First, data were read line by line and open codes from or close to words used by participants were extracted. Accelerating confounding factors are more marital intimacy continued, weakened marital relationship, and fighting with the inability. The current study intended to seek a deep understanding through a qualitative study. The women were years old and duration of marriage was years. Some women, unable to get through the failure, continue low quality life with sexual and communicational problems limbo. Five main themes emerged: By the end of transition, some women manage to overcome this unpleasant state of limbo, and begin to experience a new life, with increased intimacy, with or without sexual intercourse new beginning. They were informed that participation in the investigation was voluntary and they could stop that at any stage if they wished. The participants experienced problems in their sex lives.
Interviews were conducted first by explaining the study objectives and obtaining participants consents. Data analysis was based on the constant comparative method. In every interview, in addition to asking general study questions, depending on the responses, attempts were made to conduct interviews personally. Adjustment to sexual issues can be affected by cultural norms and beliefs. After the 10th interview, data were almost saturated, but based on the use of grounded theory, interviews continued until the analysis reached theoretical saturation in the 16th interview. Studies indicate the effects of ED on men including reduced self-esteem, self-confidence, sense of masculinity 6 , avoiding spouse 7 , social isolation, symptoms of depression 8 , denial, anger, and acceptance 9. Thus, perception of sexuality varies in different societies. Eventually, 16 interviews were conducted. Understanding men's perceptions and responses to their new sexual status after diagnosis of their wife's disease and during its treatment may help clinicians to better support the couple. The interviewer had passed courses and attended workshops for qualitative research methodology and qualitative interviews and had gained enough experience. As a result and at the end of this transition, a few women effectively talked about sex life, the problem, and how to solve it with their husbands. Materials and Methods The study was conducted with a qualitative design and grounded theory approach in Tehran, Iran. Accelerating confounding factors are more marital intimacy continued, weakened marital relationship, and fighting with the inability. This meant that women had the necessary experience of the effects of this problem on their sexuality and adjustment. In this method, data collection and analysis were conducted simultaneously Because cultural and religious beliefs were important factors affecting the men's sexual adjustment, health system providers should encourage husbands to tolerate and adjust to their sexual issues in the context of their culture and religion. In some cases, one category was divided into two or more categories, or code of a category was changed to that of another category, and eventually, axial categories were obtained. Sampling continued until theoretical saturation. Sexuality is a complex, and multi-faceted issue, related to other dimensions of life. As a need, sexuality exacts dynamic changes in life, and as a structure, it is influenced by biological, psychological, social, cultural, and spiritual factors 15 , They were informed that participation in the investigation was voluntary and they could stop that at any stage if they wished. The constant comparative method of data analysis was used. Family as a system naturally has a tendency to balance itself. Moreover, the participants were reassured that their responses would be confidential and that their personal identity would be protected at all stages of the study. With this understanding, better counseling and therapeutic interventions can be planned for these couples.
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