scholarly journals The Use of HIFEM Technology in the Treatment of Pelvic Floor Muscles as a Cause of Female Sexual Dysfunction: A Multi-Center Pilot Study

2019 ◽  
Vol 08 (01) ◽  
Author(s):  
Hlavinka TC ◽  
Turcan P ◽  
Bader A
1977 ◽  
Vol 11 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Warwick Williams ◽  
Anthony Orsmond

A multi-faceted inpatient programme for overcoming severe female sexual dysfunction using behaviour modification techniques is described. The results obtained in a pilot study on 17 consecutive patients are presented.


2019 ◽  
Vol 32 (11) ◽  
pp. 721
Author(s):  
Andreia Preda ◽  
Susana Moreira

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.


2020 ◽  
pp. 1-7
Author(s):  
Yangyun Wang ◽  
Chaoliang Shi ◽  
Yang Wang ◽  
Wei Jiao ◽  
Xilong Wang ◽  
...  

<b><i>Purpose:</i></b> Sexual dysfunction in women with overactive bladder (OAB) syndrome has been an important topic, while the sexual satisfaction of partners has not been fully investigated. Our aim was to explore the association between the severity of OAB with female sexual dysfunction and sexual satisfaction of partners. <b><i>Methods:</i></b> A total of 323 patients with OAB recruited in our hospital were included in our study from September 2017 to March 2019. Data were collected by Overactive Bladder Symptom Score (OABSS) questionnaire, self-designed questionnaire for basic characteristics; Female Sexual Function Index (FSFI); and sexual satisfaction survey for sex partners of patients. χ<sup>2</sup> test or 1-way ANOVA was used to compare the variables among groups. Logistic regression analysis was performed to analyze the severity of OAB with female sexual dysfunction and sexual satisfaction of partners. The correlations between different OABSS domains with female sexual dysfunction and sexual satisfaction of partners were assessed. <b><i>Results:</i></b> All the patients were classified into mild (<i>n</i> = 107), moderate (<i>n</i> = 98), severe (<i>n</i> = 118) OAB group based on OABSS. Most of the basic information were similar among groups, except for BMI, highest education, occupation, fertility, and history of pelvic floor surgery. After multiple factors correction, the severity of OAB, exercise frequency, and the history of pelvic floor surgery were statistically associated with the female sexual dysfunction and sexual satisfaction of partners. Urgency score was significantly correlated with female sexual dysfunction, and the urge incontinence was most significantly associated with the sexual satisfaction of partners. <b><i>Conclusion:</i></b> Severe OAB was closely associated with female sexual dysfunction and sexual satisfaction of partners. The urgency and urge incontinence should be focused for OAB management.


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