JCOGP

As of January 2023, our "Journal of Controversies Obstetrics & Gynecology and Pediatrics" has been published under the Medihealth Academy to publish all articles, reviews and case reports on Pediatrics, especially in the field of Obstetrics and Gynecology. In order to facilitate the citation of the articles, to take our place in internationally respected indexes and to reach a wider readership, we will pay attention to the fact that our article language is only English in terms of acceptance.

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Original Article
Simulation-based analysis of AI responses to sexual myths during pregnancy
Aims: This study aimed to evaluate the quality, scientific accuracy, and communication characteristics of artificial intelligence generated responses to common sexual myths during pregnancy using a simulation-based approach.
Methods: Ten simulated patient questions reflecting widespread, non–evidence-based beliefs about sexual activity during pregnancy were deliberately constructed based on themes frequently reported in the literature. These questions addressed fetal perception, physical harm, developmental consequences, and moral or religious concerns. Responses generated by ChatGPT were analyzed qualitatively according to predefined criteria, including scientific accuracy, internal consistency, communication tone, and potential clinical risk. No real patient data were used, and no human subjects were involved.
Results: All responses were found to be broadly consistent with established obstetric and fetal physiology principles. The system consistently provided clear, reassuring, and nonjudgmental explanations, particularly for concerns related to fetal safety. However, individualized obstetric risk factors were rarely emphasized, which may limit clinical applicability in certain high-risk contexts. Responses to morally or culturally sensitive questions demonstrated a cautious and neutral communication style.
Conclusion: Artificial intelligence generated responses may serve as a supportive informational tool for addressing common sexual myths during pregnancy. While scientifically accurate and communicative, such systems should not replace individualized clinical counseling. Their greatest value may lie in complementing physician–patient communication by identifying prevalent misconceptions and facilitating early educational interventions.


1. Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J. 2014;25(1):5-14. doi:10.1007/s00192-013-2118-7
2. Ribeiro MC, de Tubino Scanavino M, do Amaral MLSA, et al. Beliefs about sexual activity during pregnancy: a systematic review of the literature. J Sex Marital Ther. 2017;43(8):822-832. doi:10.1080/0092623X. 2017.1305031
3. Jawed-Wessel S, Sevick E. The impact of pregnancy and childbirth on sexual behaviors: a systematic review. J Sex Res. 2017;54(4-5):411-423. doi:10.1080/00224499.2016.1274715
4. Dolapoğlu N, Taşkın Mİ, Altunöz S. The relationship between pregnant women and their spouses’ belief in sexual myths during pregnancy, relationship satisfaction and sexual satisfaction. J Health Sci Med. 2023; 6(4):573-578. doi:10.32322/jhsm.1241611
5. Grossi FS, de Moura Machado M, Ferreira CF, et al. Myths and beliefs about health and sexuality among Brazilian pregnant women. Rev AMRIGS. 2023;65(1):69-79.
6. Kaya HD, Yılmaz T, Günaydın S, et al. Sexual myths during pregnancy: a comparative study. J Obstet Gynaecol. 2021;42(4):587-593. doi:10.1080/ 01443615.2021.1931826
7. Dağlar G, Bilgiç D, Demirel G. Determination of myths regarding the pregnancy period and childbirth of pregnant women. Zeynep Kamil Med Bull. 2018;49(1):59-64. doi:10.16948/zktipb.349829
8. Aygin D, Açıl H, Yaman Ö, et al. Female university students’ opinions related to sexual myths. Androl Bull. 2017;19(69):44-49.
9. Aker S, Böke Ö. The effect of education on the sexual beliefs of family physicians. Int J Sex Health. 2016;28(2):111-116. doi:10.1080/19317611.2015. 1137669
10. Direkvand-Moghadam A, Suhrabi Z, Akbari M, et al. Prevalence and predictive factors of sexual dysfunction in Iranian women: univariate and multivariate logistic regression analyses. Korean J Fam Med. 2016; 37(5):293-298. doi:10.4082/kjfm.2016.37.5.293
11. Fennell R, Grant B. Discussing sexuality in health care: a systematic review. J Clin Nurs. 2019;28(17-18):3065-3076. doi:10.1111/jocn.14900
12. John JN, Gorman S, Scales D, et al. Online misleading information about women’s reproductive health: a narrative review. J Gen Intern Med. 2025;40(6):1123-1131. doi:10.1007/s11606-024-09118-6
13. Ayers JW, Poliak A, Dredze M, et al. Comparing physician and Artificial Intelligence Chatbot responses to patient questions posted to a public social media forum. JAMA Intern Med. 2023;183(6):589-596. doi:10.1001/jamainternmed.2023.1838
14. Grünebaum A, Chervenak J, Pollet SL, Katz A, Chervenak FA. The exciting potential for ChatGPT in obstetrics and gynecology. Am J Obstet Gynecol. 2023;228(6):696-705. doi:10.1016/j.ajog.2023.03.009
15. Wan C, Cadiente A, Khromchenko K, et al. ChatGPT: an evaluation of AI-generated responses to commonly asked pregnancy questions. Open J Obstet Gynecol. 2023;13(9):1528-1546.
16. Wang C, Liu S, Yang H, Guo J, Wu Y, Liu J. Ethical considerations of using ChatGPT in health care. J Med Internet Res. 2023;25:e48009. doi: 10.2196/48009
17. World Health Organization. Ethics and governance of artificial intelligence for health. Geneva: WHO; 2021. https://www.who.int/publications/i/item/9789240084759 (Access Date: 19.06.2025)
18. Worly B, Manriquez M, Stagg A, et al. Sexual health education in obstetrics and gynecology (Ob-Gyn) residencies: a resident physician survey. J Sex Med. 2021;18(7):1042-1052. doi:10.1016/j.jsxm.2021.03.005
Volume 4, Issue 1, 2026
Page : 1-6
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