Anglès-Acedo Dr. Sònia, López-Frías Lorena, Carmona-Guerrero Carolina, Benito-García Esther, Escura-Sancho Sílvia, Bataller-Sánchez Dr. Eduardo, Ros-Cerro Dr. Cristina, Espuña-Pons Dr. Montserrat

(175) IMPACT OF PELVIC FLOOR DYSFUNCTIONS IN FEMALE SEXUALITY

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives To analyse female sexuality of women who seek care for pelvic floor dysfunctions. Methods Cross-sectional study about female sexuality of women attended the first consultation to assess and treat pelvic floor dysfunctions (urinary incontinence-IU, anal incontinence-IA, pelvic organ prolapse-POP). Urinary, anal and prolapse symptoms were assessed with B-SAQ, ICIQ-UI-SF, PFDI-20. PISQ-IR, a condition-specific questionnaire, was used for assessing sexuality in both non-sexually active (NSA) and sexually active (SA) patients. Results We included 131 participants, 89.3% reported UI, 37.4% AI and 30.5% had a symptomatic POP. The more frequently isolated pelvic floor dysfunction was UI (39.7%). 26% of the participants informed double incontinence. 46% of women presented 2 pelvic floor dysfunctions, whereas 8.4% had 3 of them. Table 1 shows the baseline characteristics. NSA rate was 45%. The main reason for sexual inactivity was lack of interest (70.7%), followed by not having a partner (53.4%). The pelvic floor dysfunction, other health issues and the pain were the inactivity reason in a lower proportion (12.1%, 10.3% y 10.3%, respectively). 25.8% NSA women reported avoidance of sexual activity due to fear related to UI/AI or POP. 75.9% of NSA participants were satisfied with their sexual life. Related to SA women (n=72), 36.5% informed about UI/AI during sexual activity, however, 57.7% of the SA participants limited sexual activity due to fear related to UI /AI or POP. Dyspareunia was present in 52.3% SA women. 59.1% of SA women were satisfied with their sexual life. Conclusions Most of our sample are interested in their sexuality assessment. Pelvic floor dysfunctions may affect sexual activity among NSA and SA women, as well as worsen sexual function on SA women. So, satisfaction with the sexual life could be impaired. PISQ-IR permits to identify the subgroup of patients with unsatisfied sexual life due to pelvic floor dysfunctions and, then, to individualized treatment according patient’s expectations. Conflicts of Interest No conflict of interest.

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