Examination of the Effects of Pelvic Floor Exercises on Vaginal and Sexual Health in Postmenopausal Women.
The purpose of this study; To investigate the effects of pelvic floor muscle exercises on vaginal and sexual health in postmenopausal women. Vaginal symptoms such as vaginal dryness, burning and dyspareunia occur in the postmenopausal period. Vaginal symptoms affect sexual function, leading to a decrease in quality of life. In our study, we plan to evaluate vaginal dryness, one of the vaginal symptoms, using Schirmer's Test. Also in our study; Severities of vaginal dryness, burning and dyspareunia will be evaluated with the visual analog scale (VAS), sexual function will be evaluated with the Post-Menopausal Sexuality Questionnaire and Female Sexual Function Scale, vaginal aging will be evaluated with the Daily Effect of Vaginal Aging Scale, and the presence/severity of pelvic floor symptoms will be evaluated with the Pelvic Floor Distress Inventory-20. The cases will be randomized into two groups and pelvic floor exercises will be given to one group. After the exercises are given, vaginal pH and moistness will be evaluated for acute effect. In the other group, vaginal PH and moisture will be measured after 5 minutes. The cases will be followed without any intervention to the control group. After 12 weeks, the same evaluations will be made to both groups and the results will be compared. The data will be compared using appropriate statistical methods (statistical significance value will be taken as p<0.05) and discussed with the literature.
- EligibilityCriteria: Inclusion Criteria:  Having applied to Istanbul Training and Research Hospital, Gynecology and Obstetrics Polyclinic Being literate Volunteering to participate in the study Amenorrhea for 12 months Being sexually active BMI < 35 Mini Mental Test Score threshold value for individuals over 65 years of age is 24  Exclusion Criteria:  Active vaginal infection Having a history of active malignancy and receiving radiotherapy and/or chemotherapy accordingly Having received Hormone Replacement Therapy within the last year, Use of local estrogen Coitus in the last two days Pelvic organ prolapse stage 2 or higher Having had mesh surgery Presence of a disease/medication that causes vaginal dryness (e.g. Sjögren's syndrome, Lichen planus, Lichen Sclerosis / use of antidepressants or antihistamines). - HealthyVolunteers: Accepts Healthy Volunteers - Gender: Female - GenderBased: Yes - GenderDescription: Postmenopausal women - MinimumAge: 18 Years - MaximumAge: 80 Years - StdAgeList: Adult, Older Adult