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Öğe From Avoidance to Empowerment: Coping Strategies in Women With Müllerian agenesis (MRKH) After McIndoe Reconstruction: A Descriptive Phenomenological Study(Elsevier Science Inc, 2026) Guner, Perihan; Ulukaya, TugbaStudy Objective: To explore coping strategies among women with Mayer-Rokitansky-K & uuml;ster-Hauser (MRKH) syndrome following McIndoe vaginal reconstruction, focusing on how they adapt emotionally, cognitively, relationally, and spiritually. Methods: A descriptive phenomenological study was conducted at a tertiary university hospital in T & uuml;rkiye. Ten women with MRKH syndrome who underwent McIndoe vaginoplasty were recruited. Data were collected through semi-structured, in-depth interviews and analyzed using Colaizzi's seven-step framework. Reporting adhered to the COREQ checklist. Results: Six overarching themes and twelve subthemes were identified:1 managing silence and avoidance,2 reframing and positive reap-praisal,3 spiritual coping,4 relational dynamics of support and stigma,5 disclosure dilemmas, and6 pathways to empowerment. Coping strategies were dynamic, shifting from avoidance to eventual empowerment, and were shaped by family dynamics, cultural norms, spirituality, and relational contexts. Conclusion: Coping following McIndoe reconstruction extends beyond surgical success to encompass psychological adjustment, relational support, and the creation of cultural and spiritual meaning. Holistic interventions-including psychoeducation, culturally sensitive counselling, family-and couple-based approaches, and structured peer networks-may strengthen resilience and promote well-being in this population.Öğe I felt like a woman: A phenomenological qualitative study of disease-related experiences in Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome)(Sage Publications Ltd, 2025) Guner, Perihan; Ulukaya, Tugba; Saribudak, Tugba PehlivanThis study aimed to examine the psychosocial problems and their effects experienced by individuals diagnosed with Mayer-Rokitansky-K & uuml;ster-Hauser syndrome (MRKH syndrome) who had undergone surgical operations. Ten patients who had undergone a McIndoe operation after a MRKH syndrome diagnosis were recruited with a convenience sample. Data collection was conducted at the Department of Obstetrics and Gynecology of a university hospital in T & uuml;rkiye. This study produced four main themes: (1) Emotional Turmoil Upon Diagnosis, (2) Challenges to Sexual Identity and Intimate Relationships, (3) The Profound Impact of Infertility, and (4) Navigating the Complexities of Surgical Treatment. This study revealed that MRKH syndrome individuals experienced psychological reactions such as shock, resentment, anger, and sadness throughout their journey with the disease, including both before and after undergoing surgical operations. The study sheds light on the psychological needs of individuals (particularly during the initial diagnosis and postoperative period), offering important implications for nurses caring for such individuals.











