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. 2022 Jun;33(6):1591-1599.
doi: 10.1007/s00192-021-05032-1. Epub 2022 Jan 23.

Impact of pelvic floor muscle strength on female sexual function: retrospective multicentric cross-sectional study

Luísa Pasqualotto  1 , Cássio Riccetto  2 , Ana Flávia Biella  2 , Joseane Marques  2 , Larissa Carvalho Pereira  2 , Fabíola Kênia Alves  2 , Anna Lygia Barbosa Lunardi  2 , Délcia Barbosa de Vasconcelos Adami  2   3 , Anita Nagib  2   4 , Natalia Martinho  2   4   5 , Adriana Piccini  1 , Tirza Sathler  1   6 , Valeria Regina Silva  2   7 , Simone Botelho  8   9   10
Affiliations

Impact of pelvic floor muscle strength on female sexual function: retrospective multicentric cross-sectional study

Luísa Pasqualotto et al. Int Urogynecol J. 2022 Jun.

Abstract

Introduction and hypothesis: The female pelvic floor muscles (PFM) play an important role in sexual function. We hypothesize that there is a relation between PFM strength and sexual function in women with and without sexual dysfunction.

Methods: Retrospective multicentric cross-sectional study including women with and without sexual dysfunction [Female Sexual Function Index (FSFI) cutoff point < 26.55], analyzed by age range, considering demographic, clinical, anthropometric and PFM strength [Modified Oxford Scale (MOS)] data. Chi-square, Mann-Whitney test and linear regression (ranks) were used, with 5% significance (SAS 9.4).

Results: Out of 1013 medical records, 982 women with an average age of 45.76 (± 15.25) were included in the study. Of these, 679 (69.14%) presented FSFI score < 26.55, while 303 (30.86%) presented FSFI ≥ 26.55. It was identified that the higher scores were among white women, < 45 years old, single, with higher education, family income > 4 minimum wages, body mass index < 25 kg/m2, lower parity, regular physical activity practitioner and higher PFM strength (MOS: 4-5). Desire, arousal, lubrication and orgasm domains were higher among women with MOS 4-5, while satisfaction and pain domains were higher among those with MOS 3-5.

Conclusion: Demographic, clinical and anthropometric conditions can influence both PFM strength and female sexual function. Our findings demonstrate that women with higher PFM strength present fewer complaints about sexual dysfunction.

Keywords: Muscle strength; Pelvic floor; Pelvic floor disorders; Rehabilitation; Sexual dysfunction; Sexual health.

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References

    1. Organização Mundial da Saúde-OMS. Classificação internacional de funcionalidade, incapacidade e saúde-CIF. Traduzido e revisado por Amélia Leitão. Direcção Geral da Saúde, Lisboa. 2004.
    1. Franco MM, Driusso P, Bø K, et al. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. Int Urogynecol J. 2017;28(6):931–6. https://doi.org/10.1007/s00192-016-3211-5 . - DOI
    1. Omodei MS, Delmanto LRMG, Carvalho-Pessoa E, et al. Association between pelvic floor muscle strength and sexual function in postmenopausal women. J Sex Med. 2019;16(12):1938–46. https://doi.org/10.1016/j.jsxm.2019.09.014 . - DOI - PubMed
    1. Jaafarpour M, Khani A, Khajavikhan J, et al. Female sexual dysfunction: prevalence and risk factors. JCDR. 2013;7(12):2877–80. https://doi.org/10.7860/JCDR/2013/6813.3822 . - DOI - PubMed - PMC
    1. Martinez CS, Ferreira FV, Castro AA, et al. Women with greater pelvic floor muscle strength have better sexual function. Acta Obstet Gynecol Scand. 2014;93(5):497–502. https://doi.org/10.1111/aogs.12379 . - DOI - PubMed

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