AUGS meeting paperAre sexual activity and satisfaction affected by pelvic floor disorders? Analysis of a community-based survey
Section snippets
Materials and Methods
The Kaiser Permanente Continence Associated Risk Epidemiology Study (KPCARES) was a cross-sectional study of 12,200 women who were selected randomly from the 950,000 women aged 25 through 84 years who were enrolled in a large health maintenance organization (Kaiser Permanente Southern California medical program). The details of the study design have been published.12 In summary, a total of 3050 women were selected randomly from each of 4 age groups (25-39, 40-54, 55-69, and 70-84 years) with
Results
Of the 4458 surveys (37%) that were returned, 140 were in Spanish, and 4318 were in English. The racial and ethnic composition of the subsample who returned the surveys was representative of the Kaiser Permanente Southern California membership: 60% non-Hispanic white, 20% Hispanic, 10% African American, 8% Asian-Pacific Islander, 1% Native American, and 1% other or unknown. The details of the population study have been presented previously.12 Of the respondents in the original study, 286 women
Comment
Our findings suggest that PFDs did not independently affect sexual activity or satisfaction in this cohort of community-dwelling women who were enrolled in a managed healthcare plan. Women with OAB, POP, AI, or any ≥1 PFD, although less likely to be sexually active when examined independent of other factors, were found to have rates of sexual activity equivalent to unaffected women after the data was controlled for confounders. Contributors to decreased sexual activity were age, menopause, and
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Association Between Pelvic Floor Muscle Strength and Sexual Function in Postmenopausal Women
2019, Journal of Sexual MedicineCitation Excerpt :On the other hand, a population-based study selecting 4,016 women (ages of 25−85 years) to determine the prevalence and risk factors for pelvic floor disorders found no association with sexual activity or satisfaction. Factors such as age, menopause, and lack of sexual desire contributed to low sexual activity.32 The present study showed a positive correlation of PFM strength with the desire, arousal, and orgasm domains of the FSFI and with the total score.
Urine leakage during sexual activity among ethnically diverse, community-dwelling middle-aged and older women
2017, American Journal of Obstetrics and GynecologyCitation Excerpt :Previous studies with smaller sample sizes and primarily white participants have suggested that pelvic organ prolapse is associated with multiple forms of sexual dysfunction in women, which includes leakage during sex.20-22 In comparison, a past study that also examined community-dwelling women found no significant associations between sexual dysfunction and pelvic organ prolapse23; however, this study excluded women without a stable sexual partner.23 Our findings also indicate that incontinent women are substantially more likely to report urine leakage during sex if they also have a history of depression.
Relationship Between Female Pelvic Floor Dysfunction and Sexual Dysfunction: An Observational Study
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Cite this article as: Lukacz ES, Whitcomb EL, Lawrence JM, Nager CW, Contreras R, Luber KM. Are sexual activity and satisfaction affected by pelvic floor disorders? Analysis of a community-based survey. Am J Obstet Gynecol 2007;197:88.e1-88.e6.
Supported by National Institutes of Health, National Institute of Child Health and Human Development, grant #R01 HD41113-01A1.