Review of current status of female sexual dysfunction evaluation in urogynecology

Sexual dysfunction is a highly prevalent condition in women attending urogynecological services. However, only a minority of urogynecologists screen all patients for female sexual dysfunction. Lack of time, uncertainty about therapeutic options and older age of the patient have been cited as potential reasons for failing to address sexual complaints as part of routine history. Evidence from large prospective studies have shown that prolapse and/or incontinence adversely affect sexual function. Assuming that the physical effect of prolapse and incontinence is one of the contributing factors for sexual dysfunction, one could logically assume that an intervention leading to their improvement should improve sexual function. Current evidence of the effect of conservative and surgical management of pelvic floor disorders on sexual function is encouraging. More research is needed using standardised assessment tools to define clear endpoints in sexual function.