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Sexual activity and lower urinary tract symptoms
Lars Alling Møller1, Gunnar Lose
1Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, 2600, Glostrup, Denmark. larsam@dadlnet.dk
Summary
Lower urinary tract symptoms (LUTS) significantly impact women
Area of Science:
- Urology
- Women's Health
- Sexual Medicine
Background:
- Lower urinary tract symptoms (LUTS) negatively affect women's physical, social, and sexual well-being.
- A bidirectional relationship between LUTS and sexual activity is suspected but not well-elucidated.
Purpose of the Study:
- To investigate the extent to which LUTS affect sexual function.
- To determine how sexual function influences the occurrence of LUTS in middle-aged women over one year.
Main Methods:
- A prospective cohort study involving 2,284 women aged 40-60 years.
- Data collected via questionnaires at baseline and 1-year follow-up, including LUTS, hormonal status, and sexual activity.
- Statistical analysis using multiple conditional logistic regression.
Main Results:
- Women with no sexual relationship had a 3-6 fold higher prevalence of LUTS compared to sexually active women.
- Cessation of sexual activity was associated with a non-significant increase in new LUTS.
- Resumption or unchanged sexual activity showed no significant impact on LUTS occurrence.
Conclusions:
- A strong association exists between sexual activity and the occurrence of LUTS in middle-aged women.
- The findings support a hypothesis that sexual inactivity may contribute to LUTS, and vice versa.