Abstract
As health and survival of patients with cystic fibrosis (CF) continue to dramatically improve, women with CF increasingly require gynecologic and obstetrical care. However, too often reproductive health care is forgotten amidst more pressing pulmonary and other concerns. Women with CF underutilize sexual and reproductive health (SRH) services such as Pap tests, sexually transmitted infection screening, and contraceptive counseling compared to the general United States population [ [1] Kazmerski TM Sawicki GS Miller E Jones KA Abebe KZ Tuchman LK Ladores S Rubenstein RC Sagel SD Weiner DJ Pilewski JM Orenstein DM Borrero S Sexual and reproductive health care utilization and preferences reported by young women with cystic fibrosis. J Cyst Fibros. 2018; 17: 64-70https://doi.org/10.1016/j.jcf.2017.08.009 Abstract Full Text Full Text PDF PubMed Scopus (27) Google Scholar ] and may face CF-related gynecologic concerns, such as urinary incontinence and yeast infections. Streamlined referral to gynecologists with familiarity with CF has been shown to significantly improve cervical cancer screening and contraceptive uptake. [ [2] Rousset-Jablonski C Reynaud Q Perceval M Nove-Josserand R Durupt S Ray-Coquard I Golfier F Durieu I Improvement in contraceptive coverage and gynecological care of adult women with cystic fibrosis following the implementation of an on-site gynecological consultation. Contraception. 2020; 101: 183-188https://doi.org/10.1016/j.contraception.2019.10.014 Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar ] Despite patient and provider desire to incorporate SRH into the CF care model, providers cite barriers such as time, knowledge, and personal discomfort that prevent discussion of SRH issues during routine practice. [ [3] Kazmerski TM Tuchman LK Borrero S Weiner D Pilewski JM Orenstein DM Miller E Cystic fibrosis program directors’ attitudes toward sexual and reproductive health in young women with CF. Pediatric Pulmonology. 2014; 51: 22-27https://doi.org/10.1002/ppul.23321 Crossref Scopus (20) Google Scholar ]
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