Living with attention deficit hyperactivity disorder (ADHD) may influence sexual behaviors and intimate relationships in young women, resulting in a higher risk of unwanted pregnancy, sexual victimization, and sexual dysfunction. To develop adequate support, the study aimed to describe conceptions of how to promote sexual and reproductive health (SRH) in young women with ADHD. A secondary analysis using phenomenography was performed on qualitative interview data exploring variations of support. The study involved 15 young women with ADHD, aged 15–29 years, and 16 health care professionals, with various professions, working in the fields of gynecology, youth health, and psychiatry. Having reliable support was conceptualized as fundamental for promoting SRH. Access to information concerning SRH and living with ADHD as well as early support from health care contributed to a reliable support enabling self-knowledge and management of sexual relationships. Trustful relationships in health care were perceived as important because of previous experiences of feeling misunderstood and criticized in life, making them feel comfortable discussing SRH. Clinical encounters with a clear structure were further perceived to make information more accessible and clinics that provided appropriate organizational conditions and collaborated with other clinics were described to enhance the availability of support. This study reveals the need for clinics to provide conditions that ensure SRH support is available, accessible, and free of stigmatization. Early intervention programs for young women with ADHD may be considered, offering guidance on SRH issues in both psychiatric and sexual health clinics.

患有注意力缺陷多动障碍 （ADHD） 可能会影响年轻女性的性行为和亲密关系，导致意外怀孕、性受害和性功能障碍的风险更高。为了提供足够的支持，该研究旨在描述如何促进患有 ADHD 的年轻女性的性和生殖健康 （SRH） 的概念。使用现象学对定性访谈数据进行了二次分析，探索支持的变化。该研究涉及 15 名年龄在 15-29 岁之间的患有 ADHD 的年轻女性，以及 16 名从事各种职业的医疗保健专业人员，在妇科、青年健康和精神病学领域工作。拥有可靠的支持被概念化为促进 SRH 的基础。获取有关 SRH 和 ADHD 患者生活的信息以及医疗保健的早期支持有助于实现自我认识和性关系管理的可靠支持。医疗保健中的信任关系被认为很重要，因为以前在生活中感到被误解和批评的经历使他们在讨论 SRH 时感到自在。具有清晰结构的临床遭遇进一步被认为使信息更易于访问，并且描述了提供适当组织条件并与其他诊所合作的诊所以提高支持的可用性。这项研究表明，诊所需要提供条件，确保 SRH 支持可用、可及且没有污名化。可以考虑针对患有 ADHD 的年轻女性的早期干预计划，为精神病学和性健康诊所的 SRH 问题提供指导。