%PDF-1.4 % 1 0 obj << /Type /Catalog /Version /1.4 /Pages 2 0 R /StructTreeRoot 3 0 R /MarkInfo 4 0 R /Lang (en) /ViewerPreferences 5 0 R >> endobj 6 0 obj << /Title (n Autumn 2023, we asked women and people assigned female at birth to tell us about their reproductive health and experiences. After just 6 weeks, we had almost 60,000 responses. As we publish the first set of findings from the data collected as part of) /Creator (Canva) /Producer (Canva) /CreationDate (D:20250411132735+00'00') /ModDate (D:20250411132734+00'00') /Keywords (DAGi7TkfPA4,BADHjZaQ6L0,0) /Author (Mel Pal) >> endobj 2 0 obj << /Type /Pages /Kids [7 0 R] /Count 1 >> endobj 3 0 obj << /Type /StructTreeRoot /K [8 0 R] /ParentTree 9 0 R /ParentTreeNextKey 35 >> endobj 4 0 obj << /Marked true /Suspects false >> endobj 5 0 obj << /Type /ViewerPreferences /DisplayDocTitle true >> endobj 7 0 obj << /Type /Page /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 10 0 R /Font 11 0 R >> /MediaBox [0.0 8.579974 280.5 604.07996] /Annots [12 0 R] /Contents 13 0 R /StructParents 0 /Parent 2 0 R /Tabs /S /BleedBox [0.0 8.579974 280.5 604.07996] /TrimBox [0.0 8.579974 280.5 604.07996] /CropBox [0.0 8.579974 280.5 604.07996] /Rotate 0 >> endobj 8 0 obj << /Type /StructElem /S /Document /P 3 0 R /K [14 0 R] >> endobj 9 0 obj << /Limits [0 0] /Nums [0 [15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 16 0 R 40 0 R 41 0 R 20 0 R 42 0 R 22 0 R 43 0 R 31 0 R 44 0 R 45 0 R 33 0 R 46 0 R 47 0 R 37 0 R] ] >> endobj 10 0 obj << /G3 48 0 R /G4 49 0 R /gs3 50 0 R >> endobj 11 0 obj << /F5 51 0 R /F6 52 0 R /F7 53 0 R >> endobj 12 0 obj << /Type /Annot /Subtype /Link /F 4 /Border [0 0 0] /Rect [35.037487 11.2976074 207.61491 17.505432] /A 54 0 R >> endobj 13 0 obj << /Length 19468 /Filter /FlateDecode >> stream x}[5qy;6 ~G#'h|X<8/Ē yпZnOsۚej_%[!X_\ TZwr |޴ŠKܝɹK@k^JB)ZO.S@ k_MA#x9y(**]kƺKrlM^`(@`}m%V'쀣阯kB{5R.j{腐hf`0H*z,$ȹƥPb X—+1s.$3Y`ysM9 P|Q>6S mlʬ;S>*dH43V>iAG( \xa$6h:bUt&{T" v&'ou(>odT% &rIRJKM.h ҙv{R'Y6KAtō:ҙ$ds暯Fv[gX bB=~9ۢh(Khl|{HY[QzTH(@z"3Wg ųBǴQŰ/LBo#bQ%8:A&]}6 Kflj53`R%hcT:Q rKSRѶ峙^,Q|( Й^"2ݤ E4M$?WWX,&ʚ1-󇙸nuBR |BA@#2NVY\aTڢ 0r17 K/0A`&ѕpg:/ |m3{-b)A_5єِDKygA} B+InRUHt6fi^ؽA-TCdJ HVL@2xf>j,YΓ4R= :m]͊ h— { Y*wڢ#2W8;lQUP*ͼΚ ܇k ]$[D'B+&.+ 3fLRl$TJEgdbJ0)zHt1UR' qWM̒$:b 4 gw6ITb)zaVm+2’bs*;Z︴΋aHW!a 2c hpj_|ȊګD̘ʚӃB٦:Z _B-ׁ]ר8VZKJ Lp@It#NMF~fB3[ T&aAf?MK0ZZ96J:G/F0Z%Uao*R}|Q&E]Z/*Y%E/٫zVFPbҭ DiVR=riǬ+Q:*hiUgI]MP;U(*5x)N-xlHq]#Ak='Y&E!lo^1j͐Uν} Jc*SSQ[.&Ep#lIQ_)xSw9cvU.YN)}  c6K7 * w@[P[Li wH[dUWFo"1xrCP0<zSehVT'Э^Q5IhXlI3߫X\QĺWAm0%UvGeР4zh߽ I f7VŦ:psWX,{$ C`qٽڰAX忭[ꑖtHuϦ0Zq "aQql4&8K߀Z.bז܃ol~ aVi '/?'?@A~z/OĔ j\4@!-ڃ4D|/Ox~PL懹 cd6tR6vkn_6s ?/+"5 pU( AJvkż6ěmo25NE&kk* gw>F~򓟷8ղ(p/>pUǩ"ڃmm;m:ϵ%ۖ6>t;Fܹd]ij¢~E6?<-eKO26<] )b˪.mӜ4[ǻ{ 3oo^pŠ%+?n ]?YxZm}uRɉVJ SʬIbw6:3̊1$A5!i!$jt=CAPc90I0p ڠ*K+kd̏ͧ0W9GÓ7?etQL E-sިG?|џS[5Oډ.?[J3~@OCiPm<ϗ&ο0o|+S+/``›⦰0K*4k vjy{~6M6`qɟۣo0ZyӲPRCZ#p^[?Dцl&&ߘID{5o^ۭ/LYq2{$[&L iyeQ(q&9혹 :7G,Lu}GAkפ+/մǮ$ق⳾C!곊ʋb7ī<Ɂӂ''˼(ӦDj=%-uN]C^Ѹ#5ϱqkp{=kVNO2Ϲs*==ߘjT~ '/&%be].Y.\I l,t-rnJCRt` Rt-%צּ(s]L)}).aXx0"B> óY6uo붚⿾jՇYXu{Kc~e;|vw`xß< ɁvcRw~5fSw>0OVvF Ӻ#aAWn||ϷOrlZMc$ {Z>odnN \m ;Dؼjro3WD1mO7yxD]tb]<\()oNɶiϝb 7Wpe:HNs֔Kv;ҜÙI;g柞 q85@56t_b'Ffsg'/ҳճ*3:=9gȹw}Գ\16\|Gί{Bæ~~qX ҭE(G܋}ӎq}'Tu膊 6i9-l!/X9,㏾3뎯Drd~~˹)à hjf Osce>_Rךcj=O:G1ǥrn;ftV,Lk Uc5{[;M+ϓ[Kg}zƒ ,:utLv:q4#:d+S%\m;RmMf><ʚS<-Uo*m-{#WRMYg %[C-ݕ ?ߗ6XLa,>叇.ǰ'ȃʵ:차5 5ښH&+Ȯ5&5Ǵv߰|$1<ہPcw! 92To0k/4OEfK~=C0b^eI<_7 ?D&8Oww@k7~y8-Yv.g+MYģ?pHg7%q{j9;bX#pV_3t=?5S&5Cgˌ>B f-8d{0AQQf#Ӗsi-I6b5NEFq[b3I N)7=KȞRevc$0MMsbr-W(Q907’4q/`fz?m$"@1D8bK\U 0:3 d ` ʴȕ1/-i^=Fo'ΚݙKA^b1UW/0yja{ }f̳賨 w_3f2L I>\̷؜Y 1*[;S@Yj0zwMLrJDݿa"*}mN`/J V|a}g{}rTM zaC/Qς\ C@P8( 1GT]< )URtiDQZ?ꈢJ}+Z2T|4z -6jeHq[Ь!u6wƨ>2 ,[Li=[ڲHLŚ);V|3$OԒH5+` -&fE ,] " d"bMsDԢ/C*Ӂ9Ru:}OQ0|V+d tN*`X6bkʓpsCЂNX@g29 P6X5YDc}Ȋ &hmR0rP !? 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<$ *Ǥc=ǘ491nu9sɺ<'nFI!3p81`1ʏcLHTّyvuarój>0ﺉeO&UZ.()nr0Jh vƧwGm$Cgh$c9^D VhghVȧ$ L'2U3S#沨+w{eҫxj ճ=x8@@_5[&J8F{ ZUخUQB{T s\]鱞r9i#j9WMg[WjN}}\?%[yS+y[808|`ոuz9\T6|%|x(;y C v7#vx:n&w{>b^?U2wO6 ?hi>ĴN-Ǧ,{_x 7r:c~?rVN 89T>a&<`*g 귨s:<9=wK5>˛+ܒ%=v:ٴiqV.;ץն"?<+t} y{ʛ?[㞙$poP~~<[CbS=PS!:4k1]̓ǤXN[I?1Se*r Z ^31ILKrOgrYlaZ͏{Rz{v l[8rN9P1>ܬ곖|=fڰi3%}ڲє^>J?ѲѴIƲ&.-޺.B9 RB 8!=moJ21s}]]*I\ UR2Qį*:V[N^sps;ok`JK'><}TO0꿅Fίܼo3/퇻[_C Noizz^O1*vsLCk1>T1tS2J2?5ΝSxMK/ W{:vӂ>9?aOoc_c:z!2O%_{_BgإP4xy]0Aj4-Ͽ-/L c'[^ߐxyޥes]&x3{xPAZL)]fR@wS1x^##k|]sKo_1^!D;<5-kĬ%_M(R89/ x*k98#Çl L y[+f"f#uN 2Qcb-&/b,&x61)avĻ#UzWzRh ʬ-G5L<7(S endstream endobj 14 0 obj << /Type /StructElem /S /Part /P 8 0 R /Pg 7 0 R /K [15 0 R 16 0 R 17 0 R 40 0 R 41 0 R 19 0 R 20 0 R 42 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 43 0 R 29 0 R 30 0 R 31 0 R 44 0 R 45 0 R 33 0 R 34 0 R 46 0 R 47 0 R 36 0 R 37 0 R 38 0 R 39 0 R] >> endobj 15 0 obj << /Type /StructElem /S /H1 /T (REPRODUCTIVE HEALTH IN ENGLAND) /E (REPRODUCTIVE HEALTH IN ENGLAND) /Pg 7 0 R /K [1] >> endobj 16 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [21] >> endobj 17 0 obj << /Type /StructElem /S /H5 /T (In 2023, almost 60,000 women and people assigned female at birth responded to the Reproductive Health Survey for England. The first set of findings have just been published.) /E (In 2023, almost 60,000 women and people assigned female at birth responded to the Reproductive Health Survey for England. The first set of findings have just been published.) /Pg 7 0 R /K [2] >> endobj 18 0 obj << /Type /StructElem /S /H3 /P 40 0 R /T (REPRODUCTIVE CONDITIONS) /E (REPRODUCTIVE CONDITIONS) /Pg 7 0 R /K [0] >> endobj 19 0 obj << /Type /StructElem /S /H5 /T (More than 1 in 4 participants reported at least one reproductive condition, such as endometriosis, PCOS, fibroids, pelvic organ prolapse.) /E (More than 1 in 4 participants reported at least one reproductive condition, such as endometriosis, PCOS, fibroids, pelvic organ prolapse.) /Pg 7 0 R /K [3] >> endobj 20 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [24] >> endobj 21 0 obj << /Type /StructElem /S /H3 /P 42 0 R /T (MENSTRUAL HEALTH) /E (MENSTRUAL HEALTH) /Pg 7 0 R /K [8] >> endobj 22 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [26] >> endobj 23 0 obj << /Type /StructElem /S /H2 /T (37%) /E (37%) /Pg 7 0 R /K [15] >> endobj 24 0 obj << /Type /StructElem /S /H2 /T (62%) /E (62%) /Pg 7 0 R /K [16] >> endobj 25 0 obj << /Type /StructElem /S /H2 /T (32%) /E (32%) /Pg 7 0 R /K [17] >> endobj 26 0 obj << /Type /StructElem /S /H2 /T (54%) /E (54%) /Pg 7 0 R /K [18] >> endobj 27 0 obj << /Type /StructElem /S /H4 /T (16-19 year olds) /E (16-19 year olds) /Pg 7 0 R /K [19] >> endobj 28 0 obj << /Type /StructElem /S /H4 /T (20-24 year olds) /E (20-24 year olds) /Pg 7 0 R /K [20] >> endobj 29 0 obj << /Type /StructElem /S /H5 /T (Over 30% of participants aged 16-24 reported severe period pain, and more than half experienced heavy menstrual bleeding in the last year.) /E (Over 30% of participants aged 16-24 reported severe period pain, and more than half experienced heavy menstrual bleeding in the last year.) /Pg 7 0 R /K [6] >> endobj 30 0 obj << /Type /StructElem /S /H5 /T (2 in 3 participants aged 40-55 experienced hot flushes and/or night sweats in the last year.) /E (2 in 3 participants aged 40-55 experienced hot flushes and/or night sweats in the last year.) /Pg 7 0 R /K [7] >> endobj 31 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [28] >> endobj 32 0 obj << /Type /StructElem /S /H3 /P 44 0 R /T (PREGNANCY-RELATED EXPERIENCES) /E (PREGNANCY-RELATED EXPERIENCES) /Pg 7 0 R /K [9] >> endobj 33 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [31] >> endobj 34 0 obj << /Type /StructElem /S /H5 /T (More than 1 in 10 participants aged 30 to 39 had experienced pregnancy loss or infertility in the last year.) /E (More than 1 in 10 participants aged 30 to 39 had experienced pregnancy loss or infertility in the last year.) /Pg 7 0 R /K [10] >> endobj 35 0 obj << /Type /StructElem /S /H3 /P 46 0 R /T (PUTTING IT ALL TOGETHER) /E (PUTTING IT ALL TOGETHER) /Pg 7 0 R /K [11] >> endobj 36 0 obj << /Type /StructElem /S /H5 /T (Looking across reproductive conditions, menstrual health, and pregnancy related experience, almost 3 in 4 participants aged 16-55 had recent experience of at least one of these issues.) /E (Looking across reproductive conditions, menstrual health, and pregnancy related experience, almost 3 in 4 participants aged 16-55 had recent experience of at least one of these issues.) /Pg 7 0 R /K [14] >> endobj 37 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [34] >> endobj 38 0 obj << /Type /StructElem /S /H5 /T (We found evidence for inequalities across all aspects of reproductive health: those from minority ethic groups and those who were struggling financially were more likely to experience poor reproductive health, for example, Black women were 50% more likely than White women to report adverse pregnancy-related experiences and those struggling financially were twice as likely report heavy/severely painful periods, compared with those living comfortably.) /E (We found evidence for inequalities across all aspects of reproductive health: those from minority ethic groups and those who were struggling financially were more likely to experience poor reproductive health, for example, Black women were 50% more likely than White women to report adverse pregnancy-related experiences and those struggling financially were twice as likely report heavy/severely painful periods, compared with those living comfortably.) /Pg 7 0 R /K [12 13] >> endobj 39 0 obj << /Type /StructElem /S /P /E (See the full open access paper, here: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.18133 ) /Pg 7 0 R /K [4 5] >> endobj 40 0 obj << /Type /StructElem /S /Figure /P 14 0 R /K [18 0 R 22] /Pg 7 0 R >> endobj 41 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [23] >> endobj 42 0 obj << /Type /StructElem /S /Figure /P 14 0 R /K [21 0 R 25] /Pg 7 0 R >> endobj 43 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [27] >> endobj 44 0 obj << /Type /StructElem /S /Figure /P 14 0 R /K [32 0 R 29] /Pg 7 0 R >> endobj 45 0 obj << /Type /StructElem /S /Figure /P 14 0 R /Pg 7 0 R /K [30] >> endobj 46 0 obj << /Type /StructElem /S /Figure /P 14 0 R /K [35 0 R 32] /Pg 7 0 R >> 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