title: Sexual activity and function in women with and without pelvic floor disorders.
abstract: OBJECTIVE
  We describe differences in sexual activity and function in women with and without pelvic floor disorders (PFDs).
  
  
  METHODS
  Heterosexual women ≥40 years of age who presented to either urogynecology or general gynecology clinics at 11 clinical sites were recruited. Women were asked if they were sexually active with a male partner. Validated questionnaires and Pelvic Organ Prolapse Quantification (POP-Q) examinations assessed urinary incontinence (UI), fecal incontinence (FI), and/or pelvic organ prolapse (POP). Sexual activity and function was measured by the Female Sexual Function Index (FSFI). Student's t test was used to assess continuous variables; categorical variables were assessed with Fisher's exact test and logistic regression. Univariate and multivariate analyses were used to assess the impact of pelvic floor disorders (PFDs) on FSFI total and domain scores.
  
  
  RESULTS
  Five hundred and five women met eligibility requirements and gave consent for participation. Women with and without PFDs did not differ in race, body mass index (BMI), comorbid medical conditions, or hormone use. Women with PFDs were slightly older than women without PFDs (55.6 + 10.8 vs. 51.6 + 8.3 years, P <0.001); all analyses were controlled for age. Women with PFDs were as likely to be sexually active as women without PFDs (61.6 vs. 75.5 %, P = 0.09). There was no difference in total FSFI scores between cohorts (23.2 + 8.5 vs. 24.4 + 9.2, P = 0.23) or FSFI domain scores (all P = NS).
  
  
  CONCLUSIONS
  Rates of sexual activity and function are not different between women with and without PFDs.
authors: Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA. tfashok1@jhmi.edu
authors: Tola B Omotosho
authors: TB
authors: Fashokun
authors: Heidi S
authors: HS
authors: Harvie
authors: Megan O
authors: MO
authors: Schimpf
authors: Cedric K
authors: CK
authors: Olivera
authors: Lee B
authors: LB
authors: Epstein
authors: Marjorie
authors: M
authors: Jean-Michel
authors: Kristin E
authors: KE
authors: Rooney
authors: Sunil
authors: S
authors: Balgobin
authors: Okechukwu A
authors: OA
authors: Ibeanu
authors: Rajiv B
authors: RB
authors: Gala
authors: Rebecca G
authors: RG
authors: Rogers
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D005260:Female; D020010:Heterosexuality; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000503:physiopathology* / Q000523:psychology*; D012725:Sexual Behavior / Q000502:physiology* / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States