Table 2. Major Themes and Sub-themes.

Themes	Sub-themes
Lack of the self-perceived physical attractiveness	Obesity
	hirsutism
	hair loss
	acne
Loss of womanhood	Male pattern body hair
	Bearded woman
	Masculinity
	Breast atrophy
	Not having the “normal women’s appearance”
	Dressing in male
	Not having a normal women’s social life
	Male pattern hair loss
Disruption of sexual function	Painful intercourse
	Loss of sexual attractiveness
	Feeling of sexual dissatisfaction
	Lack of sexual pleasure
	Lack of sexual excitement
	Lack of libido
	Sense of shame for sexual coldness
	Feeling “unfeminine” in sexual relationship
Disruption of the fertility function	Fear of Infertility
	Meaningless intercourse(inability to reproduce)
	Divorce for being infertile
	Feeling ashamed and guilty for being unable to bear children to continue husband’s generation