REVIEWS: Pelvic Floor Involvement in Male and Female Sexual Dysfunction and the Role of Pelvic Floor Rehabilitation in Treatment: A Literature Review

Sexual dysfunction is prevalent in both men and women. Although new pharmaceutical agents have been identified for male erectile problems, sexual desire and orgasm disorders, individuals with sexual dysfunction often seek alternative therapies, including traditional Chinese medicine. This article reviews currently used alternative therapies, such as herbal medications, L-arginine, acupuncture, biofeedback and others. Potential herb-drug interactions are also presented.

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Psychotherapeutic Treatments for Male and Female Sexual Dysfunction Disorders

Evidence-Based Psychotherapy ◽

10.1002/9781119462996.ch10 ◽

2017 ◽

pp. 253-270 ◽

Cited By ~ 1

Author(s):

Jessica C. Emanu ◽

Isabelle Avildsen ◽

Christian J. Nelson

Keyword(s):

Sexual Dysfunction ◽

Female Sexual Dysfunction ◽

Male And Female

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Male and Female Sexual Dysfunction

10.1016/b978-0-7234-3266-1.x5001-3 ◽

2004 ◽

Keyword(s):

Sexual Dysfunction ◽

Female Sexual Dysfunction ◽

Male And Female

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Male and female sexual dysfunction in diabetic subjects: Focus on new antihyperglycemic drugs

Reviews in Endocrine and Metabolic Disorders ◽

10.1007/s11154-019-09535-7 ◽

2019 ◽

Vol 21 (1) ◽

pp. 57-65 ◽

Cited By ~ 3

Author(s):

Giovanni Corona ◽

Andrea M. Isidori ◽

Antonio Aversa ◽

Marco Bonomi ◽

Alberto Ferlin ◽

...

Keyword(s):

Sexual Dysfunction ◽

Female Sexual Dysfunction ◽

Male And Female

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Incontinência Urinária de Esforço e Disfunção Sexual Feminina: O Papel da Reabilitação do Pavimento Pélvico

Acta Médica Portuguesa ◽

10.20344/amp.12012 ◽

2019 ◽

Vol 32 (11) ◽

pp. 721

Author(s):

Andreia Preda ◽

Susana Moreira

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Sexual Dysfunction ◽

Sexual Function ◽

Pelvic Floor ◽

Negative Impact ◽

Pelvic Floor Muscles ◽

Function Evaluation ◽

Pelvic Floor Rehabilitation ◽

Urine Leakage

Introduction: The prevalence of urinary incontinence in Portuguese women is 21.4% and has a very negative impact on quality of life including women’s sexual activity. Pelvic floor rehabilitation is the first line treatment used in stress urinary incontinence and may be a tool in the treatment of sexual dysfunction in women with urinary incontinence. The aim of this review is to ascertain whether pelvic floor rehabilitation can improve sexual function in women with stress urinary incontinence.Material and Methods: We reviewed 12 articles in PubMed using the keywords: ‘urinary incontinence’, ‘female sexual dysfunction’ and ‘pelvic floor physical therapy’.Results: Pelvic floor rehabilitation is linked to a decrease in frequency of urinary leakage episodes as well as an improvement of coital incontinence. Furthermore, sexual function evaluation scores post-treatment revealed a positive change. Higher parity, higher adherence to treatment, improvement in the strength of pelvic floor muscles, and a decrease in the frequency of urine leakage were associated with higher improvement in sexual function.Discussion: Sexual function should be considered in the approach of urinary incontinence and standard tools of evaluation are essential tools for clinical assessment and follow-up. More evidence is required to identify the role of pelvic floor rehabilitation in sexual dysfunction of Portuguese women with urinary incontinence.Conclusion: Pelvic floor rehabilitation improves sexual function of women with stress urinary incontinence not only because it decreases the episodes of urine leakage but also because it strengthens pelvic floor muscles.

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