Journal of Saveh University of Medical Sciences

Explaining the fertility issues of multiple sclerosis using conventional content analysis

Document Type : Original Article

Authors

Faezeh Ghafoori 1
Nahid Dehghan-Nayeri 2

1 Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.

2 Nursing Management Department, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

https://doi.org/10.22034/sumsj.2025.531893.1040
Abstract
Introduction: Multiple sclerosis is a persistent disorder of the central nervous system that can adversely affect physical, mental, and fertility health. This condition frequently manifests in women of age: 20–40 years, a period when they are typically at the peak of their reproductive and sexual activity. This study aimed to identify the fertility problems among these women. 
Methods: This study was performed using a qualitative approach by conventional content analysis. Purposive sampling with maximum variation was employed, and data saturation was achieved through interviews with 16 women diagnosed with MS. Textual data and extracted codes were managed using MAXQDA Version 10 software. 
Results: The fertility problems and issues faced by women with MS encompassed four main themes: (1) unsatisfactory marital satisfaction, (2) lack of fecundability, (3) challenges in selecting contraceptives, and (4) psychosocial vulnerability.
Conclusion: The participants experienced significant problems in the domain of the reproductive system and fertility. Healthcare professionals and policymakers can contribute to alleviating these problems and enhancing their quality of life through targeted interventions.

Keywords

Fertility
Multiple Sclerosis
Qualitative study
Women
Journal of Saveh University of Medical Sciences
Volume 1, Issue 3
Autumn 2025
Pages 1-22

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