Behnaz Aalaie1, Behroz Tavana2, Zahra Rezasoltani2, Solmaz Aalaei3, Jamshid Ghaderi3, Afsaneh Dadarkhah4,5. 1. School of Medicine, Department of Physical Medicine and Rehabilitation, Aja University of Medical Sciences, Etemadzadeh St, Western Fatemi, Tehran, Islamic Republic of Iran, Postal code 1411718541. 2. Clinical Biomechanics and Ergonomics Research Center, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran. 3. School of Medicine, Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran. 4. School of Medicine, Department of Physical Medicine and Rehabilitation, Aja University of Medical Sciences, Etemadzadeh St, Western Fatemi, Tehran, Islamic Republic of Iran, Postal code 1411718541. a.dadarkhah@ajaums.ac.ir. 5. Clinical Biomechanics and Ergonomics Research Center, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran. a.dadarkhah@ajaums.ac.ir.
Abstract
INTRODUCTION AND HYPOTHESIS: Sexual dysfunction is a common problem in the general population. We compared the effects of biofeedback and electrical stimulation on the symptoms of sexual pain dysfunction in women with urinary stress incontinence. METHODS: We carried out a parallel randomized clinical trial in an outpatient department for physical medicine and rehabilitation at a university hospital. Based on DSM-5 criteria for sexual dysfunction, 22 patients with sexual dysfunction and stress incontinence were included and randomly allocated to each study arm. The primary outcome measure was the total score on the Female Sexual Function Index. Each group underwent pertinent treatment for 100 min, two times a week for 6 weeks. RESULTS: Both groups showed favorable outcomes in increasing Female Sexual Function Index mean scores and their domains. However, for improving sexual function, women in the biofeedback group benefited more than those receiving electrical stimulation. Biofeedback raised desire, arousal, lubrication, orgasm, and satisfaction scores more than electrical stimulation (all p ≤ 0.025). Both interventions decreased pain during or following vaginal penetration similarly (p = 0.985). CONCLUSIONS: Both biofeedback and electrical stimulation increased the Female Sexual Function Index score. However, to improve sexual function, women undergoing biofeedback seem to benefit more than those receiving electrical stimulation. We recommend considering the prescription of biofeedback for the treatment of sexual dysfunction because of its efficacy, lack of adverse effects, and easy application.
RCT Entities:
INTRODUCTION AND HYPOTHESIS: Sexual dysfunction is a common problem in the general population. We compared the effects of biofeedback and electrical stimulation on the symptoms of sexual pain dysfunction in women with urinary stress incontinence. METHODS: We carried out a parallel randomized clinical trial in an outpatient department for physical medicine and rehabilitation at a university hospital. Based on DSM-5 criteria for sexual dysfunction, 22 patients with sexual dysfunction and stress incontinence were included and randomly allocated to each study arm. The primary outcome measure was the total score on the Female Sexual Function Index. Each group underwent pertinent treatment for 100 min, two times a week for 6 weeks. RESULTS: Both groups showed favorable outcomes in increasing Female Sexual Function Index mean scores and their domains. However, for improving sexual function, women in the biofeedback group benefited more than those receiving electrical stimulation. Biofeedback raised desire, arousal, lubrication, orgasm, and satisfaction scores more than electrical stimulation (all p ≤ 0.025). Both interventions decreased pain during or following vaginal penetration similarly (p = 0.985). CONCLUSIONS: Both biofeedback and electrical stimulation increased the Female Sexual Function Index score. However, to improve sexual function, women undergoing biofeedback seem to benefit more than those receiving electrical stimulation. We recommend considering the prescription of biofeedback for the treatment of sexual dysfunction because of its efficacy, lack of adverse effects, and easy application.
Entities:
Keywords:
Biofeedback; Electrical stimulation; Orgasm; Pelvic floor; Rehabilitation; Sexual dysfunction
Authors: Elisa Maseroli; Irene Scavello; Giulia Rastrelli; Erika Limoncin; Sarah Cipriani; Giovanni Corona; Massimiliano Fambrini; Angela Magini; Emmanuele A Jannini; Mario Maggi; Linda Vignozzi Journal: J Sex Med Date: 2018-11-13 Impact factor: 3.802
Authors: Barbara Wagner; Margarete Steiner; Dominikus Franz Xaver Huber; Richard Crevenna Journal: Wien Klin Wochenschr Date: 2021-03-22 Impact factor: 1.704