Abstract
Introduction and hypothesis
We describe differences in sexual activity and function in women with and without pelvic floor disorders (PFDs).
Methods
Heterosexual women ≥40 years of age who presented to either urogynecology or general gynecology clinics at 11 clinical sites were recruited. Women were asked if they were sexually active with a male partner. Validated questionnaires and Pelvic Organ Prolapse Quantification (POP-Q) examinations assessed urinary incontinence (UI), fecal incontinence (FI), and/or pelvic organ prolapse (POP). Sexual activity and function was measured by the Female Sexual Function Index (FSFI). Student’s t test was used to assess continuous variables; categorical variables were assessed with Fisher’s exact test and logistic regression. Univariate and multivariate analyses were used to assess the impact of pelvic floor disorders (PFDs) on FSFI total and domain scores.
Results
Five hundred and five women met eligibility requirements and gave consent for participation. Women with and without PFDs did not differ in race, body mass index (BMI), comorbid medical conditions, or hormone use. Women with PFDs were slightly older than women without PFDs (55.6 + 10.8 vs. 51.6 + 8.3 years, P <0.001); all analyses were controlled for age. Women with PFDs were as likely to be sexually active as women without PFDs (61.6 vs. 75.5 %, P = 0.09). There was no difference in total FSFI scores between cohorts (23.2 + 8.5 vs. 24.4 + 9.2, P = 0.23) or FSFI domain scores (all P = NS).
Conclusion
Rates of sexual activity and function are not different between women with and without PFDs.
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Acknowledgments
This work is supported in part by the Society of Gynecologic Surgeon’s Research Committee (Fellows Pelvic Research Network) and the DHHS/NIH/NCRR/GCRC Grant #5M01 RR 00997
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Financial support: sponsored in part by the Society of Gynecologic Surgeons Research Committee (Fellows’ Pelvic Research Network) a and the DHHS/NIH/NCRR/GCRC Grant #5M01 RR 00997 ( for use of the Biostatistician at the University of New Mexico HSC).
Recruitment sites: Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA; Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA; Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.; Obstetrics and Gynecology, Mount Sinai Hospital, New York, NY and SUNY-Downstate, Brooklyn, NY, USA; Urogynecology Specialists, Louisville, KY, USA; Cleveland Clinic, Weston, FL USA; Women’s Continence Center of Greater Rochester, Rochester, NY, USA; Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA and Obstetrics and Gynecology, Louisiana State University, New Orleans, LA, USA.
Megan O. Schimpf and Cedric K. Olivera were each affiliated with two sites during recruitment.
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Fashokun, T.B.O., Harvie, H.S., Schimpf, M.O. et al. Sexual activity and function in women with and without pelvic floor disorders. Int Urogynecol J 24, 91–97 (2013). https://doi.org/10.1007/s00192-012-1848-2
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DOI: https://doi.org/10.1007/s00192-012-1848-2