JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: The prevalence of human papillomavirus and bacterial vaginosis among young women
in China: a cross-sectional study
Version: 1 Date: 05 Mar 2021
Reviewer's report:
Study by Lin et al. enrolled the expressive number of 2,000 participants that comprised young
women (aged 20-35 years) from 8 cities of Fujian province, in China, from Nov 2016 to June
2017 that were not previously vaccinated for HPV.  HPV-genotyping and liquid-based cervical
cytology were performed for all participants. Data on overall hrHPV prevalence and its subtypes
may be of interest for improving national vaccination strategies. Association between HPV and
bacterial vaginosis is not novel in the literature. However, the data of this study was based on
a large population and comprised HPV genotyping. In my point of view, there are some issues
that should be addressed and/or clarified as following.
-Authors define participating women as ´ healthy ´. What were the criteria adopted? No women
were seroconverted for HIV, had diabetes, obesity, and so on?
-Method used for BV diagnosis is not optimal when compared to other strategies e. g. Nugent
scoring on vaginal Gram-stained vaginal smears. It is important that this study limitation is
acknowledged by the authors and more extensively discussed.
-What was the average period from study enrollment until biopsy? Was it similar to all
participants?
- At several points of the text (e. g. abstract line 36, results lines 164-165….), authors state
that BV is a risk factor for hrHPV infection or specific HPV genotypes. Because this is a cross
sectional study, it seems that BV and HPV have a statistic significantly association. Despite the
literature evidences that BV acts as risk factors for several STI, extrapolating that BV is risk
factor for HPV is not supported by the current data.
- Bacterial vaginosis currently considered more a dysbiotic condition of vaginal microbiota than
an ´infection´ as mentioned at some points of the text.
- Would it not be reasonable to also consider BV changes in vaginal milleu as predisposing
factors to HPV acquisition, differently to what is discussed in lines 271-274? If not, what would
be the local changes caused by HPV leading to development of BV?
MINOR COMMENTS
Abstract:
- Define clue cells and clarify what “at least 20% of Cytological smears” mean.
- Concluding that “flexible HPV vaccination project could have a beneficial effect in Fujian
Province” could be suggested, but not concluded based based on the study data .
Methods:
- Who was in charge of samples collection? Were they offered a specific training for the study?
Results
-For age, provide average +- SD or median (range).
- p-value of 0.20 as in line 160 is not statistically different.
- Table 1 presents ´odds risk´, do authors mean odds ratio as in results line 165?
- Consider rephrasing lines 191 and 304 for clarity
- Provide percentages for table 2
Discussion
- What were the HPV test used at other Chinese studies with lower HPV prevalence (line 231)?
Could it explain the differences in prevalence rates reported?
Title: An assessment of Polish women’s level of knowledge about endometriosis – a pilot study
Version: 3 Date: 23 Jun 2021
Reviewer's report:
Dear Author I suggest you to improve the introduction and discussion of the study before
accepting the paper for publication.
INTROUCTION:
-"It is assumed that endometriosis affects approximately 10%-15% of the population of women
of childbearing age, which amounts to 176 million of women in the whole world".
Actually Endometriosis can affect also women in post-menopausal age [you should cite
Retroperitoneal endometriosis in postmenopausal woman causing deep vein thrombosis:
case report and review of the literature. Ianieri MM, et al. .Clin Exp Obstet Gynecol.
2017;44(1):148-150.)]
DISCUSSION:
-Grundström H. et al. is repeated two time: correct it
-In the discussion it would be more correct to speak also of the possible state of anxiety that
the suspicion of endometriosis can cause in patients who are not correctly informed about the
existence of the disease at school, by the media or by other non-official sources. I therefore
recommend to cite in this regard “The unbearable burden of endometriosis: Results from a large
cohort about anxiety reduction during the first outpatient evaluation.  Alessandro Arena, et al
2021 J Psychosom Res”
Title: An assessment of Polish women’s level of knowledge about endometriosis – a pilot study
Version: 3 Date: 22 Aug 2021
Reviewer's report:
Thank you for giving me the opportunity to review your manuscript. Congratulations on a study
well done. Overall, I feel your study adds information that will be useful in the development
of national strategy to increase patient awareness and knowledge about endometriosis, not only
in women with medical education, in order to diagnose and, subsequently, treat this pathology
earlier and more efficiently.
Please consider my comments below:
(Abstract, Page 2, Line 6) “M=“ could be removed from the text, because it seems redundant.
(Abstract, Page 2, Line 12-13) Consider to change your sentence in this way: “Very good
knowledge was declared by 4.5% of women, while 16.1% of participants had never heard about
it.”
(Abstract, Page 2, line 15-16) consider to replace your sentence in this way: “the reasons
identified by women were the still existing ‘taboo’ related to menstruation, the absence of
information in the media and education in schools, which is critical according to 92.4% women.”
(Introduction, Page 3, Line 1) Replace the term “mild” with “of varying severity”
(Introduction, Page 3, Line 1-10) consider to include studies analysing unusual sites of
the disease to demonstrate the high heterogeneity of disease presentation (ie, -Mabrouk M,
Raimondo D, Mastronardi M, Raimondo I, Del Forno S, Arena A, Sutherland N, Borgia A,
Mattioli G, Terzano P, Seracchioli R. Endometriosis of the Appendix: When to Predict and
How to Manage-A Multivariate Analysis of 1935 Endometriosis Cases. J Minim Invasive
Gynecol. 2020 Jan;27(1):100-106. doi: 10.1016/j.jmig.2019.02.015.), and the quality of life
of patients with intestinal endometriosis, who are usually subject to more complex clinical
diagnosis (also sexual function) and surgery of high complexity (for example, -Mabrouk M,
Montanari G, Guerrini M, Villa G, Solfrini S, Vicenzi C, Mignemi G, Zannoni L, Frasca C, Di
Donato N, Facchini C, Del Forno S, Geraci E, Ferrini G, Raimondo D, Alvisi S, Seracchioli
R. Does laparoscopic management of deep infiltrating endometriosis improve quality of life? A
prospective study. Health Qual Life Outcomes. 2011 Nov 6;9:98. doi: 10.1186/1477-7525-9-98.
-Mabrouk M, Montanari G, Di Donato N, Del Forno S, Frascà C, Geraci E, Ferrini G, Vicenzi
C, Raimondo D, Villa G, Zukerman Z, Alvisi S, Seracchioli R. What is the impact on sexual
function of laparoscopic treatment and subsequent combined oral contraceptive therapy in
women with deep infiltrating endometriosis? J Sex Med. 2012 Mar;9(3):770-8. doi: 10.1111/
j.1743-6109.2011.02593.x.)
(Method, Page 5, Line 6-7) Delete the following sentence, which is already inserted before “.
all methods were carried out in accordance with relevant guidelines and regulations.”
Title: An assessment of Polish women’s level of knowledge about endometriosis – a pilot study
Version: 4 Date: 21 Sep 2021
Reviewer's report:
Dear Authors,
the changes have made substantial improvements to the manuscript, but it is mandatory to
modify these highlighted sentences, reviewing english with native speaker in the text:
“Although the disease is rare in postmenopausal women, it is important to consider it in the
diagnosis of pelvic tumor and abdominal pain”, “Based on the data available in the literature,
use of hormonal therapy and, if necessary, laparoscopic complete excision of endometriotic
implants can significantly improve the general health and psycho-emotional state of women
affected by the disease 16”, “Endometriosis is a chronic, oestrogen-related inflammatory disease
characterised by the presence of the endometrium beyond the uterine cavity1,2”.
(page 3) Consider to replace your new sentences in this way: "Laparoscopic eradication of
endometriosis includes patients who did not respond to hormonal therapy and those who present
proper surgical indication (ie, hydroureteronephrosis, subocclusive bowel involvement). 16
Multivisceral surgery is often mandatory in deeply intiltrating endometriosis with a tailored
and modular approach, which can lead in some cases to segmental bowel resection and/or
ureterovesical reimplantation."
Title: An assessment of Polish women’s level of knowledge about endometriosis – a pilot study
Version: 5 Date: 05 Oct 2021
Reviewer's report:
Please, review the entire text with native english.
I recommend to change these sentences "Endometriosis is a chronic, estrogen-related
inflammatory disease, and it is characterized by the presence of endometrial-like tissue beyond
the uterine cavity. Severity and clinical presentation are very varied of this systemic disease
that predominantly affecting the pelvis." and "Although rare in postmenopausal women,
endometriosis should be considered in the differential diagnosis of pelvic diseases."
Title: Life loaded with threat and vulnerability: A Qualitative Inquiry into the Experiences of
HIV Negative Married Women in Serodiscordant Heterosexual Relationships
Version: 4 Date: 29 Mar 2021
Reviewer's report:
1. Ethical aspects: Please indicate the language of consenting the participants to ensure they
were able to comprehend the study. In addition, add information on whether the interviewer was
familiar with the language of the participants.
2. Women narrating their experiences of violence may be traumatic and furthermore, women
experienced psychosocial violence. What form of support was offered to women who
participated in the study to reduce the trauma or offer psychosocial support?
3. The author stated that "Before the end of the interview, each participant was asked for
agreement to be contacted again in the future if necessary, in relation to this study." Are there
any participants who were contacted later for follow-up or subsequent interview?
4. The author suggests/concludes that "health care providers at HIV/ AIDS counseling centers
should be able to address topics related to the violence for HIV negative women in serodiscordant
relationships" however, there is no clear mention of how this should be done for health care
providers to be able to offer/support women experiencing violence.
Title: Fear of Abortion and Emotional Divorce in Women with Minor Thalassemia: A
population-based study in Yazd, Iran
Version: 2 Date: 13 Jun 2021
Reviewer's report:
This interesting paper evaluates Fear of Abortion and Emotional Divorce in Women with Minor
Thalassemia and in comparison with healthy individuals in Yazd, Iran
They found higher levels of both indices in thalassemia patients compared to healthy controls.
Moreover, they showed that fear of abortion as an independent influencing factor on emotional
divorce in thalassemia couples.
Minor Comments
1. It seems in the abstract; method section is missed. Please add it.
2. It would be better to change the title of table 4 to:
“Regression analysis of covariates possibly associated with emotional divorce in women with
thalassemia “
3. Why did not you enter the variable “age” in your regression model in table 4? I know that
the two groups of case and controls are similar regarding age, but in the group of thalassemia
patients, age can act as an influencing factor on emotional divorce.
Title: Fear of Abortion and Emotional Divorce in Women with Minor Thalassemia: A
population-based study in Yazd, Iran
Version: 2 Date: 02 Sep 2021
Reviewer's report:
This is an interesting and well-written study with novel findings. Some minor changes is
recommended to promote the quality of presenting the work.
1- I advise the authors to find a native English speaker to proofread the manuscript. There are
numerous instances of improper grammar and sentence structure.
2- Please note that to choosing Key words, it is highly recommended that terms be directly
verified to exist on the NLM site under the Medical Subject Headings (MeSH).
3- In  introduction “The concept of 'emotional divorce' rises as a consequence of pregnancy in
couples with thalassemia minor” Based on which source? Please mention the reference
4- I suggest that the contents of the following articles be used in the introduction and discussion
Yoosefi Lebni J, Khalajabadi Farahani F, Solhi M, Ebadi Fard Azar F. Causes and Grounds of
Childbirth Fear and Coping Strategies Used by Kurdish Adolescent Pregnant Women in Iran:
A Qualitative Study. J Reprod Infertil. 2021;22(1):47-56
5- In method session . Include inclusion and exclusion criteria in the study
In the method section of the article, the validity and reliability of the questionnaires should be
explained
6- In the discussion section, emphasize the new research findings and mention what your
research added to the previous research
7- In the conclusion section, suggestions and solutions to improve the situation of women should
be given
Title: The association between sexual function and body image among postmenopausal women:
a cross-sectional study
Version: 1 Date: 02 Oct 2021
Reviewer:  Parvin Abedi
Reviewer's report:
The association between sexual function and body image among postmenopausal women: a
cross sectional study
Thank you for providing me this opportunity to review this manuscript. Please see my comments
as follows:
In the title of the manuscript, authors stated that the type of study is a cross-sectional study,
while in the methods section of abstract they call it a correlational descriptive study.
Abstract: results: I think there is a mistake in reporting mean and SD of FSFI and BI. Please
revise.
Background
1. When reporting the prevalence of something, please report the place of it.
Methods
2. What was the exclusion criteria? Please move those items with negative sense to the exclusion
criteria.
3. Vaginal atrophy is one of the amin variables in sexual function that authors did not mention
in their inclusion/exclusion criteria.
4. What was the logic for sample size? Any formula or pilot study?
5. How many postmenopausal women were recruited from each center?
6. Due to the nature of sexual function, The FSFI questionnaire should be completed by
participants, while in this study all questionnaires completed by interview.
7. While all studies use the raw scores of FSFI questionnaire, why authors converted scores to
percentages?
8. Please follow STORBE guidelines for reporting observational studies and attach this guideline
with the revised version of the manuscript.
Results
1. Please report raw scores of FSFI in women as this be more understandable than percentages.
2. Also, for BI, please report raw scores. Converting these scores to percentages just confused
readers.
3. I would recommend that authors delete percentages from table 2.
4. In table 5, authors classified education to different levels from those in table 1. Please re-
classify education in table 1 according to classification in table 5.
Discussion
1. Please state the objective of the study at the beginning of discussion.
2. While authors found association between BI and sexual function, they wrote inconsistent with
the results of the present study, other studies found relationship between BI and sexual function.
3. One of the limitations of this study is; authors did not ask about vaginal atrophy that in my
opinion can be a main cause of sexual dysfunction among postmenopausal women, and also,
none of participants used systemic or local hormones. This matter should be mentioned in the
conclusion. Without resolving vaginal atrophy, sexual function cannot be improved.
This manuscript has some grammatical and typo errors and should be revised by a native English
linguistic.
Title: The association between sexual function and body image among postmenopausal women:
a cross-sectional study
Version: 1 Date: 17 Oct 2021
Reviewer:  Efat Merghati-khoei
Reviewer's report:
This is an interesting research report, especially information about Iranian menopausal women,
who are often overlooked and their sexual health is neglected. few recommendations:
- The introduction needs to be rewritten, emphasizing the existing theories about how a woman's
sexuality relates to the aging process that accompanies the natural phenomenon of menopause;
Second, the introduction should include the culture that governs the phenomenon of menopause,
the female body, and sexuality based on the gender schema and sexual script among Iranians. I
imgin te author(s) did not have a thorough lit. review base don the Iranian reports!
I recommend these references (Journal of School of Public Health and Institute of Public Health
Research
Vol. 11, No. 1, Spring 2013/16 Iranian women's understandings of menopause and cultural
scenarios; Rimaz, S., Ph.D. Associate Professor, Department of Epidemiology and Biostatistics,
School of Public Health & J Sex Marital Ther
. 2014;40(6):552-60. doi: 10.1080/0092623X.2013.796577. Epub 2013 Menopause negatively
impacts sexual lives of middle-aged Iranian women: a cross-sectional study; Effat Merghati-
Khoei & Published: 23 November 2018: Sexual motivations during the menopausal transition
among Iranian women: a qualitative inquiry Zeinab Javadivala,BMC Women's Health & Feeling
an Invisible Wall: The Experience of Iranian
Women's Marital Relationship After Surgical
Menopause: A Qualitative Content Analysis Study
Om Salimeh Roudi Rasht Abad: Journal of Sex & Marital Therapy
- Discussion: For me, this section is very superficial and has been written without deep discussion
and should be rewritten to make the findings contextualized and understandable for the reader
who is not familiar with the Iranian women and their lived experience with menopause and aging
process and sexuality! otherwise
- Based on the findings, it will be very useful the authors to suggest practical implications and
specify which part of the findings policymakers and decision makers should use and translate
them into their own practice.
-With a few exceptions, most references are outdated and need to be updated. Extensive studies
of menopausal women and sexual behaviors have been conducted in the world and even in Iran
that the authors have not used in this report.
Title: Severity and factors of menopausal symptoms in middle-aged women in Gansu Province
of China: a cross-sectional study
Version: 3 Date: 27 Jun 2021
Reviewer's report:
Women's menopausal symptoms have received more and more attention from society. The
menopausal population will show an obvious increasing trend in the future, and menopausal
symptoms will lead to related problems such as poor quality of life. Understanding the related
factors that affect menopausal symptoms may help reduce the impact of menopausal symptoms
on the quality of life of middle-aged women, and also provide evidence support for clinical
practice. In addition, China currently conducts fewer relevant studies, and this research can
provide evidence from China, which has certain value. However, there are still some problems
in this research, which are as follows.
1.The topic of this study needs to be revised. This study only investigated Gansu, China, and
did not involve other provinces in China. The topic is broad. It is recommended to modify it
to "Severity and factors of menopausal symptoms in middle-aged women in Gansu Province of
China: a cross-sectional study".
2.The Introduction part needs to be carefully considered. At present, the introduction part does
not clearly explain the importance and necessity of this research, and needs to think and condense
again. Among them, the second paragraph in the introduction section "especially in the northwest
area where such investigation is more urgent" . This turning point is too blunt. Why is it more
urgent in the northwest area of China? It needs additional explanation.
3.In the methodology section of the manuscript, it is stated that this research was carried out in
Gansu Province. "The study was carried out from August 2016 to May 2017 in Gansu Province,
which is consists of 13 cities, from which 162 communities/town were randomly selected. ".
How are 13 cities selected, how are 162 communities/towns randomly selected, and how are
7,319 women determined? Is the sampling method of this study “simple random sampling”? The
manuscript is not clear. Need to explain in detail how to select the city, communities/town and
population. Because this is closely related to the representativeness of the data and the methods
of statistical analysis.
4.In the method section, it is said that the people participating in the questionnaire survey are
"the trained doctors", and how to conduct the training needs to be described.
5.The results of this study partly said that the higher level of family income were negatively
associated with the score. How to obtain the information of family income? How to calculate
family income? How to judge the reliability of the obtained family income information?
6.In the method section of the manuscript, it is said that this study adopted “a standardized
questionnaire”. How was the standardized questionnaire developed? It needs to be explained.
Title: WOMEN'S KNOWLEDGE ABOUT THE GENITOURINARY SYNDROME OF
MENOPAUSE.  ADHERENCE TO ITS TREATMENTS IN THE COVID-19 ERA IN A
SAMPLE OF THEM: COMEM-GSM STUDY
Version: 1 Date: 25 Aug 2021
Reviewer's report:
This is a large interview study participants being of the age of 35 to 75 years. In this huge group
the presence of symptoms of GSM were well reckognised, but a great deal of women did not
discuss their problems with health care workers. Probably efficient method do not require the
visit to those discussions and the treatment options are easily available. In the extension groups,
it was found that women with good compliance had a similar sexual activity in the first answer
than  sexual activity in women with poorer compliance. Yet for the second question on the sexual
activity the groups were different.  (in abstract, correct the p-value >0.001 to be similar as in
the main text). There are two possibilities: women who have good compliance, were using more
treatment in VV-area, and it affected their sexual activity negatively. On the other hand, also in
the less compliant group was a similar decrease yet less. Probably in these age groups the advice
from the medical personnel led to keep a 2m distance also between spouses.
Title: Early contraceptive implants removal and its associated factors among women using
implants at a National Referral hospital, Kampala Uganda
Version: 2 Date: 11 Mar 2021
Reviewer's report:
This is a very good topic and you write well. Please revise the manuscript and edit all
the typos and look into your methodlogy. Some of the stated methods or tests are not
presented in the results. Also i suggest you use an alternative method for your analysis.
This would change a some results and the discusion. Please read through this https://
bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-3-21
Title: Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety
really impact on sampling success rate?
Version: 1 Date: 05 Jul 2021
Reviewer:  Ricardo Bassil Lasmar
Reviewer's report:
For the author's proposal, pain and anxiety in endometrial biopsy with Pipelle, the paper responds
to the proposal. I believe that by not including hysteroscopy, this paper may have less interest
in future research.