Pelvic Floor Dysfunction and Female Sexual Function
Rujira Wattanayingcharoenchai MD1, Sakda Arj-Ong Vallibhakara MD, PhD2, Jittima Manonai MD, MHM1
Affiliation :
1 Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
2 Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Objective : To evaluate sexual function in women with pelvic (cid:976)loor symptoms and to investigate the association between pelvic (cid:976)loor
symptoms, pelvic organ prolapses [POP] staging, compartment of POP, and sexual function using a short form of the Pelvic Organ
Prolapse/Urinary Incontinence Sexual Questionnaire [PISQ-12].
Materials and Methods: Medical records of women with pelvic (cid:976)loor symptoms attending a urogynecology clinic who were
sexually active were reviewed. Information about age, parity, menopausal status, medical history, history of vaginal delivery, and
hysterectomy were collected. Pelvic (cid:976)loor symptoms, evaluated by the validated, self-administered Thai version of Pelvic Floor
Bother Questionnaire [PFBQ] and sexual function, assessed by a PISQ-12 were recorded. Staging and compartment of POP were
assessed using the International Continence Society Pelvic Organ Prolapse Quanti(cid:976)ication [POP-Q] System.
Results : The mean age of the 312 sexually active women was 58.9±11.4 years. Two hundred forty-one (77.2%) were menopausal.
Urinary incontinence was the highest reported pelvic (cid:976)loor symptom with the prevalence of 80.1%. There was no association
between PISQ-12 scores and pelvic (cid:976)loor symptoms, POP staging, and compartment of prolapse. Nulliparous women and women
who had sexual pain showed signi(cid:976)icantly lower PISQ-12 scores (p<0.05).
Conclusion : Sexual impairment was not related to severity and compartment of prolapse. Women with dyspareunia symptoms
were likely to experience sexual impairment.
Keywords : Pelvic organ prolapse, Pelvic (cid:976)loor dysfunction, Female sexual function
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