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The purposes of this article were to understand how women perceived their sexual abuse experiences and how these experiences integrated into their overall reproductive health, reproductive planning, and health care access. As part of a larger study about women\u2019s reproductive health, researchers analyzed 16 in-depth interviews with women aged 18 years and older (range = 18\u201378) living in South Carolina (May\u2013November 2016). A constant comparative method of data analysis was completed to explore women\u2019s sexual abuse experiences as they related to reproductive health and health care experiences. HyperRESEARCH 3.7.3 assisted in data organization and management. Limited bodily agency impacted women\u2019s ability to engage in family planning, particularly when partners utilized sexual coercion to maintain desired relationships and attain desired family size, regardless of women\u2019s preferences. In addition, limited sexual violence and abuse discussion in health care contexts impacted women\u2019s autonomy in reproductive health decision-making despite participants\u2019 desire to engage in these discussions with providers. Participants expressed a desire for communication about their sexual abuse experiences; however, results indicated women had to navigate stigma within families and communities, which deterred disclosure and open discussion. Negative health outcomes and desire to discuss these experiences within the health care context highlighted a need for patient\u2013provider communication about sexual abuse history as one aspect of gynecologic care. Findings from this study offer practical recommendations to guide communication about sexual abuse within reproductive health care experiences to empower women in their reproductive health choices. As these experiences may impact overall health and reproductive choices, provider-initiated conversations with adolescents and women may improve care and assist in prevention efforts, including the prevention of negative health outcomes.<\/jats:p>","DOI":"10.1177\/0886260520905077","type":"journal-article","created":{"date-parts":[[2020,2,13]],"date-time":"2020-02-13T05:57:41Z","timestamp":1581573461000},"page":"NP13136-NP13161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["\u201cI\u2019m More Open to Talking About It\u201d: Women\u2019s Experiences With Sexual Abuse and Reproductive Health"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1336-2575","authenticated-orcid":false,"given":"Stephanie","family":"Meier","sequence":"first","affiliation":[{"name":"Purdue University, West Lafayette IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Brig","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Delay","sequence":"additional","affiliation":[{"name":"College of Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Sundstrom","sequence":"additional","affiliation":[{"name":"College of Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9174-1730","authenticated-orcid":false,"given":"Laura","family":"Schwab-Reese","sequence":"additional","affiliation":[{"name":"Purdue University, West Lafayette IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea L.","family":"DeMaria","sequence":"additional","affiliation":[{"name":"Purdue University, West Lafayette IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,13]]},"reference":[{"key":"bibr1-0886260520905077","first-page":"8","volume":"38","author":"Adofoli G.","year":"2013","journal-title":"Women\u2019s Health Activist"},{"key":"bibr2-0886260520905077","doi-asserted-by":"crossref","unstructured":"Allsworth J. 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