Experiences of Sexual Health and Intimate Relationships in Women With Lipedema: A Qualitative Study

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-03-26 DOI:10.1111/jan.16933

Johanna Falck, Jan Mårtensson, Lise-Lotte Jonasson, Joanna Dudek, Annette Nygårdh

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Abstract

Aim

To explore the experiences of sexual health and intimate relationships in women with lipedema.

Design

A qualitative interview study.

Methods

Sixteen women with lipedema recruited from a national lipedema association group in Sweden participated. Data were collected between October 2023 and February 2024 and analysed using content analysis.

Results

Four main categories were identified. Being burdened by body shame highlighted the women's body dissatisfaction, difficulties in self-acceptance and shame when being naked in front of their partners. Being hindered by an aching and heavy body captured the experiences of bodily pain and heaviness in intimate situations. Being torn between desire and avoidance revealed that the women longed for intimacy but adopted different strategies to avoid it. Being affected by what is said and what is left unsaid showed the role of the partner's approach as well as the strain of not discussing sexual problems with partners or healthcare providers.

Conclusion

Women with lipedema experience physical, psychological and relational challenges in sexual life and intimacy. Still, these challenges remain unaddressed in healthcare settings.

Implications for the Profession and Patient Care

Nurses and midwives should, in their unique role in encountering women throughout their lifespans, address and invite dialogues on sexual-related concerns of women affected by lipedema.

Impact

The study findings provide insights into how lipedema affects women's sexual health and intimate relationships and offer new knowledge that can be applied when planning targeted interventions to promote the sexual health and well-being of women with lipedema.

Reporting Method

Adherence to the EQUATOR guidelines and COREQ checklist.

Patient or Public Contribution

Two patient representatives from a lipedema association group contributed to this study by distributing study information to their members.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.