The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women
ABSTRACT: Introduction: Perimenopausal women with pelvic floor dysfunction have worse sexual function than women with functional pelvic floor muscle (PFM), especially in terms of libido, orgasm, sexual satisfaction, and total Female Sexual Function Index (FSFI) scores. Aim: To explore the relations...
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| Format: | Article |
| Language: | English |
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Oxford University Press
2021-12-01
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| Series: | Sexual Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116121001215 |
| _version_ | 1797706918325649408 |
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| author | Zhihong Zhuo, PhD Chuhan Wang, BS Huimin Yu, MS Jing Li, BS |
| author_facet | Zhihong Zhuo, PhD Chuhan Wang, BS Huimin Yu, MS Jing Li, BS |
| author_sort | Zhihong Zhuo, PhD |
| collection | DOAJ |
| description | ABSTRACT: Introduction: Perimenopausal women with pelvic floor dysfunction have worse sexual function than women with functional pelvic floor muscle (PFM), especially in terms of libido, orgasm, sexual satisfaction, and total Female Sexual Function Index (FSFI) scores. Aim: To explore the relationship between pelvic floor muscle function, hormone levels and sexual function in perimenopausal women. Methods: An analytical cross-sectional study was conducted in 252 women aged 40–55 without pelvic floor disease with FSFI, pelvic floor muscle strength and the hormone levels. Main Outcome Measure: The principle aim was to determine the relationships between sexual dysfunction, PFM strength, and hormone levels. Results: In the functional PFM group, the proportion of menopausal hormone therapy was higher. The proportion of overweight in the dysfunctional PFM group was higher, and had more sexual desire disorder, more orgasm disorder, lower sexual satisfaction, and poor FSFI scores. The correlation between PFM strength, sexual function and female sex hormones suggested that PFM strength and libido, sexual satisfaction and FSFI score are significantly positively correlated, while PFM strength and sexual arousal disorder and vaginal lubricity had a positive correlation. In the multivariate analysis of the risk of sexual dysfunction among perimenopausal women, the higher the PFM strength, the lower the risk of sexual dysfunction. Conclusions: Perimenopausal women with pelvic floor dysfunction have worse sexual function than women with functional PFM, especially in obese women, those with central adiposity, and not using hormone replacement therapy. The PFM strength was weakly positively correlated with sexual arousal, orgasm, sexual satisfaction, and FSFI score.Zhuo Z, Wang C, Yu H, et al. The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women. Sex Med 2021;9:100441. |
| first_indexed | 2024-03-12T05:58:27Z |
| format | Article |
| id | doaj.art-4eb3c66fcf2e4425aa3814e6920ed286 |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T05:58:27Z |
| publishDate | 2021-12-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-4eb3c66fcf2e4425aa3814e6920ed2862023-09-03T04:21:57ZengOxford University PressSexual Medicine2050-11612021-12-0196100441The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal WomenZhihong Zhuo, PhD0Chuhan Wang, BS1Huimin Yu, MS2Jing Li, BS3Corresponding Author: Zhihong Zhuo, PhD, HwaMei Hospital, University of Chinese Academy of Sciences, 315010 Ningbo, People's Republic of China. Tel: +8657483870775; Fax: +8657483870775; HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of ChinaHwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of ChinaHwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of ChinaHwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of ChinaABSTRACT: Introduction: Perimenopausal women with pelvic floor dysfunction have worse sexual function than women with functional pelvic floor muscle (PFM), especially in terms of libido, orgasm, sexual satisfaction, and total Female Sexual Function Index (FSFI) scores. Aim: To explore the relationship between pelvic floor muscle function, hormone levels and sexual function in perimenopausal women. Methods: An analytical cross-sectional study was conducted in 252 women aged 40–55 without pelvic floor disease with FSFI, pelvic floor muscle strength and the hormone levels. Main Outcome Measure: The principle aim was to determine the relationships between sexual dysfunction, PFM strength, and hormone levels. Results: In the functional PFM group, the proportion of menopausal hormone therapy was higher. The proportion of overweight in the dysfunctional PFM group was higher, and had more sexual desire disorder, more orgasm disorder, lower sexual satisfaction, and poor FSFI scores. The correlation between PFM strength, sexual function and female sex hormones suggested that PFM strength and libido, sexual satisfaction and FSFI score are significantly positively correlated, while PFM strength and sexual arousal disorder and vaginal lubricity had a positive correlation. In the multivariate analysis of the risk of sexual dysfunction among perimenopausal women, the higher the PFM strength, the lower the risk of sexual dysfunction. Conclusions: Perimenopausal women with pelvic floor dysfunction have worse sexual function than women with functional PFM, especially in obese women, those with central adiposity, and not using hormone replacement therapy. The PFM strength was weakly positively correlated with sexual arousal, orgasm, sexual satisfaction, and FSFI score.Zhuo Z, Wang C, Yu H, et al. The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women. Sex Med 2021;9:100441.http://www.sciencedirect.com/science/article/pii/S2050116121001215Perimenopausal WomenFemale Sexual DysfunctionPelvic Floor MuscleFSFIHormone Therapy |
| spellingShingle | Zhihong Zhuo, PhD Chuhan Wang, BS Huimin Yu, MS Jing Li, BS The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women Sexual Medicine Perimenopausal Women Female Sexual Dysfunction Pelvic Floor Muscle FSFI Hormone Therapy |
| title | The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women |
| title_full | The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women |
| title_fullStr | The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women |
| title_full_unstemmed | The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women |
| title_short | The Relationship Between Pelvic Floor Function and Sexual Function in Perimenopausal Women |
| title_sort | relationship between pelvic floor function and sexual function in perimenopausal women |
| topic | Perimenopausal Women Female Sexual Dysfunction Pelvic Floor Muscle FSFI Hormone Therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2050116121001215 |
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