Background: Lack of sexual knowledge or incorrect sexual information can lead to
anxiety and fear of sexual communication and subsequent sexual dysfunction in marrying women.
Objective: The purpose of this study was to investigate the impact of sexual cognition counseling
on the sexual communication anxiety of women upon marriage.
Methods: In this randomized quasi-experimental study, 124 women upon marriage with poor sexual
knowledge and attitudes, were randomly assigned into two groups of intervention and control group
(62 in each group), using four randomized blocking. Data was collected by Sexual Knowledge and
Attitude (SKAS) and Sexual Communication Anxiety questionnaires. In the experimental group,
five counseling sessions were held with the aim of promoting women's sexual knowledge and attitude.
Control group women did not receive any intervention.
Results: The mean scores of sexual knowledge and sexual attitude of women in the experimental
group were significantly increased from 30.02 ± 9.09 and 32.34 ± 6.09 to 34.35 ± 10.23 and 34.53 ±
6.92 after the intervention, respectively (p <0.05). The mean scores of sexual communication anxiety
in the intervention group showed a significant decrease from 42.23 ± 10.63 to 40.47 ± 10.94
after the intervention (p <0.05).
Conclusion: This study showed that an increase in knowledge and improvement of sexual attitude
can reduce the sexual communication anxiety of women upon marriage. Designing and implementing
effective interventions with the purpose of promoting sexual knowledge in women and amending
the false attitudes and beliefs may take some effective steps to protect and promote sexual
health in women, then the couples.