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Sexual activity and function in women with and without pelvic floor disorders |
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| Authors: | Tola B Omotosho Fashokun Heidi S Harvie Megan O Schimpf Cedric K Olivera Lee B Epstein Marjorie Jean-Michel Kristin E Rooney Sunil Balgobin Okechukwu A Ibeanu Rajiv B Gala Rebecca G Rogers |
| Institution: | 1. Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA 12. Johns Hopkins Bayview Medical Center Women’s Center for Pelvic Health, Johns Hopkins University School of Medicine, 4940 Eastern Avenue, 301 Building, 3rd Floor, Room 3107, Baltimore, MD, 21224, USA 2. Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA 3. Hartford Hospital, Hartford, CT, USA 4. Obstetrics and Gynecology, Mount Sinai Hospital, New York, NY, USA 5. SUNY-Downstate, Brooklyn, NY, USA 6. Urogynecology Specialists, Louisville, KY, USA 7. Cleveland Clinic, Weston, FL, USA 8. Women’s Continence Center of Greater Rochester, Rochester, NY, USA 9. Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA 10. Obstetrics and Gynecology, Louisiana State University, New Orleans, LA, USA 11. Obstetrics and Gynecology, Ochsner Clinic Foundation, New Orleans, LA, USA |
| Abstract: | Introduction and hypothesisWe describe differences in sexual activity and function in women with and without pelvic floor disorders (PFDs).MethodsHeterosexual 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.ResultsFive 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).ConclusionRates of sexual activity and function are not different between women with and without PFDs. |
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