Victoria L. Handa|Geoffrey W. Cundiff|Howard H. Chang|Kathy J. Helzlsouer
Female Sexual Function and Pelvic Floor Disorders
Johns Hopkins University|University of British Columbia|Cancer Research And Biostatistics|Johns Hopkins University|Mercy Medical Center
brief objective investigate hypothesis pelvic floor disorders associated female sexual problems independently related factors methods study population included 301 adult women seeking outpatient gynecologic urogynecologic care pelvic floor disorders assessed pelvic floor disorders inventory20 pfdi20 pelvic organ prolapse quantification examination sexual function assessed personal experiences questionnaire using ordinal regression analysis identified characteristics conditions associated decreased libido infrequent orgasm decreased arousal dyspareunia results sexual function poorer among 78 women 26 without current sexual partner among 223 partner p01 among 223 current partner women high pelvic floor disorders inventory score significantly likely report decreased arousal p01 infrequent orgasm p01 increased dyspareunia p01 similar pattern observed urinary colorectalanal prolapse scales pelvic floor disorders inventory although associations marginally significant stage iiiiv prolapse significantly associated infrequent orgasm p02 sexual complaints common increasing prolapse stage conclusion pelvic floor symptoms significantly associated reduced sexual arousal infrequent orgasm dyspareunia conclude sexual function worse women symptomatic prolapse women asymptomatic prolapse level evidence ii incontinence pelvic floor disorders associated poor sexual function including decreased libido arousal infrequent orgasm dyspareunia