Sexual activity and function in women with and without pelvic floor disorders

Fashokun, Tola B. Omotosho, Harvie, Heidi S., Schimpf, Megan O., Olivera, Cedric K., Epstein, Lee B., Jean-Michel, Marjorie, Rooney, Kristin E., Balgobin, Sunil, Ibeanu, Okechukwu A., Gala, Rajiv B. and Rogers, Rebecca G. (2013) Sexual activity and function in women with and without pelvic floor disorders. International Urogynecology Journal, 24 1: 91-97. doi:10.1007/s00192-012-1848-2


Author Fashokun, Tola B. Omotosho
Harvie, Heidi S.
Schimpf, Megan O.
Olivera, Cedric K.
Epstein, Lee B.
Jean-Michel, Marjorie
Rooney, Kristin E.
Balgobin, Sunil
Ibeanu, Okechukwu A.
Gala, Rajiv B.
Rogers, Rebecca G.
Title Sexual activity and function in women with and without pelvic floor disorders
Journal name International Urogynecology Journal   Check publisher's open access policy
ISSN 0937-3462
1433-3023
Publication date 2013-01
Year available 2012
Sub-type Article (original research)
DOI 10.1007/s00192-012-1848-2
Open Access Status Not yet assessed
Volume 24
Issue 1
Start page 91
End page 97
Total pages 7
Place of publication London, United Kingdom
Publisher Springer U K
Language eng
Formatted 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.
Keyword Anal incontinence
Pelvic organ prolapse
Questionnaires
Sexual function
Urinary incontinence
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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