{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:55:50Z","timestamp":1787838950201,"version":"build-2784847793"},"reference-count":30,"publisher":"Scientific Scholar","content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"\nObjectives:<\/jats:title>\nSexual and reproductive health (SRH) is a vital concern among women with mental illness (WMI) due to the increased risk for unplanned pregnancy, sexually transmitted infections (STIs), and poor obstetric outcomes. Objective of the study was to explore the current use of family planning (FP) methods, symptoms of STIs and sexual dysfunction among WMI.<\/jats:p>\n<\/jats:sec>\n\nMaterials and Methods:<\/jats:title>\nThis descriptive study involved 404 WMI of reproductive age (18-49 years) attending tertiary care psychiatric outpatient clinics in India. During face-to-face interviews, centers for disease control and prevention (CDC)-reproductive health assessment toolkit-FP questionnaire, STI questionnaire and Female sexual function index (FSFI) were used to collect the data.<\/jats:p>\n<\/jats:sec>\n\nResults:<\/jats:title>\nOf 404 WMI, 261(64.6%) were users, and 137 (33.9%) were non-users of FP methods. About 6(1.5%) WMI did not respond FP methods question. Female sterilization was the highest among the users, 244(93%). Among non-users, 100 (73%) were unaware of choosing the effective method of FP. Most of the WMI, 377(93.3%), were unaware of STIs. The symptoms of STI reported include unusual genital discharge 62(15.3%) and genital ulcers\/ sores 58(14.4 %). Most of them, 76(63.3%), were not on any treatment. The most common reason for not taking treatment was feeling ashamed 70(92.1%). Female sexual dysfunction was reported in 176(43.6%). Most of the WMI had difficulties in the arousal domain 288(71.3%), followed by low desire 233(57.7%) and dissatisfaction 186(46%).<\/jats:p>\n<\/jats:sec>\n\nConclusion:<\/jats:title>\nMost WMI underwent sterilization. Non-users of FP methods were not aware of choosing the effective method. Awareness about STIs was poor, and feeling ashamed was the primary reason for not availing of medical help. Nearly half of the WMI reported sexual dysfunction, among which arousal difficulties, low desire and dissatisfaction were common. Health professionals need to increase awareness about FP methods and symptoms of STIs among WMIs. Women require appropriate counselling regarding SRH and treatment for sexual dysfunction.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/jnrp_62_2023","type":"journal-article","created":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T09:44:13Z","timestamp":1691833453000},"page":"644-649","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sexual and reproductive health problems among women with mental illness attending tertiary care psychiatric outpatient clinic in India: A cross-sectional study"],"prefix":"10.25259","volume":"14","author":[{"given":"Sundaram","family":"Vijayalakshmi","sequence":"first","affiliation":[{"name":"College of Nursing, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaipangala","family":"Rajagopal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Kanachur Institute of Medical Science, Mangaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radhakrishnan","family":"Govindan","sequence":"additional","affiliation":[{"name":"Department of Nursing, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sundarnag","family":"Ganjekar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. V.","family":"Prathyusha","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena Kunnath","family":"Chacko","sequence":"additional","affiliation":[{"name":"Department of Community Health Nursing, Yenepoya Nursing College, Yenepoya Deemed to be University, Mangaluru, Karnataka, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,8,12]]},"reference":[{"key":"10.25259\/JNRP_62_2023\/ref-1","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1001\/archpsyc.63.4.404","article-title":"Gender disadvantage and reproductive health risk factors for common mental disorders in women: A community survey in India","volume":"63","author":"Patel","year":"2006","journal-title":"Arch Gen 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