Does pelvic floor muscle training improve female sexual function? A systematic review
Abstract
Introduction and hypothesis We performed a review of the literature reporting on the effects of pelvic floor muscle training (PFMT) on female sexual function (SF).Methods Pubmed (from 1946 to December 2014), Ovid Medline (from 1946 to December 2014), CINAHL (from 1937 to December 2014), PsycINFO (from 1805 to December 2014), Scopus and Cochrane Central Register of Controlled Trials were searched by two independent reviewers. Randomised controlled trials (RCTs) investigating the impact of PFMT on women's SF published in English were included. Methodological quality was scored using the PEDro scale. Data were analysed qualitatively and interpreted.Results A total of 1341 women were included in the eight RCTs covered by this review. The studies were published between 1997 and 2014. Methodological scores were between 4 and 7. The sample included derived from heterogeneous populations of women. In only one study was SF the primary outcome measure. Pelvic floor dysfunction was an inclusion criterion in the majority of studies. Most studies reported a significant improvement in SF score after PFMT between control and intervention groups.Conclusions Although most studies indicated an improvement of at least one sexual variable in women with pelvic floor dysfunction, and one study demonstrated an improvement in SF in postpartum women selected independently of their continence status, the results need to be interpreted with caution. High-quality RCTs specifically designed to investigate the impact of PFMT on women's SF are required.
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In a systematic review, the authors found only Level 2 evidence that PFMT can improve women's sexual function, and the literature is scarce about the effect of PFMT on sexual function in women with POP.
“In a systematic review [86], the authors found only Level 2 evidence that PFMT can improve women's sexual function, and the literature is scarce about the effect of PFMT on sexual function in women with POP.”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [86]
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- Authors
- Ferreira, C. H. J., Dwyer, P. L., Davidson, M., De Souza, A., Ugarte, J. A., & Frawley, H. C.
- Affiliations
- Universidade de São Paulo (BR)
- The University of Melbourne (AU)
- Mercy Hospital for Women (AU)
- La Trobe University (AU)
- Venue
- International Urogynecology Journal
- Published
- 2015-06-14
- Volume
- 26
- Issue
- 12
- Pages
- 1735-1750
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W609366790
- Cited by
- 106
- References
- 52
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 17 · 2023: 12 · 2022: 14 · 2021: 11 · 2020: 11 · 2019: 9 · 2018: 9 · 2017: 9 · 2016: 2 · 2015: 1
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- pelvic floor muscle training, female sexual function, pelvic floor dysfunction, postpartum women, women's sexual health, pelvic floor rehabilitation
- MeSH terms
- Exercise Therapy, Female, Humans, Sexual Behavior, Pelvic Floor
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