Reviewer’s report
Title: 
Middle-aged Lebanese women interpretation of sexual difficulties: A
qualitative inquiry
Version: 
1 
Date: 
19 Aug 2020
Reviewer: 
Ibrahim A.
Reviewer's report:
Dear Editor 
I am grateful to give me the opportunity to review the revised version of the
manuscript entitled (Middle-aged Lebanese women interpretation of sexual
difficulties: A qualitative inquiry). Although the article discussing an interesting
subject, I have major concerns regarding the results of the article (based on the
sample size) and ethical consideration. 
1. Sample size (52 Lebanese women aged 40-55 years women used in the
authors article). The authors mentioned that the sample size was not developed
based on a statistical figure or significance. 
Did the results obtained with sample size not based on statistical figure or
significance will not valuable results for publication? 
2. Participants section, authors replied that the non-clinical settings included two
organizations, a journalism agency and a business centre. Authors replied that
the variation in the settings was suggested to optimise heterogeneity and enrich
data generation. 
Did the authors obtain ethical approval for their study from non-clinical
(journalism agency) organization? 
3. Participants section; authors mentioned that they considered the acute [sudden
and severe] or chronic health problems [uncontrolled diabetes, hypertension,
heart disease, depression, cancer, etc.] as perceived by women who were asked
about the perception of their health and if they complain of any health problem
during the time of the interview. 
Did women recruited from non-clinical setting (journalism agency and a
business centre) can judge their diabetes is controlled or not?
Finally, I appreciate too much the authors effort and I am sorry to say that the
authors cannot reply to the major queries of their studies regarding the sample
size and the ethical concerns. So, I cannot accept the manuscript in its current
form for international publication. 
Regards 
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
No
Are the methods sufficiently described to allow the study to be repeated?
Yes
Is the use of statistics and treatment of uncertainties appropriate?
Yes
Is the presentation of the work clear?
No
Are the images in this manuscript (including electrophoretic gels and blots) free
from apparent manipulation?
No