Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study
Abstract Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). Methods We conducted a cross-sectional study that includedwomen> 18 years old who presented with at least one PFD sympt...
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| Format: | Article |
| Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2020-09-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000800493&tlng=en |
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| author | Sandra Rebouças Macêdo José Ananias Vasconcelos Neto José Tadeu Nunes Tamanini Leonardo Bezerra Rodrigo Aquino Castro |
| author_facet | Sandra Rebouças Macêdo José Ananias Vasconcelos Neto José Tadeu Nunes Tamanini Leonardo Bezerra Rodrigo Aquino Castro |
| author_sort | Sandra Rebouças Macêdo |
| collection | DOAJ |
| description | Abstract Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). Methods We conducted a cross-sectional study that includedwomen> 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Ceará, Brazil, using a service evaluation form and QoL questionnaires. Results The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA) (56.6%) women, with a mean age of 54.7 (±12) years old. The results revealed that age (odds ratio [OR]= 1.07, 95% confidence interval [CI] 1.03-1.12) and post-menopausal status (OR= 2.28, 95% CI 1.08-4.8) were negatively associated with SA. Being married (OR= 0.43, 95% CI 0.21-0.88) was associated with SA. Pelvic organ prolapse (OR= 1.16, 95% CI 0.81-1.68) and UI (OR= 0.17, 95% CI 0.08-0.36) did not prevent SA. SF-36 Health Survey results indicated that only the domain functional capacity was significantly worse in NSA women (p= 0.012). Two King’s Health Questionnaire domains in NSA women, impact of UI (p= 0.005) and personal relationships (p< 0.001), were significantly associated factors. Data from the Prolapse Quality-of-life Questionnaire indicated that NSA women exhibited compromised QoL. Conclusion Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSAwomen with POP exhibited compromised QoL. |
| first_indexed | 2024-04-11T15:38:09Z |
| format | Article |
| id | doaj.art-59734637c4164ed2a2d505491c90b223 |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-04-11T15:38:09Z |
| publishDate | 2020-09-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-59734637c4164ed2a2d505491c90b2232022-12-22T04:15:54ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032020-09-0142849350010.1055/s-0040-1713805Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional StudySandra Rebouças Macêdohttps://orcid.org/0000-0002-0060-6999José Ananias Vasconcelos Netohttps://orcid.org/0000-0001-6784-5970José Tadeu Nunes Tamaninihttps://orcid.org/0000-0001-7582-3915Leonardo Bezerrahttps://orcid.org/0000-0003-0878-2943Rodrigo Aquino Castrohttps://orcid.org/0000-0002-0959-7363Abstract Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). Methods We conducted a cross-sectional study that includedwomen> 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Ceará, Brazil, using a service evaluation form and QoL questionnaires. Results The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA) (56.6%) women, with a mean age of 54.7 (±12) years old. The results revealed that age (odds ratio [OR]= 1.07, 95% confidence interval [CI] 1.03-1.12) and post-menopausal status (OR= 2.28, 95% CI 1.08-4.8) were negatively associated with SA. Being married (OR= 0.43, 95% CI 0.21-0.88) was associated with SA. Pelvic organ prolapse (OR= 1.16, 95% CI 0.81-1.68) and UI (OR= 0.17, 95% CI 0.08-0.36) did not prevent SA. SF-36 Health Survey results indicated that only the domain functional capacity was significantly worse in NSA women (p= 0.012). Two King’s Health Questionnaire domains in NSA women, impact of UI (p= 0.005) and personal relationships (p< 0.001), were significantly associated factors. Data from the Prolapse Quality-of-life Questionnaire indicated that NSA women exhibited compromised QoL. Conclusion Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSAwomen with POP exhibited compromised QoL.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000800493&tlng=ensexual activitypelvic floor dysfunctionurinary incontinencepelvic organ prolapsed |
| spellingShingle | Sandra Rebouças Macêdo José Ananias Vasconcelos Neto José Tadeu Nunes Tamanini Leonardo Bezerra Rodrigo Aquino Castro Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study Revista Brasileira de Ginecologia e Obstetrícia sexual activity pelvic floor dysfunction urinary incontinence pelvic organ prolapsed |
| title | Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study |
| title_full | Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study |
| title_fullStr | Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study |
| title_full_unstemmed | Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study |
| title_short | Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study |
| title_sort | factors associated with sexual activity for women with pelvic floor dysfunction a cross sectional study |
| topic | sexual activity pelvic floor dysfunction urinary incontinence pelvic organ prolapsed |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000800493&tlng=en |
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