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The Effect of Sex Education and Counseling on the Sexual Function of Iranian Reproductive Age Women: A Systematic Review and Metaanalysis



 The prevalence of female sexual dysfunction is high and various interventions are used for the
treatment of this disorder.



 This systematic review and meta-analysis study aimed to determine the effect of sex education and counseling
on the sexual function of Iranian married reproductive age women.



 We searched the international databases including ISI Web of Sciences, PubMed/Medline, Scopus and local
databases for published randomized clinical trials without time limitation until March 2020. Mean Difference (MD) with
95% Confidence Interval (95% CI) was considered as summary effect. In order to identify factors related to heterogeneity
between studies, we conducted subgroups and Meta-regression analysis.



 The results showed significant differences in the pooled mean score of female sexual function between
intervention and control groups (MD=5.03, CI 95 %; 3.42 to 6.65). The education and counseling was more effective in
pregnant women (MD= 6.34, CI 95 %; 4.31 to 8.38), than other married women (MD= 3.87, CI 95 %; 1.25 to 6.49). Counseling interventions (MD= 5.58, CI 95 %; 3.22 to 7.93) was more effective than other sexual education methods
(MD= 4.31, CI 95 %; 2.06 to 6.67).



Educational and counseling interventions could improve the sexual performance of women, and
interventions was more effective in pregnant women. The effectiveness of counseling interventions was better than
education.
