Influence of pelvic floor disorders on sexuality in women.
Int J Gynaecol Obstet
; 164(3): 1141-1150, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-37830235
ABSTRACT
OBJECTIVE:
To determine the association between different pelvic floor disorders and the presence of sexual dysfunction in women.METHOD:
An observational study of non-pregnant women was carried out in Spain in 2021 and 2022. To assess the presence of pelvic floor problems, the Pelvic Floor Distress Inventory (PFDI-20) was used, consisting of the subscales Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6; prolapse symptoms), Colorectal-Anal Distress Inventory (CRADI-8; colorectal symptoms), and Urinary Distress Inventory-6 (UDI-6; urinary symptoms). The validated tool, Female Sexual Function (FSF), was used to evaluate female sexual function.RESULTS:
In total, 1008 women participated. Of these, 288 (28.6%) had some type of sexual dysfunction. Regarding symptoms, 52 (5.2%) stated that they do not reach orgasm and 172 (17.1%) said they had never or occasionally felt sexual desire in the last month. Women with sexual dysfunctions had higher mean scores on the POPDI-6, CRADI-8, and UDI-6 subscales than those who did not have sexual dysfunction (P ≤ 0.005). Risk factors identified included being postmenopausal, with an adjusted odds ratio (aOR) of 2.98 (95% confidence interval [CI] 2.12-4.18), and a greater impact of the symptoms of pelvic floor problems as assessed by the PFDI-20 scale, in such a way that for each point increase the probability of sexual dysfunction increases with an aOR of 1.008 (95% CI 1.005-1.011).CONCLUSION:
Women with pelvic floor disorders and postmenopausal women present sexual dysfunction more frequently.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sexual Dysfunction, Physiological
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Colorectal Neoplasms
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Pelvic Organ Prolapse
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Pelvic Floor Disorders
Limits:
Female
/
Humans
Language:
En
Journal:
Int J Gynaecol Obstet
Year:
2024
Document type:
Article
Affiliation country: