From Avoidance to Empowerment: Coping Strategies in Women With Müllerian agenesis (MRKH) After McIndoe Reconstruction: A Descriptive Phenomenological Study

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dc.contributor.authorGuner, Perihan
dc.contributor.authorUlukaya, Tugba
dc.date.accessioned2026-04-04T18:55:35Z
dc.date.available2026-04-04T18:55:35Z
dc.date.issued2026
dc.departmentİstanbul Bilgi Üniversitesi
dc.description.abstractStudy 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.
dc.description.sponsorshipStigma
dc.description.sponsorshipRelational Dynamics-Support and Stigma
dc.identifier.doi10.1016/j.jpag.2025.10.013
dc.identifier.doi10.1016/j.jpag.2025.10.013
dc.identifier.endpage108
dc.identifier.issn1083-3188
dc.identifier.issn1873-4332
dc.identifier.issue1
dc.identifier.pmid41151671
dc.identifier.scopus2-s2.0-105025207579
dc.identifier.scopusqualityQ2
dc.identifier.startpage101
dc.identifier.urihttps://doi.org/10.1016/j.jpag.2025.10.013
dc.identifier.urihttps://hdl.handle.net/11411/10464
dc.identifier.volume39
dc.identifier.wosWOS:001684171500001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Pediatric and Adolescent Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260402
dc.snmzKA_Scopus_20260402
dc.subjectMcindoe Vaginoplasty
dc.subjectCoping Strategies
dc.subjectM & Uuml;Llerian Agenesis
dc.subjectPsychological Adaptation
dc.subjectQualitative Research
dc.titleFrom Avoidance to Empowerment: Coping Strategies in Women With Müllerian agenesis (MRKH) After McIndoe Reconstruction: A Descriptive Phenomenological Study
dc.typeArticle

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