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Table 2 Extracted categories and sub-categories from the interview data

From: 'Does HPV affect my fertility?' Reproductive concerns of HPV-positive women: a qualitative study

Example of codes

Sub-categories

Categories

- Ambiguity about the effect of the virus on male fertility

- Asking about the need for male GWs' treatment before conception

a. Adverse effects of HPV on male fertility

1. Concerns about fertility potential

- The effects of HPV on reproductive hormones and menstrual cycle

- Concerns about infertility due to persistent high-risk HPV and subsequent cancer

- Attributing the failure of assisted reproductive techniques (ART) to the HPV

b. Negative effect of HPV on female fertility

- Fear of cervical infertility following invasive treatments (cryotherapy, LEEP, and conization)

- The impact of the vaccine on hormones and the menstrual cycle

- Fear of Infertility following HPV Vaccination

- Concerns about the safety of HPV Vaccine in pregnancy

c. Threatened female fertility Association with treatments and vaccine

- Concerns about increasing genital Warts during pregnancy

- Worrying about weakening immune system during pregnancy

- Limitation of performing diagnostic and therapeutic interventions (colposcopy-biopsy) in pregnancy

- Postponing pregnancy for fear of progression of the disease

a. Threatened mother's health during pregnancy

2. Pregnancy concerns

- Fear of miscarriage due to HPV

- Concerns about preterm birth due to HPV

- Performing the cesarean section due to HPV

b. Adverse pregnancy outcomes

- Fear of negative effects of GWs' medications on the fetus

- Fear of transferring HPV to the fetus

c. Harm to the fetus

- Worrying about infecting the infant via breast milk and nursing

a. Fear of infecting newborn

3. Non-pregnancy reproductive concerns

- Not using condom

- Worries about the negative effect of Hormonal contraception on abnormalities

- Need to a safe method of contraception

b. Concerns related to contraception method

- Concerns about the effect of the virus on premature menopause

c. Fear of premature menopause

- Attributing family history of gynecologic cancer to HPV

d. Fear of cervical cancer

- Fear of cervical cancer following HPV infection

e. Fear of familial cancer due to HPV