{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T09:05:42Z","timestamp":1784624742188,"version":"3.55.0"},"reference-count":25,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_med-2026-1486_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Hysterectomy is one of the most significant gynecological surgeries and can profoundly affect various aspects of women\u2019s health. This study aimed to investigate the relationship between sexual self-concept and sexual function in women who have undergone hysterectomy in Hamadan City, western\u00a0Iran.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1486_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional analytical study was conducted from June 2024 to June 2025\u202fat Fatemieh Hospital in Hamadan. A total of 200 women who have undergone hysterectomy were enrolled using convenience sampling. Demographic and obstetric questionnaire, the Female Sexual Function Index (FSFI), and the Multidimensional Sexual Self-Concept Questionnaire (MSSCQ) were completed for all participants. Data analysis was performed using Stata software version\u00a017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1486_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this study, 200 participants were evaluated. The mean age of the participants was 47.84\u00a0years (SD=6.75). Sexual function scores were significantly higher in women with higher education levels (p&lt;0.001), employed women (p=0.022), those with higher spousal education levels (p&lt;0.001), those with employed spouses (p&lt;0.001), and across different ethnic backgrounds (p=0.029). Additionally, a strong positive correlation was observed between the total FSFI and total MSSCQ scores (r=0.93, p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1486_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present study revealed a significant positive correlation between total sexual self-concept scores and sexual function. Preliminary evidence for future longitudinal or interventional sexual research can provide a basis for intervention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/med-2026-1486","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:56:57Z","timestamp":1784624217000},"source":"Crossref","is-referenced-by-count":0,"title":["The relationship between sexual self-concept and sexual function among women who undergone hysterectomy: a cross-sectional study in western Iran"],"prefix":"10.1515","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7675-5632","authenticated-orcid":false,"given":"Zahra","family":"Zamiri Araste","sequence":"first","affiliation":[{"name":"Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences , Hamadan , Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salman","family":"Khazaei","sequence":"additional","affiliation":[{"name":"Research Center for Health Sciences, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences , Hamadan , Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7322-8959","authenticated-orcid":false,"given":"Zahra","family":"Karami","sequence":"additional","affiliation":[{"name":"Student Research Committee, Hamadan University of Medical Sciences , Hamadan , Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4536-0814","authenticated-orcid":false,"given":"Ensiyeh","family":"Jenabi","sequence":"additional","affiliation":[{"name":"Mother and Child Care Research Center, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences , Hamadan , Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"2026072108565336828_j_med-2026-1486_ref_001","doi-asserted-by":"crossref","unstructured":"Kallianidis, AF, Rijntjes, D, Brobbel, C, Dekkers, OM, Bloemenkamp, KW, Van Den Akker, T. 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