
  6. Dubey A. Infertility Diagnosis, Management and IVF. 1st ed. India: Jaypee Brothers Medical Publishers; 2012.
  7. Direkvand*Moghadam A, Delpisheh A, Sayehmiri K. The trend of infertility in Iran, an original review and meta-analysis. Nursing Practice Today. 2014;1:46-52
  8. Chachamovich JR, Chachamovich E, Ezer H, et al. Investigating quality of life and health-related quality of life in infertility: a systematic review. Journal of Psychosomatic Obstetrics and Gynaecology. 2010;31:101-10.
  9. Ziaei T, Farahmand*Rad H, Roshandel G, Aval M. Effect of Counseling based on Sexual Self-Concept on the Sexual Health of Women in Reproductive Age. Global Journal of Reproductive Medicine. 2018;3(5).
  10. Mazinani R, Akbari*Mehr M, Kaskian A, Kashanian M. Evaluation of prevalence of sexual dysfunctions and its related factors in women. Razi Journal of Medical Sciences. 2013;19:59-66. [In Persian]
  11. Ziaei T, Farahmand*Rad H, Rezaei*Aval M, Roshandel G. The Relationship between Sexual Self-concept and Sexual Function in Women of Reproductive Age Referred to Health Centers in Gorgan, North East of Iran. Journal of Midwifery and Reproductive Health. 2017;5:969-77.
  12. Ziaei T, Khoei EM, Salehi M, Farajzadegan Z. Psychometric properties of the Farsi version of modified Multidimensional Sexual Self-concept Questionnaire. Iranian Journal of Nursing and Midwifery Research. 2013; 18:439-445.
  13. Deutsch AR, Hoffman L, Wilcox BL. Sexual self-concept: testing a hypothetical model for men and women. Journal of Sex Research. 2014;51:932-45.
  14. Pakgohar M, Vizheh M, Babaee G, et al. Effect of Counseling on Sexual Satisfaction among Infertile Women Referred to Tehran Fertility Center. Hayat. 2008;14:21-30. [In Persian]
  15. Sadock BJ, Sadock VA. Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry. 10th ed. Philadephia: Lippincott Williams & Wilkins; 2007.
  16. Watzke B, Haller E, Steinmann M, et al. Effectiveness and cost-effectiveness of telephone-based cognitive-behavioural therapy in primary care: study protocol of TIDe – telephone intervention for depression. BMC Psychiatry. 2017;17:263.
  17. Kibona L, Mgaya G. Smartphones’ effects on academic performance of higher learning students. Journal of Multidisciplinary Engineering Science and Technology. 2015;2:777-84.
  18. Sarwar M, Soomro TR. Impact of smartphone’s on society. European Journal of Scientific Research. 2013;98:216-26.
  19. Lepp A, Barkley JE, Karpinski AC. The relationship between cell phone use, academic performance, anxiety, and satisfaction with life in college students. 2014;31:343-50.
  20. Gharibi*Asl A, Sodani M, Atari Y. The Effectiveness of Cognitive-Behavioral Group Counseling on Self-Concept and Depression in Women with Breast Cancer. Jundishapur Scientific Medical Journal. 2016;15:333-45. [In Persian]
  21. Snell WE, Fisher TD, Walters AS. The Multidimensional Sexuality Questionnaire: An objective self-report measure of psychological tendencies associated with human sexuality. Annals of Sex Research. 1993;6:27-55.
  22. Ziaei T, Merghati*Khoei E, Salehi M, Farajzadegan Z. Psychometric properties of the Farsi version of modified Multidimensional Sexual Self-concept Questionnaire. Iranian Journal of Nursing and Midwifery Research. 2013;18:439-45
  23. Fahami F, Pahlavanzadeh S, Asadi M. Efficacy of communication skills training workshop on sexual function in infertile women. Iranian Journal of Nursing and Midwifery Research. 2015;20:179-83.
  24. McColl LD, Rideout PE, Parmar TN, Abba-Aji A. Peer Support Intervention Through Mobile Application: An Integrative Literature Review and Future Directions. Canadian Psychology. 2014;55:250-7.
  25. Gibson K, Cartwright C. Young people’s experiences of mobile phone text counselling: Balancing connection and control. Children and Youth Services Review. 2014;43:96-104.