Sexual Function in Women With Pelvic Organ Prolapsed and Urinary Incontinence
Keywords:
Pelvic organ prolapse, Urinary incontinence, Sexual functionAbstract
Objective: To describe the sexual function of women with pelvic organ prolapse and urinary incontinence and to investigate the association between the presence of pelvic floor symptoms and degree of bother related to their problems and sexual function using a condition-specific function questionnaire.
Methods: Women with pelvic organ prolapse/urinary incontinence, attending the Urogynaecology Clinic, Ramathibodi Hospital were recruited in the study. Information about the presence and degree of bother related to pelvic floor symptoms over the previous 1 month and sexual function were assessed; using the Thai version Pelvic Floor Bother Questionnaire (PFEQ) and the Thai version Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), respectively.
Results: The subjects were 289 women aged 60.9 ± 11.4 years. One hundred and eight (65%) were sexually active. There was no difference in sexual activity in women with different pelvic floor symptoms. Compared to sexually inactive group, sexually active women had significantly higher PFBQ score. Regarding to pelvic floor problems, there was no statistically significant difference in PISQ-12 scores in women with different pelvic floor symptoms. The degree of bother related to pelvic floor problems was significantly correlated with impairment of sexual function.
Conclusions: Pelvic organ prolapse and urinary incontinence have an impact on sexual function. Women with more bother related to pelvic floor problems have more sexual impairment.
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