Are sexual activity and satisfaction affected by pelvic floor disorders? Analysis of a community-based survey

Am J Obstet Gynecol. 2007 Jul;197(1):88.e1-6. doi: 10.1016/j.ajog.2007.02.053.


Objective: The purpose of this study was to assess the relationship between pelvic floor disorders and sexual activity and satisfaction.

Study design: Information on pelvic floor disorders, sexual activity, and satisfaction as measured by 100-mm visual analog scale was obtained by questionnaire from 4106 women. Proportions of sexually active women were compared by the presence of each pelvic floor disorder with the use of chi-square tests. Satisfaction was compared with the use of t-tests. Logistic and linear regression analyses were used to assess the association between each pelvic floor disorder and sexual activity and satisfaction.

Results: Eighty-six percent of women with a partner (n = 1486) were sexually active. Women with pelvic floor disorders were less likely to be sexually active and to have lower mean satisfaction scores than unaffected women (P < .001). After regression analyses, pelvic floor disorders were not associated significantly with sexual activity or satisfaction.

Conclusion: In community-dwelling women, sexual activity and satisfaction are independent of pelvic floor disorders.

Publication types

  • Clinical Trial
  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Data Collection
  • Female
  • Humans
  • Middle Aged
  • Pelvic Floor
  • Personal Satisfaction
  • Sexual Behavior*
  • Sexual Dysfunction, Physiological / epidemiology*
  • Sexual Dysfunction, Physiological / etiology
  • Sexual Dysfunctions, Psychological / epidemiology*
  • Sexual Dysfunctions, Psychological / etiology
  • Surveys and Questionnaires
  • Urinary Incontinence / complications*
  • Uterine Prolapse / complications*