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Table 1 Definition for reproductive morbidities according to the women's complaints/physical/ultrasonographic examinations and their denominators for analysis

From: Reproductive morbidity among Iranian women; issues often inappropriately addressed in health seeking behaviors

Morbidity Subgroup Definition Denominator
  Dysmenorrhea Pain with menstrual periods that interfere with women's normal activities [18] Menstrual women not currently using hormonal contraceptives
Menstrual dysfunctions Premenstrual syndrome one or more disturbing affective or somatic symptoms that have occurred during the 5 days before menses in each of 3 previous menstrual cycles Menstrual women not currently using hormonal contraceptives
  Meno-metroragia Spotting or prolonged bleeding in the previous 3 months Menstrual women not currently using hormonal contraceptives
  Oligomenorrhea vaginal bleeding episodes more than 35-day intervals Menstrual women not currently using hormonal contraceptives
Long time primary infertility - having the history of trying to conceive for at least one year without success despite of regular sexual intercourse and no use of contraception [17] Ever Married women had willingness to conceive and not used contraception some times in her life
  Abnormal vaginal discharge Response "yes" to this question" Do you have Abnormal vaginal discharge in term of bad odor or abnormal color?" All participants
Reproductive tract infections(study subjects) Itching or irritation in vaginal area Response "yes" to this question" Do you have Itching or irritation in vaginal area?" All participants
  Genital ulcers or sores Response "yes" to this question" Do you have genital ulcers or sores in vaginal area?" All participants
Reproductive tract infections (clinical examination) - guidelines of syndromic approach for reproductive tract infections using speculum [19] Ever Married women
Dyspareunia Painful sexual intercourse Response "yes" to this question" Do you usually feel any pain in your vagina or genital area during or after sexual activity?" Women with sexual intercourse
  Stress incontinence Response "yes" to this question "Do you usually leak urine with a cough, sneeze or laugh?" Ever Married women
  Incomplete urination Response "yes" to this question" Do you usually have to push up in the vaginal area with your fingers to complete urination?" Ever Married women
Pelvic organ prolapse(study subjects) Incontinence gas passage Response "yes" to this question" Do you usually lose gas from the rectum beyond your control?" Ever Married women
  Incomplete defecation Response "yes" to this question" Do you usually need to help stool out by pushing with a finger in the vagina or rectum?" Ever Married women
  Looseness of vaginal opening Response "yes" to this question" Do you Do you feel that your vaginal opening is too loose? Ever Married women
Pelvic organ prolapse(clinical examination - descending of anterior and/or posterior vaginal wall and or uterus below their normal position using the standard protocol [18] Ever Married women
Pelvic mass(clinical examination)   the presence of adnexal and/or uterus mass on the bimanual examination Ever Married women
Pelvic mass(ultrasonographic examination)   the presence of adnexal and/or uterus mass on the ultrasonographic examination All participants