title: Postpartum sexual function of women and the effects of early pelvic floor muscle exercises.
abstract: OBJECTIVE
  To evaluate the effects of early pelvic floor muscle training after vaginal delivery on sexual function.
  
  
  METHODS
  Prospective randomized study.
  
  
  METHODS
  Urogynecology clinic of a tertiary medical center in Istanbul, Turkey.
  
  
  METHODS
  Total of 75 primiparous women.
  
  
  METHODS
  Pelvic floor-muscle strength was assessed during rest and straining in primiparous women in their 4th postpartum month, after which the women were randomized into training (n = 37) and control (n = 38) groups. Patients were re-evaluated in the 7th postpartum month.
  
  
  METHODS
  Female sexual function and pelvic muscle strength scores.
  
  
  RESULTS
  Desire, pain and total female sexual index scores were significantly higher in the 7th month compared to 4th month in both groups (p < 0.05). However, sexual arousal, lubrication, orgasm, and satisfaction scores were improved in the 7th month in the training group (paired t-test, p < 0.001), but not significantly in the control group (p > 0.05). All domains except satisfaction were significantly higher in the training group compared with the controls. Pelvic floor-muscle strength was found to be increased in the 7th month in the training group (Wilcoxon rank test, Z = 4.123, p < 0.001), whereas there was no significant difference between the 4th and 7th month measurements in the controls (p > 0.05).
  
  
  CONCLUSIONS
  Pelvic floor-muscle training improves pelvic floor-muscle function, and starting after the puerperal period, exercise appears to have positive effects on female sexual function.
authors.affiliation: Department of Midwifery, Faculty of Health Sciences, University of Marmara, Istanbul, Turkey.
authors.forename: Nevin
authors.initials: N
authors.lastname: Citak
authors.forename: Cetin
authors.initials: C
authors.lastname: Cam
authors.forename: Hediye
authors.initials: H
authors.lastname: Arslan
authors.forename: Ates
authors.initials: A
authors.lastname: Karateke
authors.forename: Niyazi
authors.initials: N
authors.lastname: Tug
authors.forename: Reyhan
authors.initials: R
authors.lastname: Ayaz
authors.forename: Cem
authors.initials: C
authors.lastname: Celik
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D009132:Muscles / Q000503:physiopathology; D017773:Pelvic Floor / Q000503:physiopathology*; D049590:Postpartum Period / Q000502:physiology*; D011446:Prospective Studies; D019529:Sexuality / Q000502:physiology*; D055815:Young Adult