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Sexual function and pelvic floor disorders.

Chahin Achtari1, Peter L Dwyer

  • 1Urogynaecology Department, Mercy Hospital for Women, East Melbourne, Vic. 3002, Australia. chahin.achtari@chuv.hospvd.ch

Best Practice & Research. Clinical Obstetrics & Gynaecology
|September 28, 2005
PubMed
Summary

Female sexual dysfunction is common and impacts women's health. Pelvic floor disorder surgery may affect sexual function, necessitating better evaluation tools for improved outcomes.

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Area of Science:

  • Women's Health
  • Sexual Medicine
  • Urogynecology

Background:

  • Sexual wellbeing is integral to women's overall health.
  • Female sexual dysfunction (FSD) is complex, influenced by physical, social, and psychological factors.
  • FSD encompasses issues like low desire, pain, arousal difficulties, and orgasmic problems, often increasing with age and pelvic floor disorders.

Purpose of the Study:

  • To highlight the multifactorial nature of female sexual dysfunction.
  • To discuss the potential impact of pelvic floor disorder surgery on sexual function.
  • To introduce new tools for evaluating surgical outcomes on female sexual function.

Main Methods:

  • Literature review on female sexual dysfunction and pelvic floor disorders.
  • Discussion of the limited research on surgical interventions for pelvic floor disorders and their sexual health implications.

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  • Introduction of newly developed condition-specific sexual questionnaires.

    • Main Results:

    • Female sexual dysfunction is prevalent and associated with aging and pelvic floor disorders (urinary incontinence, pelvic organ prolapse).
    • Surgical treatments for pelvic floor disorders have not been extensively studied regarding their effects on sexual function.
    • New sexual function questionnaires are available for assessing surgical outcomes.

    Conclusions:

    • Sexual function is a critical component of women's health, often affected by pelvic floor disorders.
    • Surgical interventions for pelvic floor disorders require further investigation to understand their dual potential to improve or impair sexual satisfaction.
    • The development of validated sexual health questionnaires is crucial for accurately evaluating the impact of these surgeries.