Sexual function in women with pelvic organ prolapse

Area of Science:

• Urology
• Gynecology
• Sexual Health

Background:

• Female sexual function is influenced by various factors, including age and overall health.
• Pelvic organ prolapse (POP) is highly prevalent, affecting over 50% of women.
• The impact of POP on female sexual function is a significant clinical concern.

Purpose of the Study:

• To systematically review existing literature on the effects of pelvic organ prolapse on female sexual function.
• To evaluate the impact of different conservative and surgical management strategies on sexual health in women with POP.

Main Methods:

• Systematic review of articles.
• Analysis of studies investigating the relationship between POP and sexual dysfunction.
• Evaluation of treatment outcomes on sexual function.

Main Results:

• Sexual dysfunction is common in women with POP, irrespective of prolapse severity or location.
• Estrogen therapy showed no effect on sexuality; pelvic floor muscle training may offer improvements.
• Native tissue repair generally improves sexual function, with exceptions like posterior colporrhaphy causing dyspareunia.
• Sacrocolpopexy significantly enhances sexual function, while the impact of transvaginal mesh remains uncertain.

Conclusions:

• Pelvic organ prolapse frequently leads to sexual dysfunction.
• Treatment outcomes for sexual function vary; sacrocolpopexy demonstrates clear benefits.
• Further research is needed to clarify the impact of certain surgical techniques, like transvaginal mesh, on female sexuality.