JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Does Transvaginal Natural Orifice Transluminal Endoscopic Surgery Affect Female
Sexual Function?: a Prospective Cohort Study
Version: 2 Date: 19 Jun 2023
Reviewer:  Ismet Hortu
Reviewer's report:
I have reviewed entitled ‘’Does Transvaginal Natural Orifice Transluminal Endoscopic Surgery
Affect Female Sexual Function?: a Prospective Cohort Study’’
The authors have found that vNOTES has no significant adverse effect on female sexual
function, however, the time to start sexual life after vNOTES is later than that after trans-
abdominal laparoscopy. The prospective nature of the current study is important to address its
implications for clinical practice. The method section, the number of groups is well.
I have some suggestions;
1- The tables need to be revised in terms of typos. They must same punto and characters. The
explanations of the abbreviations in the tables should be explained under the table.
2- I strongly recommend referring to some articles (attached below) that were published very
recently to enhance the readability of the manuscript.
I would like to re-review after necessary corrections.
Sincerely,
1. Impact of Transvaginal Natural Orifice Transluminal Endoscopic Surgery on Hysterectomy
Practice. J Gynecol Obstet Hum Reprod. 2022; 51(1): 102241.
2. Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy. J Obstet
Gynaecol Res. 2022; 48(3): 843-849.
3. Vaginal Approach versus Laparoscopy for Hysterectomy in Transgender Men. J Gynecol
Obstet Hum Reprod. 2022; 51(2):102286.
Title: Does Transvaginal Natural Orifice Transluminal Endoscopic Surgery Affect Female
Sexual Function?: a Prospective Cohort Study
Version: 2 Date: 29 Jun 2023
Reviewer's report:
I understand the effort you've put into highlighting the benefits of vNOTE.
Your study seems to focus only on sexual function as one of the benefits of vNOTE.
In previous studies comparing vNOTE to conventional or single-site laparoscopy, none of them
seem to have reported any particular advantages.
In terms of sexual function, your study is not a study that has shown superiority over
conventional laparoscopy. It is a study that has shown non-inferiority.
I would like to commend you for doing a prospective cohort study.
Title: Does Transvaginal Natural Orifice Transluminal Endoscopic Surgery Affect Female
Sexual Function?: a Prospective Cohort Study
Version: 2 Date: 30 Jun 2023
Reviewer's report:
Thank you for invitation to review this study. Your manuscript deals with an important topic.
However, there are some concerns which need to be clarified by the Authors.
In the abstract section “There was no difference in FSFI scores between the vNOTES group
and the control group before and after surgery. There was no difference in postoperative FSFI
scores between the vNOTES group and the control group.” Sentence should be corrected since
both of them are same meaning.
In the backgrouns section, paragraph 2, sentence 1 “The clinical safety and feasibility of
vNOTES in gynecological benign disease surgery have been confirmed.” This sentence need
references. Been confirmed is a very precise outcome since this is a new method.
The inclusion and exclusion criterias should be explained in a paragraph in details instead of
numerogical order.
Also reorganisation of the manuscript such as adding methods section is recommended. Sample
Size section paragraph 2, This part should be Methods section. The assignment of the patients
to which group should be explained in details.
Statistical analysis, 1st paragraph “,etc.” is used. In a scientific paper etc. is not appropriate.
In the manuscript the flowcahrt is incomplete, the other half is missing.
Also there are some limitations such as the intraoperative complications rates and types of
the complications. These limitations should be addressed in the discussion section. Another
limitation is apart from FSFI questionnaire Arizona sexual experiences scale (ASEX) could also
be used since the FSFI only points out the sexual activity in the last 4 weeks.
Title: Quality of life and associated factors among infertile women attending infertility clinic
at Mnazi Mmoja Hospital, Zanzibar
Version: 2 Date: 10 Dec 2022
Reviewer's report:
The authors embarked on an important study to assess the quality of life and associated factors
on women living with infertility. Unfortunately, the quality of the paper is poor - there are so
many grammatical errors on the paper. Besides this, the methods section is not well described
- inclusion and exclusion criteria are not stated, study procedures are missing, how data was
collected and who collected it and when is not clearly described.
The analysis were not properly done - it is not clear how the authors arrived at a multivariate
regression model without presenting results of their bivariable analysis or even describing it
clearly on the data analysis section. I have made extensive comments on the manuscript. The
analysis needs to be redone and paper improved.
Title: Quality of life and associated factors among infertile women attending infertility clinic
at Mnazi Mmoja Hospital, Zanzibar
Version: 2 Date: 03 May 2023
Reviewer's report:
Thank you for opportunity to review this manuscript. The manuscript reports a study on  quality
of life and associated factors among infertile women attending infertility clinic at Mnazi Mmoja
Hospital, Zanzibar.  It is a straightforward  study and overall merits attention specially adding to
the literature from a  country where fewer publication  could be seen. However, the manuscript
needs some modifications and revisions. I have highlighted some as follows:
1. The study setting should be better introduced. For those who are not familiar with the
geography this is necessary. The country and the city  and then the hospital.
2. The instrument used is not belong to WHO and this should be corrected through the
manuscript.
3. The authors reports on some psychometrics which are not relevant and should removed. The
authors need to cite a valid reference for the instrument and clearly indicate the version they
used. For instance do they  used original English version or what?
4. The method of collection of  quality of life is not very clear. Do they collected by interview
or  it was completed by respondents. Then the question is how data from those who introduced
as 'not informal education' was collected.
5. I think the authors need to present the tables in a better way although this is not a major
problem and perhaps could be solved with the help of publisher.
6. The conclusion in the text needs to be revised.  Reporting figures in conclusion is not usual.
Title: Application of single-port procedure and ERAS management in the laparoscopic
myomectomy
Version: 2 Date: 04 May 2023
Reviewer's report:
It is suggested to select the keywords from the mesh.
It is suggested to explain more about the ERAS method in the introduction.
The method should be explained in the statement of the problem and why the alternative method
is needed.
The existing challenge is not well explained.
The number of samples in different groups was better.
Has only one surgeon performed all procedures?
Was permission obtained from the patients and did they know that they were part of the research
project?
There are many explanations about the surgical methods and only talk about the differences
between the methods.
The use of different surgical teams is also one of the limitations.
In the discussion about the regression results, the discussion should be done and the studies for
and against should be given.
Title: Application of single-port procedure and ERAS management in the laparoscopic
myomectomy
Version: 2 Date: 04 May 2023
Reviewer:  Ilaria Cuccu
Reviewer's report:
In my opinion, this topic analyzed is interesting enough to attract readers’ attention. The goal of
this study is to compare the efficacy of single-port surgery and perioperative enhanced recovery
after surgery (ERAS) management in laparoscopic myomectomy.
I think that the abstract of this article is very clear and well structured.
Although the manuscript can be considered already of good quality, I would suggest the
following recommendations:
- I suggest round of language revision, in order to correct few typos and improve readability;
- The discussion could be extended by evaluating predictors of pain after laparoscopic surgery.
In particular, I suggest this article to get deeper in the topic PMID: 35343352)
- It would be interesting to discuss the importance of the use of minimally invasive methods and
to highlight its multiple benefits for the treatment of frail patients. I suggest these articles to get
deeper in the topic: (D'Oria O, Golia D'Augè T, Baiocco E, Vincenzoni C, Mancini A, Bruno V,
et al. The role of preoperative frailty assessment in patients affected by gynecological cancer: a
narrative review. Ital J Gynaecol Obstet. 2022 June p.p. 76-83 doi: 10.36129/jog.2022.34)
Because of these reasons, the article should be revised and completed. Tables are clear and
interesting. Considering all these points, I think it could be of interest to the readers and, in my
opinion, it deserves the priority to be published after minor revisions.
Title: Application of single-port procedure and ERAS management in the laparoscopic
myomectomy
Version: 3 Date: 19 Jun 2023
Reviewer:  Ilaria Cuccu
Reviewer's report:
I read with great interest the Manuscript titled “Application of single-port procedure and ERAS
management in the laparoscopic myomectomy, topic interesting enough to attract readers'
attention
The quality of the manuscript has improved thanks to the changes made. The methodology
is accurate, and conclusions are supported by data analysis. The discussions are clear and
comprehensive. References are relevant to the search.
Considering all these points, I think it could be of interest to the readers and, in my opinion, it
deserves the priority to be published.
Title: An analysis of changes in the prevalence and patterns of intimate partner violence against
women in seven Asian countries
Version: 1 Date: 14 Apr 2023
Reviewer's report:
Overall, a timely and interesting piece. I would have liked for the authors to expand upon the
Discussion a bit more and to include whether p for trend was significant in the body of the Results
section instead of just qualitatively describing the trends. Especially with only two timepoints in
some, more context is needed on how meaningful these patterns are.  For the Discussion, other
possible reasons for trends in current IPV can include conflicts, droughts, and natural disasters.
Title: An analysis of changes in the prevalence and patterns of intimate partner violence against
women in seven Asian countries
Version: 2 Date: 21 Jun 2023
Reviewer's report:
Thank you for your thoughtful responses to this reviewer's feedback. I agree with changes made
and explanations where changes were not made. One final suggestion: I still don't entirely agree
with the approach to using multiple indicators for SV that are not consistent across countries
(although see the point, particularly in contexts such as Vietnam). You might consider adding
this as a limitation in your discussion section.
Title: Self-rated health and quality of life in female sex workers with substance use disorders
in Tehran, Iran
Version: 3 Date: 17 Aug 2022
Reviewer:  Anahita Khodabakhshi-koolaee
Reviewer's report:
1- The temporary marriage is in Shia Islam not in other branches of Islam.
2- The title was not new. I did not it is added new information to body of knowledge.
3- QoL and health status of FSWs: the first paragraph starts with Abbreviations. This is not
common in writing the article.
4- Paragraph 2 and 3 are not obvious. What is the purpose of author? (Introduction).
5- The author's point out 6 studies in this field that done in Iran. What is new?
Or unknown? (It is important to understand situational factors linked to selling sex and SUDs
among sex workers, who are disproportionately affected by sexual risk behaviors, sexually
transmitted infections (STIs), discrimination, violence, social traumas in Iran (8-14)
6- The text has grammatical and spelling mistakes, making it difficult for the reader to read. It
is better to have the text controlled by an editor.
7- In this study, we hypothesized that a syndetic of co-occurring sex work and SUDs are additive
and associated with poor QoL and inadequate SRH of Iranian FSWs.   This goal reached by
other researchers in previous studies.
8- The authors should add the procedure in the article.
9- The author(s) just used the Chi-square tests. I did not saw the tables of results with t-test and
one-way ANOVA. Where they are?
10- Findings means results?
11- In the discussion section of the article, there are no practical suggestions to improve the
lives of these women.
Title: Self-rated health and quality of life in female sex workers with substance use disorders
in Tehran, Iran
Version: 5 Date: 17 Apr 2023
Reviewer's report:
Dear authors,
You have made efforts to revise and strengthen the manuscript, and it is improved and closer
to being ready for publication. There are still some minor issues and areas for clarification for
the reader which I recommend be addressed.
Introduction
'A systematic review and meta-analysis revealed that female sex workers (FSWs) from LMICs
suffer from poverty, low education, violence, alcohol and drug use, human immunodeficiency
virus (HIV), and stigma and discrimination. The authors found that poor mental health is highly
prevalent among this population due to the identified risk factors (1).'
This statement would benefit from having more than one citation. Other research has found
that criminalization of sex work is a major determinant shaping these factors, and that context
should be added here. Further, 'risk factors' should be revised to read 'factors' or 'determinants'
because the relationship between sex work and each factor is complex and the direction of the
relationship and the risk is not straightforward.
'If two harmful phenomena such as sex work and SUDS come together, women are more at risk.'
Suggest revising 'harmful phenomena' to 'criminalized and marginalized activities such as sex
work and SUDS'.
'Damaged social interactions can be chained with some of the consequences such as
socioeconomic hardship, increased stigma and violence, and breached human rights; the
challenges a sex worker may experience where selling sex is culturally intolerable, criminalized,
and socially banned  (18, 19).'
This focus on the negative impacts of sex work criminalization, stigma and isolation is very
powerful. This theme should be considered throughout the manuscript.
Findings
'The possible explanation for their isolation can be the Iranian culture that extremely stigmatized
this population and force them to move underground. Using a phenomenological inquiry,
the challenges and experiences of Iranian FSWs were explored (19). The majority of SWs
experienced violence due to poor socio-economic situation; they suffer poor and risky health;
social exclusion due to dissociated relations; objectification, and lack of social and legal support.
'
This revision is very strong, because it cites external factors which contribute to sex workers'
marginalization and doesn't blame them for their own isolation.
I appreciate the authors' efforts to add further references and to discuss the impacts of sex work
criminalization, stigma and discrimination and how these structural determinants interact with
their findings. I recommend that the study be published after these small final revisions.
Title: Oxytocin versus a combination of tranexamic acid and ethamsylate in reducing
intraoperative bleeding during abdominal myomectomy: A Randomized Clinical Trial
Version: 2 Date: 09 Jul 2023
Reviewer:  Liselotte Mettler
Reviewer's report:
1.interesting comparison, which is accepted
2. In my opinion the  surgery is still easier done as an intracapsular nyomectomy at the time
of surgery
3. The results are well to be considered
4.Saline and  and  vasopressin derivative in the adequate dilution helps to enucleate in the correct
layers, we already described this in 1974 as action of the aqua purator during nyomectomy
( suction irrigation divide)
5. good study to be published
Title: Fertility specialists’ views, behavior, and attitudes towards the use of endometrial
scratching in Italy
Version: 5 Date: 28 Mar 2023
Reviewer's report:
Thank-you for the opportunity to re-review this manuscript which describes the results of a
clinician-survey and website review of use and attitudes towards endometrial scratching in Italy.
It has been improved from the previous versions, however I have the following minor comments
which should be addressed
• Although the writing has been improved, it still needs a lot of work. The authors state that
someone with English as a first language has provided copy-editing, but it does not seem that
this is the case. Please have the manuscript thoroughly copy-edited. For example, “Diffusion”
is used a very strange word to use in the context used - perhaps replace with “dissemination”.
There are multiple spelling and grammatical errors e.g. Abstract typo "secretive phase" should
be "secretory phase". In the Discussion “compilation” should be completion
• Abstract results - please provide the numbers of clinics contacted and the numbers responding,
not just the %.
• Abstract - What "drugs" are being administered before the ES? Is this pain relief or drugs for
some other purpose? Please clarify this in the abstract.
• Abstract – what was information quality being assessed using?? A score of 3-8 means nothing
without more information about the possible scores permitted etc.
• Abstract “More than 60.5% of the physicians reported to perform ES in less than 10% of
patients” this is too confusing. Is this summarising Q5 from Table 2? If so could word as “most
physicians (70%) reported to offer ES to less than 10% of their patients”
• Methods “A treatment was considered as an add-on procedure if reported with an amber
or red symbol according to Human Fertilisation and Embryology Authority (HFEA) (http://
www.hfea.gov.uk/treatments/treatment-add-ons/).” – why would you need to say this? you were
looking specifically at endometrial scratching and you didn’t need to use this definition?
• Methods- the information on the scoring matrix is insufficient. Can you include the modified
matrix as a supplementary table please.
• “The ethical approval was granted by the Ethical Committee of Reggio Calabria (Italy)” –
provide the relevant reference number
• You should consider including the relevant % in the results section when referring to the data
from Table 2, e.g. “In a very high percentage of cases, the ES was scheduled at the cycle before
the IVF procedure.” – give the actual %.
• Discussion – the two papers referenced about the use of endometrial scratching (Lensen and
Sarwari) actually show a substantial reduction in the use of endometrial scratching after the
Lensen NEJM paper was published. This is not reflected in the Discussion which states “very
high proportion of fertility specialists recommended ES in IVF cycles believing that ES increases
the probability of success in case of repeated implantation failure [19], and that, also after
negative results from large RCT [10], they still offer or recommend ES for the same indication
[20].”
Title: The Relation between Obesity and Breast Cancer Risk in Women by Considering
Menstruation Status and Geographical Variations: A Systematic Review and Meta-Analysis
Version: 2 Date: 06 Jun 2023
Reviewer's report:
Thank you for submitting this article titled “The Relation between Obesity and Breast Cancer
Risk in Women and the Effects of Menstruation Status and Geographical Variations: A
Systematic Review and Meta-Analysis”.
The following points are forwarded for the betterment of the manuscript:
Title
- The title of the article can be written better.
For example:
The Relation between Obesity and Breast Cancer Risk in Women by Considering Menstruation
Status and Geographical Variations: A Systematic Review and Meta-Analysis
Abstract
- Mention the search date of the articles in the abstract
Introduction
-  The introduction should be written more regularly. First, about breast cancer, then about
obesity, and then about the relationship between obesity and breast cancer, and then about this
relationship before and after menopause. Finally, the importance of the subject and why you
want to do this work, has such a study been done before and if so, what is the difference between
your study and the previous study?
Materials and Methods
- Write a summary of Figure 1 in the method
- Add explanations about the quality of the articles and their scoring in the method
Conclusion
- In the conclusion section, important results should be given and who should use these results
and where.
Title: The Relation between Obesity and Breast Cancer Risk in Women by Considering
Menstruation Status and Geographical Variations: A Systematic Review and Meta-Analysis
Version: 2 Date: 08 Jun 2023
Reviewer's report:
Good manuscript looking into relationship between obesity & breast cancer risk
My comments:
1. Title too long-to rephrase it
2. Abstract-To introduce the research problem that it is in relation with the objective
3. Discussion:
- why started the discussion with radiotherapy or treatment?
4. Conclusion
-any recommendation based on your findings?
Title: Listening to stakeholders in the prevention of gender-based violence among young people
in Spain: a qualitative study from the PositivMasc project
Version: 2 Date: 02 Jul 2023
Reviewer's report:
After the round of revision, the paper has undergone significant improvements, making it appear
much more consistent, coherent, and rigorous. The overall argument has become more defined
and focused, allowing readers to better understand the main points and the intended message
of the paper.
Title: Menstruation Hygiene Management among Secondary School Students of Chitwan,
Nepal:A Cross-Sectional Study
Version: 4 Date: 21 Apr 2023
Reviewer's report:
Dear Author,
Following are my comments:
1. In my opinion knowledge is classified as poor, good, and excellent. What is the rationale
behind using only two categories satisfactory and unsatisfactory?
2.  What is the rationale behind selecting 20 schools out of 250? What sampling technique was
used to select 20 schools?
3.  Please clarify: Among those 400 students how many students were selected from each school?
How many students were selected from each standard?
4. What is the methodology of the Post-test, What materials were used to provide health
education? Any video class or lecture class or practical tips/ etc. What are the teaching
modalities?
5. In the intervention did you provide knowledge regarding how to cope with missing school
days? I think this is a very much important issue for school-going girls, not to miss school days.
6. How this study addresses decreasing the cultural taboos and stigma in MHM?
7. In question no2, the skip pattern mention as "YES" should be corrected as "NO".
Title: Clinical features of uterine sarcomas presenting mainly with uterine masses: a
retrospective study
Version: 1 Date: 09 May 2023
Reviewer's report:
In my opinion, the analyzed topic is interesting enough to attract the readers’ attention. This
study aims to investigate the clinical characteristics of patients with uterine sarcomas who were
preoperative presenting mainly with uterine masses.
I think that the abstract of this article is very clear and well structured.
Maybe, the state of  the art of what is known about carcinosarcomas should be performed. Also,
the quality of life of patients after surgery should be taken into account. In particular, I suggest
these articles to get deeper in the topic: PMID: 36585027 and PMID: 21143414. Because of
these reasons, the article should be revised and completed. Considered all these points, I think
it could be of interest for the readers and, in my opinion, it deserves the priority to be published
after minor revisions.