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The Relationship Between Exposure to Violence from Husband and Their Families and Relatives and Sexual Dysfunction in Women with Infertility

Year 2021, Volume: 37 Issue: 1, 39 - 46, 27.04.2021

Abstract

Objective: The aim of this study was to investigate the relationship between exposure to violence from husband, and their families and relatives, and sexual dysfunction in women with infertility.
Methods: This cross-sectional study was conducted on 202 women with infertility at an Assisted Reproductive Techniques Center of a state university located in the west of Turkey. Infertile Women's Exposure to Violence Determination Scale, Index of Female Sexual Function, and information form were used for obtaining data.
Results: The Infertile Women's Exposure to Violence Determination Scale total score was 40.5 ± 9.9. The Index of Female Sexual Function score was 34.9 ± 6.4, and 36 women (17.8%) had sexual dysfunction. The Infertile Women's Exposure to Violence Determination Scale total score of the women with sexual dysfunction (47.8 ± 14.7) was significantly higher than the total score of the women without sexual dysfunction (38.9 ± 7.7) (p < 0.001). Total score of the Infertile Women's Exposure to Violence Determination Scale was negatively correlated with total score of the Female Sexual Function of Index (r = - 0.268; p < 0.001).
Conclusion: In this study was found that women with infertility level of exposure to violence were low. However, sexual dysfunction increases as the level of exposure to violence increases. Of the infertile women should be determined exposure to violence and sexual dysfunction levels.

Amaç: Bu çalışmanın amacı, infertil kadınlarda eş ve yakın şiddetine maruziyet ile cinsel işlev bozukluğu arasındaki ilişkiyi incelemektir.
Yöntemler: Kesitsel tipte ki bu çalışma, Türkiye'nin batısında yer alan bir devlet üniversitesinin Yardımcı Üreme Teknikleri Merkezi'nde infertil 202 kadın ile gerçekleştirildi. Verilerin elde edilmesinde İnfertil Kadınların Şiddete Maruz Kalma Durumunu Belirleme Ölçeği, Kadın Cinsel İşlev İndeksi ve bilgi formu kullanıldı.
Bulgular: İnfertil Kadınların Şiddete Maruz Kalma Durumunu Belirleme Ölçeği toplam puanı 40.5 ± 9.9 idi. Kadın Cinsel İşlev İndeksi puanı 34.9 ± 6.4 olup 36 kadında (% 17.8) cinsel işlev bozukluğu vardı. Cinsel işlev bozukluğu olan kadınların, İnfertil Kadınların Şiddete Maruz Kalma Durumunu Belirleme Ölçeği toplam puanı (47,8 ± 14,7), cinsel işlev bozukluğu olmayan kadınların toplam puanından (38,9 ± 7,7) anlamlı düzeyde yüksekti (p <0,001). İnfertil Kadınların Şiddete Maruz Kalma Durumunu Belirleme Ölçeği toplam puanı ile Kadın Cinsel İşlev İndeksi toplam puanı arasında negatif korelasyon vardı (r = - 0.268; p <0.001).
Sonuç: Bu çalışmada infertil kadınların şiddete maruz kalma düzeylerinin düşük olduğu tespit edilmiştir. Ancak şiddete maruz kalma düzeyi arttıkça cinsel işlev bozukluğu da artmaktadır. İnfertil kadınların şiddete maruz kalma düzeyleri ve cinsel işlev bozuklukları belirlenmelidir.

References

  • Aduloju, P. O., Olagbuji, N. B., Olofinbiyi, A. B., Awoleke, J. O. (2015). Prevalence and predictors of intimate partner violence among women attending infertility clinic in south-western Nigeria. European Journal of Obstetrics & Gynecology and Reproductive Biology, 188, 66–69. https://doi.org/10.1016/j.ejogrb.2015.02.027
  • Akpinar, F., Yilmaz, S., Karahanoglu, E., Ozelci, R., Coskun, B., Dilbaz, B., Tekin, Ö. M. (2019). Intimate partner violence in Turkey among women with female infertility, Sexual and Relationship Therapy, 34(1), 3-9. https://doi.org/10.1080/14681994.2017.1327711
  • Alijani, F., Keramat, A., Gardeshi, Z. H., Khosravi, A., Afzali, M., Habibi, F. (2018). Domestic violence among infertile women: a study in north of Iran. American Journal of Experimental and Clinical Research, 5(2), 267-272. Access address: http://www.ajecr.org/index.php/ajecr/article/view/106/250
  • Ardabily, H. E., Moghadam, Z. B., Salsali, M., Ramezanzadeh, F., Nedjat, S. (2011). Prevalence and risk factors for domestic violence against infertile women in an Iranian setting. International Journal of Gynecology and Obstetrics, 112(1), 15-7. https://doi.org/10.1016/j.ijgo.2010.07.030
  • Ataman, H., Arslan, H. (2010). Psycho-social care needs in pregnancies experienced naturally and as a result of infertility treatment. Journal of Social Policy Studies, 6(23), 75-86. Access address: https://dergipark.org.tr/tr/download/article-file/198127
  • Bayar, U., Başaran, M., Atasoy, N., Kokturk, F., Arikan, II., Barut, A., … Harma M. (2014). Sexual dysfunction in infertile couples: evaluation and treatment of infertility. Journal Of Pakistan Medical Association, 64(2), 138-145. Access address: https://jpma.org.pk/PdfDownload/5937
  • Baydar, O., Yanıkkerem, E. (2016). Dimensions of violence towards to infertile women. International Refereed Journal of Gynaecological Diseases and Maternal Child Health, 7, 98-119. https://doi.org/10.17367/JACSD.2016721960
  • Celik, A. S., Kırca, N. (2018). Prevalence and risk factors for domestic violence against infertile women in a Turkish setting. European Journal of Obstetrics & Gynecology and Reproductive Biology, 231, 111-116. https://doi.org/10.1016/j.ejogrb.2018.10.032
  • Datta, J., Palmer, M. J., Tanton, C., Gibson, L. J., Jones, K. G., Macdowall, W, … Wellings,K. (2016). Prevalence of infertility and help seeking among 15 000 women and men. Human Reproduction, 31(9), 2108-2118. https://doi.org/10.1093/humrep/dew123
  • Dhont, N., van de Wijgert, J., Coene, G., Gasarabwe, A., Temmerman, M. (2011). 'Mama and papa nothing': living with infertility among an urban population in Kigali, Rwanda. Human Reproduction, 26(3), 623-629. https//doi.org/10.1093/humrep/deq373
  • Emec, A. Z., Apay, E. S., Ozorhan, E. Y. (2017). Determination and comparison of sexual dysfunctions of women with and without infertility problems. Sexuality and Disability, 35, 59-72. https://doi.org/10.1007/s11195-016-9471-7
  • Gabr, A. A., Omran, E. F., Abdallah, A. A., Kotb, M. M., Farid, E. Z., Dieb, A. S., Belal D. S. (2017). Prevalence of sexual dysfunction in infertile versus fertile couples. European Journal of Obstetrics & Gynecology and Reproductive Biology, 217, 38-43. http://dx.doi.org/10.1016/j.ejogrb.2017.08.025
  • Ghaly, A. S., Essa, R. M., Yassin, S. T. (2019). Intimate partner violence against infertile women. IOSR Journal of Nursing and Health Science, 8(4), 10-25. https://doi.org/10.9790/1959-0804051025
  • Hacettepe University Institute of Population Studies. (2015). National Research on Domestic Violence Against Women in Turkey. Access address: http://www.hips.hacettepe.edu.tr/eng/english_main_report.pdf. Accessed 03 January 2020.
  • Iliyasua, Z., Galadanci, H. S., Abubakar, S., Auwala, M. S., Odoh, C., Salihu, H. M., Aliyu, M. H. (2016). Phenotypes of intimate partner violence among women experiencing infertility in Kano, Northwest Nigeria. International Journal of Gynecology and Obstetrics, 133(1), 32-36. https://doi.org/10.1016/j.ijgo.2015.08.010
  • Millheiser, L. S., Helmer, A. E., Quintero, R. B., Westphal, L. M., Milki, A. A., Lathi, R. B. (2010). Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertility and Sterility, 94(6), 2022-2025. https://10.1016/j.fertnstert.2010.01.037
  • Mirblouk, F., Asgharnia, D. M., Solimani, R., Fakor, F., Salamat, F., Mansoori, S. (2016). Comparison of sexual dysfunction in women with infertility and without infertility referred to Al-Zahra Hospital in 2013-2014. International Journal of Reproductive BioMedicine, 14(2), 117-124. Access address: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869153/
  • Moghaddam, T. F., Feizbakhsh, N., Sheikhi, N., Lak, B. T. (2016). Exposure of infertile women to violence and related factors in women referring to Urmia Infertility Center in 2015. Nursing and Midwifery Journal, 13(10), 853-862. Access address: http://unmf.umsu.ac.ir/article-1-2766-en.html
  • Onat, G. (2014). Development of a scale for determining violence against infertile women: a scale development study. Reproductive Health, 11(18), 2-8. https://doi.org/10.1186/1742-4755-11-18
  • Ozgoli, G., Sheikhan, Z., Zahiroddin, A., Nasiri, M., Amiri, S., Badr, F. K. (2016). Evaluation of the prevalence and contributing factors of psychological intimate partner violence in infertile women. Journal of Midwifery and Reproductive Health, 4(1), 571-581. https://doi.org/10.22038/JMRH.2016.6625
  • Ozturk, R., Taner, A., Guneri, S. E., Yilmaz, B. (2017). Another face of violence against women: Infertility. Pakistan Journal of Medical Sciences, 33(4), 909-914. https://doi.org/10.12669/pjms.334.12862
  • Parish, W. L., Wang, T., Laumann, E. O., Pan, S., Luo, Y. (2004). Intimate partner violence in China: national prevalence, risk factors and associated health problems. International Family Planning Perspectives, 30(4), 174-181. Access address: http://www.jstor.org/stable/1566491
  • Pasi, A. L., Hanchate, M. S., Pasha, M. A. (2011). Infertility and domestic violence: Cause, consequence and management in Indian scenario. Biomed Res-India, 22(2), 255-258. https://doi.org/ http://www.indmedica.com/journals.php?journalid=12&issueid=149&articleid=2032&action=article
  • Poornowrooz, N., Jamali, S., Haghbeen, M., Javadpour, S., Sharifi, N., Mosallanezhad, Z. (2019). The comparison of violence and sexual function between fertile and infertile women: A study from Iran. Journal of Clinical and Diagnostic Research, 13(1), QC09-QC11. https://doi.org/10.7860/JCDR/2019/37993.12516
  • Potur, D. C., Onat, G., Merih,Y. D. (2019). An evaluation of the relationship between violence exposure status and personality characteristics among infertile women. Health Care for Women International, 40(11), 1135-1148. https://doi.org/10.1080/07399332.2019.1622704
  • Rahebi, S. M., Rahnavardi, M., Chamani, S. R., Nazari, M., Sabetghadam, S. (2019). Relationship between domestic violence and infertility. Eastern Mediterranean Health Journal, 25(8), 537-542. Access address: http://www.emro.who.int/emhj-volume-25-2019/volume-25-issue-8/relationship-between-domestic-violence-and-infertility.html
  • Sami, N., Ali, T. S. (2012). Domestic violence against infertile women in Karachi, Pakistan. Asian Review of Social Sciences, 1(1), 15-20. Access address: https://ecommons.aku.edu/pakistan_fhs_son/179
  • Sahin, S., Ilcioglu, K., Unsal, A. (2018). Domestic violence and anxiety levels in infertile women. Cukurova Medical Journal, 43(4), 777-784. https://doi.org/0.17826/cumj.331064
  • Tav, A. S., Gultekin, B. K., Arpacıoglu, B. S. (2018). Clinical characteristics, adjustment between the couples and the quality of sexual life of married women who are exposed to physical domestic violence. Turkish Journal of Clinical Psychiatry, 21(3), 254-260. https://doi.org/10.5505/kpd.2018.66375
  • Turan, V., Kopuz, A., Ozcan, A., Kocakaya, B., Sahin, C., Solmaz, U. (2014). Sexual dysfunction in infertile Turkish females: prevalence and risk factors. European Journal of Obstetrics & Gynecology and Reproductive Biology, 182, 128-31. https://doi.org/10.1016/j.ejogrb.2014.09.013
  • World Health Organization (WHO-2020). Sexual and reproductive health. Available online at https://www.who.int/reproductivehealth/topics/infertility/multiple-definitions/en/. Accessed 03 January 2020.
  • Yildizhan, R., Adali, E., Kolusari, A., Kurdoglu, M., Yildizhan, B., Sahin, G. (2009). Domestic violence against infertile women in a Turkish setting. International Journal of Gynecology and Obstetrics, 104(2), 110-112. https://doi.org/10.1016/j.ijgo.2008.10.007
  • Yilmaz, C. A., Eryilmaz, H. Y. (2004). Validity-reliability study of female sexual function index (IFSF). Andrology Bulletin, 8(18), 275-276. Access address: http://file.lookus.net/androlojibulteni/Haziran-2004-18.Say%C4%B1.pdf

The Relationship Between Exposure to Violence from Husband and Their Families and Relatives and Sexual Dysfunction in Women with Infertility

Year 2021, Volume: 37 Issue: 1, 39 - 46, 27.04.2021

Abstract

Objective: The aim of this study, was to investigate the relationship between exposure to violence from husband, and their families and relatives, and sexual dysfunction in women with infertility.
Methods: This cross-sectional study was conducted on 202 women with infertility at an Assisted Reproductive Techniques Center of a state university located in the west of Turkey. Infertile Women's Exposure to Violence Determination Scale, Index of Female Sexual Function, and information form were used for obtaining data.
Results: The Infertile Women's Exposure to Violence Determination Scale total score was 40.5 ± 9.9. The Index of Female Sexual Function score was 34.9 ± 6.4, and 36 women (17.8%) had sexual dysfunction. The Infertile Women's Exposure to Violence Determination Scale total score of the women with sexual dysfunction (47.8 ± 14.7) was significantly higher than the total score of the women without sexual dysfunction (38.9 ± 7.7) (p < 0.001). Total score of the Infertile Women's Exposure to Violence Determination Scale was negatively correlated with total score of the IFSF (r = - 0.268; p < 0.001).
Conclusion: In the Turkish women's with infertility are increases level of exposure to husband and their families and relatives violence. Sexual dysfunction increases as the level of exposure to violence increases. Of the infertile women should be determined sexual dysfunction levels and exposure to violence.

References

  • Aduloju, P. O., Olagbuji, N. B., Olofinbiyi, A. B., Awoleke, J. O. (2015). Prevalence and predictors of intimate partner violence among women attending infertility clinic in south-western Nigeria. European Journal of Obstetrics & Gynecology and Reproductive Biology, 188, 66–69. https://doi.org/10.1016/j.ejogrb.2015.02.027
  • Akpinar, F., Yilmaz, S., Karahanoglu, E., Ozelci, R., Coskun, B., Dilbaz, B., Tekin, Ö. M. (2019). Intimate partner violence in Turkey among women with female infertility, Sexual and Relationship Therapy, 34(1), 3-9. https://doi.org/10.1080/14681994.2017.1327711
  • Alijani, F., Keramat, A., Gardeshi, Z. H., Khosravi, A., Afzali, M., Habibi, F. (2018). Domestic violence among infertile women: a study in north of Iran. American Journal of Experimental and Clinical Research, 5(2), 267-272. Access address: http://www.ajecr.org/index.php/ajecr/article/view/106/250
  • Ardabily, H. E., Moghadam, Z. B., Salsali, M., Ramezanzadeh, F., Nedjat, S. (2011). Prevalence and risk factors for domestic violence against infertile women in an Iranian setting. International Journal of Gynecology and Obstetrics, 112(1), 15-7. https://doi.org/10.1016/j.ijgo.2010.07.030
  • Ataman, H., Arslan, H. (2010). Psycho-social care needs in pregnancies experienced naturally and as a result of infertility treatment. Journal of Social Policy Studies, 6(23), 75-86. Access address: https://dergipark.org.tr/tr/download/article-file/198127
  • Bayar, U., Başaran, M., Atasoy, N., Kokturk, F., Arikan, II., Barut, A., … Harma M. (2014). Sexual dysfunction in infertile couples: evaluation and treatment of infertility. Journal Of Pakistan Medical Association, 64(2), 138-145. Access address: https://jpma.org.pk/PdfDownload/5937
  • Baydar, O., Yanıkkerem, E. (2016). Dimensions of violence towards to infertile women. International Refereed Journal of Gynaecological Diseases and Maternal Child Health, 7, 98-119. https://doi.org/10.17367/JACSD.2016721960
  • Celik, A. S., Kırca, N. (2018). Prevalence and risk factors for domestic violence against infertile women in a Turkish setting. European Journal of Obstetrics & Gynecology and Reproductive Biology, 231, 111-116. https://doi.org/10.1016/j.ejogrb.2018.10.032
  • Datta, J., Palmer, M. J., Tanton, C., Gibson, L. J., Jones, K. G., Macdowall, W, … Wellings,K. (2016). Prevalence of infertility and help seeking among 15 000 women and men. Human Reproduction, 31(9), 2108-2118. https://doi.org/10.1093/humrep/dew123
  • Dhont, N., van de Wijgert, J., Coene, G., Gasarabwe, A., Temmerman, M. (2011). 'Mama and papa nothing': living with infertility among an urban population in Kigali, Rwanda. Human Reproduction, 26(3), 623-629. https//doi.org/10.1093/humrep/deq373
  • Emec, A. Z., Apay, E. S., Ozorhan, E. Y. (2017). Determination and comparison of sexual dysfunctions of women with and without infertility problems. Sexuality and Disability, 35, 59-72. https://doi.org/10.1007/s11195-016-9471-7
  • Gabr, A. A., Omran, E. F., Abdallah, A. A., Kotb, M. M., Farid, E. Z., Dieb, A. S., Belal D. S. (2017). Prevalence of sexual dysfunction in infertile versus fertile couples. European Journal of Obstetrics & Gynecology and Reproductive Biology, 217, 38-43. http://dx.doi.org/10.1016/j.ejogrb.2017.08.025
  • Ghaly, A. S., Essa, R. M., Yassin, S. T. (2019). Intimate partner violence against infertile women. IOSR Journal of Nursing and Health Science, 8(4), 10-25. https://doi.org/10.9790/1959-0804051025
  • Hacettepe University Institute of Population Studies. (2015). National Research on Domestic Violence Against Women in Turkey. Access address: http://www.hips.hacettepe.edu.tr/eng/english_main_report.pdf. Accessed 03 January 2020.
  • Iliyasua, Z., Galadanci, H. S., Abubakar, S., Auwala, M. S., Odoh, C., Salihu, H. M., Aliyu, M. H. (2016). Phenotypes of intimate partner violence among women experiencing infertility in Kano, Northwest Nigeria. International Journal of Gynecology and Obstetrics, 133(1), 32-36. https://doi.org/10.1016/j.ijgo.2015.08.010
  • Millheiser, L. S., Helmer, A. E., Quintero, R. B., Westphal, L. M., Milki, A. A., Lathi, R. B. (2010). Is infertility a risk factor for female sexual dysfunction? A case-control study. Fertility and Sterility, 94(6), 2022-2025. https://10.1016/j.fertnstert.2010.01.037
  • Mirblouk, F., Asgharnia, D. M., Solimani, R., Fakor, F., Salamat, F., Mansoori, S. (2016). Comparison of sexual dysfunction in women with infertility and without infertility referred to Al-Zahra Hospital in 2013-2014. International Journal of Reproductive BioMedicine, 14(2), 117-124. Access address: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869153/
  • Moghaddam, T. F., Feizbakhsh, N., Sheikhi, N., Lak, B. T. (2016). Exposure of infertile women to violence and related factors in women referring to Urmia Infertility Center in 2015. Nursing and Midwifery Journal, 13(10), 853-862. Access address: http://unmf.umsu.ac.ir/article-1-2766-en.html
  • Onat, G. (2014). Development of a scale for determining violence against infertile women: a scale development study. Reproductive Health, 11(18), 2-8. https://doi.org/10.1186/1742-4755-11-18
  • Ozgoli, G., Sheikhan, Z., Zahiroddin, A., Nasiri, M., Amiri, S., Badr, F. K. (2016). Evaluation of the prevalence and contributing factors of psychological intimate partner violence in infertile women. Journal of Midwifery and Reproductive Health, 4(1), 571-581. https://doi.org/10.22038/JMRH.2016.6625
  • Ozturk, R., Taner, A., Guneri, S. E., Yilmaz, B. (2017). Another face of violence against women: Infertility. Pakistan Journal of Medical Sciences, 33(4), 909-914. https://doi.org/10.12669/pjms.334.12862
  • Parish, W. L., Wang, T., Laumann, E. O., Pan, S., Luo, Y. (2004). Intimate partner violence in China: national prevalence, risk factors and associated health problems. International Family Planning Perspectives, 30(4), 174-181. Access address: http://www.jstor.org/stable/1566491
  • Pasi, A. L., Hanchate, M. S., Pasha, M. A. (2011). Infertility and domestic violence: Cause, consequence and management in Indian scenario. Biomed Res-India, 22(2), 255-258. https://doi.org/ http://www.indmedica.com/journals.php?journalid=12&issueid=149&articleid=2032&action=article
  • Poornowrooz, N., Jamali, S., Haghbeen, M., Javadpour, S., Sharifi, N., Mosallanezhad, Z. (2019). The comparison of violence and sexual function between fertile and infertile women: A study from Iran. Journal of Clinical and Diagnostic Research, 13(1), QC09-QC11. https://doi.org/10.7860/JCDR/2019/37993.12516
  • Potur, D. C., Onat, G., Merih,Y. D. (2019). An evaluation of the relationship between violence exposure status and personality characteristics among infertile women. Health Care for Women International, 40(11), 1135-1148. https://doi.org/10.1080/07399332.2019.1622704
  • Rahebi, S. M., Rahnavardi, M., Chamani, S. R., Nazari, M., Sabetghadam, S. (2019). Relationship between domestic violence and infertility. Eastern Mediterranean Health Journal, 25(8), 537-542. Access address: http://www.emro.who.int/emhj-volume-25-2019/volume-25-issue-8/relationship-between-domestic-violence-and-infertility.html
  • Sami, N., Ali, T. S. (2012). Domestic violence against infertile women in Karachi, Pakistan. Asian Review of Social Sciences, 1(1), 15-20. Access address: https://ecommons.aku.edu/pakistan_fhs_son/179
  • Sahin, S., Ilcioglu, K., Unsal, A. (2018). Domestic violence and anxiety levels in infertile women. Cukurova Medical Journal, 43(4), 777-784. https://doi.org/0.17826/cumj.331064
  • Tav, A. S., Gultekin, B. K., Arpacıoglu, B. S. (2018). Clinical characteristics, adjustment between the couples and the quality of sexual life of married women who are exposed to physical domestic violence. Turkish Journal of Clinical Psychiatry, 21(3), 254-260. https://doi.org/10.5505/kpd.2018.66375
  • Turan, V., Kopuz, A., Ozcan, A., Kocakaya, B., Sahin, C., Solmaz, U. (2014). Sexual dysfunction in infertile Turkish females: prevalence and risk factors. European Journal of Obstetrics & Gynecology and Reproductive Biology, 182, 128-31. https://doi.org/10.1016/j.ejogrb.2014.09.013
  • World Health Organization (WHO-2020). Sexual and reproductive health. Available online at https://www.who.int/reproductivehealth/topics/infertility/multiple-definitions/en/. Accessed 03 January 2020.
  • Yildizhan, R., Adali, E., Kolusari, A., Kurdoglu, M., Yildizhan, B., Sahin, G. (2009). Domestic violence against infertile women in a Turkish setting. International Journal of Gynecology and Obstetrics, 104(2), 110-112. https://doi.org/10.1016/j.ijgo.2008.10.007
  • Yilmaz, C. A., Eryilmaz, H. Y. (2004). Validity-reliability study of female sexual function index (IFSF). Andrology Bulletin, 8(18), 275-276. Access address: http://file.lookus.net/androlojibulteni/Haziran-2004-18.Say%C4%B1.pdf
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Hatice Kahyaoğlu Süt 0000-0001-8840-6846

Selda Öztürk This is me 0000-0001-9069-412X

Publication Date April 27, 2021
Submission Date December 8, 2020
Acceptance Date March 10, 2021
Published in Issue Year 2021 Volume: 37 Issue: 1

Cite

APA Kahyaoğlu Süt, H., & Öztürk, S. (2021). The Relationship Between Exposure to Violence from Husband and Their Families and Relatives and Sexual Dysfunction in Women with Infertility. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 37(1), 39-46.