OBJECTIVE: The objective of this research was to determine whether sexual complaints, such as dyspareunia, are associated with pelvic floor disorders. STUDY DESIGN: We used data collected for the Maryland Women's Health Study. Among adult women scheduled for hysterectomy, we used multiple logistic regression analysis to identify characteristics associated with 4 sexual complaints: decreased libido, vaginal dryness, dyspareunia, and anorgasmia. RESULTS: Among 1299 participants, 495 (38.1%) had evidence of pelvic floor disorders. Sexual complaints were significantly more common among women with pelvic floor disorders (53.2% vs 40.4%, P < .01). In the multiple regression model, urinary incontinence was significantly associated with low libido (odds ratio [OR] 1.96), vaginal dryness (OR 2.11), and dyspareunia (OR 2.04), independent of age, educational attainment, and race. In contrast, pelvic organ prolapse was not associated with any sexual complaint. CONCLUSION: In a cohort of women planning hysterectomy, women with urinary incontinence were significantly more likely to report sexual complaints.
OBJECTIVE: The objective of this research was to determine whether sexual complaints, such as dyspareunia, are associated with pelvic floor disorders. STUDY DESIGN: We used data collected for the Maryland Women's Health Study. Among adult women scheduled for hysterectomy, we used multiple logistic regression analysis to identify characteristics associated with 4 sexual complaints: decreased libido, vaginal dryness, dyspareunia, and anorgasmia. RESULTS: Among 1299 participants, 495 (38.1%) had evidence of pelvic floor disorders. Sexual complaints were significantly more common among women with pelvic floor disorders (53.2% vs 40.4%, P < .01). In the multiple regression model, urinary incontinence was significantly associated with low libido (odds ratio [OR] 1.96), vaginal dryness (OR 2.11), and dyspareunia (OR 2.04), independent of age, educational attainment, and race. In contrast, pelvic organ prolapse was not associated with any sexual complaint. CONCLUSION: In a cohort of women planning hysterectomy, women with urinary incontinence were significantly more likely to report sexual complaints.
Authors: Maíra de Menezes Franco; Patricia Driusso; Kari Bø; Daniela Cristina Carvalho de Abreu; Lucia Alves da Silva Lara; Ana Carolina Japur de Sá Rosa E Silva; Cristine Homsi Jorge Ferreira Journal: Int Urogynecol J Date: 2016-12-06 Impact factor: 2.894