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IRCT20170607034381N10 IRCT 2025-05-24 Shahroud University of Medical Sciences The impact of counseling on the performance and intimacy of pregnant women. The effect of counseling with the good enoughsex model (GES) on sexual function and sexual intimacy of pregnant women 2025-05-20 anticipated 60 Complete https://irct.ir/trial/83039 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: After determining the sequences, individuals will be selected using a simple random method and assigned to two groups using block randomization with a block size of 4. The procedure is as follows: the group assignments, based on the generated sequence, will be placed in sealed envelopes, and the envelopes will be numbered. For each individual, according to their order of entry into the study, the corresponding numbered envelope will be opened, and they will be assigned to one of the groups without the participant being aware. N/A Condition 1: Sexual dysfunction. Condition 2: Sexual intimacy. Intervention 1: Intervention group: Implementing the first three dimensions of the GES model and explaining the importance of sexual activity; teaching the definition of sexual satisfaction and function, and the factors affecting it; describing the four stages of the sexual response cycle; explaining the impact of pregnancy on sexual function and its mechanism; correcting misconceptions and superstitions about sexual intercourse and creating an optimistic attitude; reviewing previous learning and summarizing the previous session; and implementing dimensions four, five, and six of the GES model; teaching healthy nutrition and performing Kegel exercises; teaching mindfulness skills and concentration exercises, and a three-minute breathing exercise; providing a timed table for noting the individual's thoughts and mindset during pleasant sexual experiences, unpleasant experiences, aversion, pain, and muscle contractions in the body; teaching how to enjoy each other; implementing the seventh, eighth, and ninth dimensions of the GES model; considering the problems and concerns noted by clients during the previous weeks; counseling for physical adaptation to anatomical changes; helping to maintain verbal and emotional connection with the spouse and emphasizing the importance of foreplay and lovemaking between couples; describing and examining the pattern of sexual changes and potential physical problems during pregnancy and focusing on the fivefold goal in orgasm; identifying five principles for sexual intercourse; accepting multiple intentions from both parties; avoiding unilateral and inflexible goals and clarifying the sexual agenda; describing different coital positions and styles of sexual stimulation; combining styles and creating variety in the relationship. Implementing the tenth, eleventh, and twelfth dimensions of the GES model; counseling and education about the physical and psychological differences between men and women in each stage of the sexual cycle; teaching communication skills; teaching skills for creating and maintaining intimacy. Intervention 2: Control group: Routine pregnancy care. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after unidentifiable individuals When: 12 months after the results are published To whom: Researchers working in scientific and academic institutions Conditions: En According to the terms and conditions of Shahroud Medical Sciences University, the data can be used Where to obtain: Fateme Mohtadi fatememohtadi713@gmail.com How to obtain: Written request and consent of the Executor of the project and colleagues Comments:
public Fatemeh Mohtadi
Hafte Tir Square
Shahroud Iran (Islamic Republic of) 36147-73943 +98 23 3239 5054 Fatememohtadi713@gmail.com Shahroud University of Medical Sciences scientific Fatemeh Mohtadi
Hafte Tir Square
Shahroud Iran (Islamic Republic of) 36147-73943 +98 23 3239 5054 fmohtadii21@gmail.com Shahroud University of Medical Sciences Iran (Islamic Republic of) First pregnancy Informed consent Low-risk pregnancy Presence of spouse Literacy 20 years 45 years Female F52 Sexual dysfunction not due to a substance or known physiological condition Behavior Behavior Intervention group: Implementing the first three dimensions of the GES model and explaining the importance of sexual activity; teaching the definition of sexual satisfaction and function, and the factors affecting it; describing the four stages of the sexual response cycle; explaining the impact of pregnancy on sexual function and its mechanism; correcting misconceptions and superstitions about sexual intercourse and creating an optimistic attitude; reviewing previous learning and summarizing the previous session; and implementing dimensions four, five, and six of the GES model; teaching healthy nutrition and performing Kegel exercises; teaching mindfulness skills and concentration exercises, and a three-minute breathing exercise; providing a timed table for noting the individual's thoughts and mindset during pleasant sexual experiences, unpleasant experiences, aversion, pain, and muscle contractions in the body; teaching how to enjoy each other; implementing the seventh, eighth, and ninth dimensions of the GES model; considering the problems and concerns noted by clients during the previous weeks; counseling for physical adaptation to anatomical changes; helping to maintain verbal and emotional connection with the spouse and emphasizing the importance of foreplay and lovemaking between couples; describing and examining the pattern of sexual changes and potential physical problems during pregnancy and focusing on the fivefold goal in orgasm; identifying five principles for sexual intercourse; accepting multiple intentions from both parties; avoiding unilateral and inflexible goals and clarifying the sexual agenda; describing different coital positions and styles of sexual stimulation; combining styles and creating variety in the relationship. Implementing the tenth, eleventh, and twelfth dimensions of the GES model; counseling and education about the physical and psychological differences between men and women in each stage of the sexual cycle; teaching communication skills; teaching skills for creating and maintaining intimacy. Control group: Routine pregnancy care Sexual Function. Timepoint: Before the intervention, immediately after the intervention, one month after the intervention. Method of measurement: Rosen Sexual Function Questionnaire. Sexual Intimacy. Timepoint: Before the intervention, immediately after the intervention, one month after the intervention. Method of measurement: Botlani Sexual Intimacy Questionnaire. Shahroud University of Medical Sciences Approved 2025-04-13 Research Ethics Committee of Shahroud University of Medical Sciences Hafte Tir Square Shahroud Semnan Iran (Islamic Republic of)