Explaining the causes of decreased motivation to have children in women with genitalwarts

The fertility rate is decreasing all over the world. The fertility level in most developed countriesis below the replacement level. Reducing the propensity to have children is one of the socialissues that our society is also facing. Iran is among the countries that have experienced asevere decrease in fertility in the world with a drop of more than 50 percent. If the currenttrend continues in the future, Iran will become an aging country and as a result, the activepopulation will decrease. In some studies conducted in different parts of the country, thespread of the two-child pattern and the unwillingness of the majority of women to bearchildren have been seen. Women's reluctance to be fertile has various reasons, among whichwe can mention economic, cultural issues and even mother's suffering from some diseases.One of these types of diseases is sexually transmitted diseases such as genital warts (1).Genital warts or genital warts are a common sexually transmitted disease of the genital systemthat appear as small cauliflower-like bumps around or on the genitals. The cause of thisinfectious skin disease is human papilloma virus or women's HPV virus (HPV virus), which istransmitted to others through direct contact with the skin of a person infected with the virus,vagina, anus, or sexual and oral intercourse. HPV virus is the main cause of genital warts inwomen. The cause of this disease in women, which is more common in people under 30 yearsof age, is the transmission of the HPV virus through the vagina, anus, oral sex, and childbirth.Women who have genital warts suffer severe psychological and sexual complications inemotional areas, sexual life, negative self-image, interaction with the doctor, and the fear oftransmitting the disease to their sexual partner (2).According to the above information, the present study was conducted with the aim of explaining the causes of decreased motivation to have children in women with genital warts.Methodology: Data collection was done by searching Scopus, Science Direct, Magiran, Elsevier and Google Scholar and PubMed search engines. A total of 4 articles were found, of which 3 were analyzed.Results: In total, six main reasons for reluctance to have children were identified in women with HPV, which include fear of transmitting the disease to the fetus, feeling sick in women, fear of failed pregnancy, fear of fetal malformation, and fear of judgment. The surrounding people and the disclosure of the disease.Discussion: According to the results of the present study, having genital warts in women can reduce their desire and motivation for pregnancy due to the mother's fear of physical problems for herself and her baby. In their qualitative study, Soderberg et al. showed that understanding the feeling of physical and psychological readiness and the ability to accept the responsibility of motherhood are among the important factors for having children (1). In fact, various studies have stated the understanding of the feeling of readiness in terms of having chronic diseases as one of the important reasons for deciding to have children (3). Therefore, according to the mental and psychological effects caused by the occurrence of genital warts, it seems that in addition to supporting and supporting women in the direction of treatment, vaccinating them and also providing the necessary training in the field of self-efficacy and in order to increase the motivation to have children is necessary.

Explaining the causes of decreased motivation to have children in women with genitalwarts Keywords:

genital warts , human papilloma virus , motivation to have children