Objective (s): Sexual assertiveness is defined as one of the most important components of sexual life and as a psychosocial feeling towards one's personal interpretation of how to express oneself in a marital relationship. The aim of this study was to investigate the relationship between sexual health literacy levels and Sexual assertiveness in married women of reproductive age.

Methods: This study was performed with a sample size of 200 married women in reproductive age who were referred to Banaruyeh health center in the south of Fars province, Iran through available sampling method. The instruments used in the study included a researcher-made demographic reproductive questionnaire, sexual health literacy for adults (SHELA) questionnaire, and the Sexual Assertiveness Hulbert. The data obtained from this study were analyzde through descriptive and inferential statistics using SPSS software version 21. 

Results: The mean age of participants was 31.65 ±5.95 years. The   mean score sexual assertiveness was 58.9 ± 6.95. A quarter of women had excellent sexual health literacy. The results of analysis of covariance showed that people with inadequate, not enough and sufficient sexual health literacy levels had lower mean sexual assertiveness scores than those with excellent sexual health literacy levels (p˂0.05). There was a statistically significant relationship between sexual fulfillment score and occupation, spouse occupation, economic status and delivery history and between sexual assertiveness score with age, age of spouse, number of pregnancies, number of abortions, inverse and statistically significant relationship (p ˂0/05).
Conclusion: The results showed that higher levels of sexual health literacy were associated with higher scores of sexual assertiveness. Necessary educational and counseling interventions for women of reproductive age need to be designed and implemented to improve sexual health literacy.

Objective(s): Women with physical disability face many unmet needs in receiving sexual health services. Variation in the sexual needs of these women may affect their care outcomes. This study was conducted with the aim of identifying clinical guidelines for providing sexual health services for women with physical disability.
Methods: This scoping review was designed and implemented with the 5-step approach of Arksey & O'Malley. Several databases (PubMed, Scopus, Web of science, Science Direct, G-I-N, NICE, AHRQ, WHO, UNFPA, Sid, Magiran) were searched to review articles and clinical guidelines in English and Persian according to the study inclusion criteria from 2006 to 2022.
Results: Five clinical guidelines related to the provision of sexual health services for women with physical disability were identified from 23 screened. Using narrative synthesis of data four key themes were identified: 1) family planning services according to the severity of disability and prevention of unwanted pregnancy 2) diagnosis and treatment of genital infections and sexually transmitted diseases and AIDS 3) early detection of gender-based violence 4) counseling in the field of sexual problems
Conclusion: The clinical guidelines under review indicated sexual health services were provided for women with disabilities in the form of counseling, prevention and treatment service packages. However, quality of services was not considered in the reviewed guidelines. Therefore, due to the importance of the clinical approach in the sexual counseling of women with physical disability, the need to integrate the clinical guidelines available seems necessary.

Objective(s): Genital warts, in addition to being important as a sexually transmitted disease, can alter the emotional support of affected women and threaten couples' emotional relationships. This study was designed with a qualitative approach to investigate the challenges of emotional support for women with genital warts.
Methods: The present qualitative study was performed from January 2019 to February 2020 in the dermatology clinic of Razi Hospital in Tehran, Iran, with purposive sampling of 16 women with genital warts. Data were collected through unstructured interviews and analyzed using conventional content analysis approach.
Results: After data analysis, a total of 182 codes, 8 subcategories, 3 main categories and 1 theme were obtained. The theme namely "Emotional Support Challenges" included the three main categories of "emotional relationship change", "disclosing the disease to seek support" and "worry for labeling and judgment".
Conclusion: The results of the present study showed the challenges of emotional support for women after contracting genital warts. After contracting genital warts, women experienced emotional deterioration. However, receiving emotional support from family members or friends instead of their partner accompanied by the worry of being judged and stigmatization.

Objective(s): Immigration could affect people's sexual health. The present study aimed to compare sexual quality of life of Afghan immigrant women living in Tehran province with Iranian women.
Methods: This was a cross-sectional study that conducted from August 2022 to March 2023, in health centers of three counties in Tehran province with a continence sample of 218 Iranian and 218 Afghan immigrant women who met the inclusion criteria. The data was collected by a questionnaire containing items on women's sexual quality of life and demographic characteristics, history of fertility and menstruation, use of modern methods of family planning, and frequency of intercourse with spouse per week. The descriptive analysis of the data included reporting of frequencies, mean and standard deviation. To investigate the factors affecting quality of sexual life, multiple linear regression model was used.
Results: The results showed that the mean (SD) score of total sexual quality of life in Iranian women was 89.57 (17.34) and it was 81.40 (18.79) in Afghan immigrant women (P < 0.001). Age (P = 0.01), occupation (P < 0.001) and contraceptive method (P = 0.02) had an inverse and significant effect and education (P = 0.03), husband's occupation (P = 0.02) and number of sexual intercourses per week (P < 0. 001) had a significant direct effect on the sexual quality of life of Afghan immigrant women, and husband's occupation (P = 0.04), contraceptive method (P = 0.02), and number of sexual intercourses per week (P < 0.001) had a significant direct effect on the sexual quality of life of Iranian women.
Conclusion: Based on the findings, Iranian women had a higher sexual quality of life than Afghan immigrant women. These differences may be due to marginalization and lower education and cultural differences between Iranian and Afghan immigrant women. It is suggested that health centers provide sexual health promotion services for immigrant women.