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Stigma Associated With Pelvic Floor Disorders.

Caroline K Cox, Megan O Schimpf1, Mitchell B Berger

  • 1From the Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.

Female Pelvic Medicine & Reconstructive Surgery
|October 26, 2020
PubMed
Summary
This summary is machine-generated.

Pelvic floor disorders carry stigma, with higher stigma linked to earlier care seeking. Accidental bowel leakage showed the highest stigma, while pelvic organ prolapse had the lowest. This suggests stigma may encourage prompt treatment for these conditions.

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Area of Science:

  • Urogynecology
  • Women's Health
  • Chronic Illness Stigma

Background:

  • The impact of stigma on women with urinary incontinence is recognized, but less is understood about its effect across the spectrum of pelvic floor disorders (PFDs).
  • Quantifying stigma associated with PFDs is crucial for understanding patient experiences and care-seeking behaviors.

Purpose of the Study:

  • To quantify the level of stigma experienced by women presenting for urogynecologic care.
  • To test the hypothesis that stigma related to PFDs influences the delay in seeking care for these conditions.

Main Methods:

  • A cohort of 523 new female patients in urogynecology clinics completed anonymous questionnaires assessing stigma and pelvic floor disorder bother.
  • Statistical analyses included Kruskal-Wallis tests, logistic regression, and Spearman correlation to evaluate stigma scores, care-seeking delays, and bother associations.

Main Results:

  • Significantly higher median stigma scores were observed for women with symptoms of urine leakage, accidental bowel leakage, and constipation.
  • Accidental bowel leakage presented the highest median stigma score, whereas pelvic organ prolapse had the lowest.
  • A moderate positive correlation was found between total stigma score and bother score (r = 0.5). Higher stigma was associated with a decreased likelihood of delaying care for over a year (OR = 0.92).

Conclusions:

  • Pelvic floor disorders are associated with varying degrees of stigma.
  • Women experiencing greater stigma related to PFDs appear to seek medical care sooner.
  • Understanding stigma's role can inform interventions to improve timely access to urogynecologic care.