TY - JOUR
T1 - Sexual function among women with urinary incontinence and pelvic organ prolapse
AU - Handa, Victoria L.
AU - Harvey, Lynn
AU - Cundiff, Geoffrey W.
AU - Siddique, Sohail A.
AU - Kjerulff, Kristen H.
N1 - Funding Information:
Supported by grant HS06865 from the Agency for Health Care Policy and Research.
PY - 2004/9
Y1 - 2004/9
N2 - The objective of this research was to determine whether sexual complaints, such as dyspareunia, are associated with pelvic floor disorders. 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. 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. In a cohort of women planning hysterectomy, women with urinary incontinence were significantly more likely to report sexual complaints.
AB - The objective of this research was to determine whether sexual complaints, such as dyspareunia, are associated with pelvic floor disorders. 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. 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. In a cohort of women planning hysterectomy, women with urinary incontinence were significantly more likely to report sexual complaints.
KW - Pelvic organ prolapse
KW - Sexual dysfunction
KW - Urinary incontinence
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U2 - 10.1016/j.ajog.2003.11.017
DO - 10.1016/j.ajog.2003.11.017
M3 - Article
C2 - 15467535
AN - SCOPUS:4644299422
SN - 0002-9378
VL - 191
SP - 751
EP - 756
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
IS - 3
ER -