Does fibromyalgia influence symptom bother from pelvic organ prolapse?

Adams, Kerrie; Osmundsen, Blake; Gregory, W. Thomas

doi:10.1007/s00192-013-2280-y

Cited by 19 publications

(24 citation statements)

References 16 publications

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“…In the study conducted by Jones et al, the total PFDI‐20 score in 177 patients with fibromyalgia was slightly higher (159 ± 55) than the total scores reported by our sample of patients with fibromyalgia (143 ± 5.7), with the greatest contribution to the total distress originating from the colorectal‐anal symptoms followed by genital prolapse and urinary symptoms . In another study, patients with genital prolapse symptomatology who self‐reported fibromyalgia scored a total of 145 ± 63 on the PFDI‐20 and 105 ± 84 on the PFIQ‐7 which were significantly higher compared to subjects reporting genital prolapse symptoms but not fibromyalgia . These results confirm the greater impact and severity of PFD when comorbid fibromyalgia is present.…”

Section: Discussioncontrasting

confidence: 55%

“…11 The potential association between fibromyalgia and PFD is supported by several studies. [12][13][14] Patients with fibromyalgia were shown to experience bothersome urinary tract symptoms and higher prevalence of pelvic organ prolapse, defecatory dysfunction, and sexual dysfunction compared to controls. 12,13 Additionally, history of fibromyalgia diagnosis was found to be relatively elevated among women who were referred to urogynecology clinic assessment.…”

Section: Introductionmentioning

confidence: 99%

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Pelvic floor dysfunction in women with fibromyalgia and control subjects: Prevalence and impact on overall symptomatology and psychosocial function

Carrillo-Izquierdo

Slim

Hidalgo‐Tallón

et al. 2018

Neurourology and Urodynamics

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Section: Discussioncontrasting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Pelvic floor dysfunction in women with fibromyalgia and control subjects: Prevalence and impact on overall symptomatology and psychosocial function

Carrillo-Izquierdo

Slim

Hidalgo‐Tallón

et al. 2018

Neurourology and Urodynamics

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“…Similarly, patients’ FM was severe enough that it had been evaluated at least once in a rheumatology practice. Lastly, we did not complete physical examinations on our patients, thus we cannot replicate Adams’ findings of levator myalgia (Adams et al, 2014) or determine its correlates.…”

Section: Discussionmentioning

confidence: 88%

“…Newly published data report that women with FM have 50% greater pelvic floor symptoms compared with matched women without FM who were evaluated at a urogynecology clinic for pelvic floor distress (Adams et al, 2014). The women with FM had significantly worse pelvic floor distress than age-matched women without FM (PFDI scores 145.0 [63.3] versus 110.5 [64.5; p = .005]).…”

Section: Discussionmentioning

confidence: 99%

“…At the present time there is no generally agreed upon “cut score” or minimally important difference score for the PFDI-20, though much work is ongoing in this area (Barber et al, 2001; Gafni-Kane, Goldberg, Sand, & Botros, 2012; Jelovsek et al, 2014; Lowder, Ghetti, Oliphant, Moalli, & Zyczynski, 2010). The PFDI-20 has been reported once in persons with FM (Adams, Osmundsen, & Gregory, 2014). …”

Section: Methodsmentioning

confidence: 99%

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Pelvic Floor and Urinary Distress in Women with Fibromyalgia

Jones

Maxwell

Mist

et al. 2015

Pain Management Nursing

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Fibromyalgia (FM) patients were recently found to have more symptom burden from bothersome pelvic pain syndromes that women seeking care for pelvic floor disease at a urogynecology clinic. We sought to further characterize pelvic floor symptoms in a larger sample of FM patients using of validated questionnaires. Female listserv members of the Fibromyalgia Information Foundation completed an online survey of three validated questionnaires: the Pelvic Floor Distress Inventory 20 , the Pelvic Pain, Urgency and Frequency Questionnaire (PUF), and the Revised Fibromyalgia Impact Questionnaire (FIQR). Scores were characterized using descriptive statistics. Patients (n = 204 with complete data on 177) were on average 52.3 ± 11.4 years with a mean parity of 2.5 ± 1.9. FM severity based on FIQR score (57.2 ± 14.9) positively correlated with PFDI-20 total 159.08 ± 55.2 (r = .34, p <.001) and PUF total 16.54 ± 7 (r = .36, p <.001). Women with FM report significantly bothersome pelvic floor and urinary symptoms. Fibromyalgia management should include evaluation and treatment of pelvic floor disorders recognizing that pelvic distress and urinary symptoms are associated with more severe FM symptoms. Validated questionnaires, like the ones used in this study, are easily incorporated into clinical practice.Fibromyalgia (FM) is a common, debilitating disorder of widespread pain affecting an estimated 5 million persons in the United States (Lawrence et al., 2008). Similarly, chronic pelvic pain is estimated to affect at least 9 million women (Mathias, Kuppermann, Liberman, Lipschutz, & Steege, 1996), and 4 to 7 million women report bladder pain/ interstitial cystitis symptoms (Berry et al., 2011). Given that these three chronic pain syndromes are highly prevalent, it is not surprising that they often coexist. Indeed, people with FM often report numerous regional pain syndromes, including headaches, temporomandibular disorders, low back/neck pain, myofascial pain, irritable bowel, pelvic pain, and bladder pain (Adams & Denman, 2011;Arnold, Clauw, & McCarberg, 2011;Rodriguez, Afari, & Buchwald, 2009;Williams & Clauw, 2009 Clemens et al., 2014;Adams & Denman, 2011). Pelvic floor disorders negatively influence a woman's activities of daily living, sexual function, bowel and bladder function, and overall quality of life. Despite their high prevalence and negative impact, little known about the relationship between pelvic/bladder symptoms and FM severity. The purpose of this study was to characterize pelvic floor and urinary symptoms in patients with FM. A secondary aim was to describe the strength of the relationship between pelvic floor and urinary symptoms with the total impact of FM. HHS Public Access MATERIALS AND METHODS Design, Participants, and ProceduresThis study was a cross-sectional descriptive survey in women with FM. Five hundred female patients were contacted via e-mail and requested to complete an online "women's health survey" (SurveyMonkey, Inc., Palo Alto, CA Pelvic floor symptoms were measured using the PFDI-...

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Chronic Primary or Secondary Noninflammatory Musculoskeletal Pain and Disrupted Sexual Function and Relationships: A Systematic Review

Briggs

Slater

Doornum

et al. 2022

Arthritis Care & Research

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Objective. Evidence points to the impact of chronic musculoskeletal pain conditions on sexual function, yet there is little systematic appraisal and synthesis of evidence examining these associations across noninflammatory conditions. We aimed to systematically review evidence surrounding the association between chronic primary and chronic secondary musculoskeletal pain with intimate relationships and sexual function.Methods. Four electronic databases were searched from January 1, 1990 to September 5, 2019 for cross-sectional or prospective epidemiologic and qualitative studies among cohorts with chronic primary or secondary noninflammatory musculoskeletal pain, defined by International Classification of Diseases, Eleventh Revision classification criteria.Results. Fifty-one eligible studies were included (46 quantitative, 3 qualitative, 2 mixed-methods designs). Sample sizes ranged from 13 to 12,377 and mean age from 32.6 to 69.2 years. Cross-sectional controlled cohort studies consistently reported poorer sexual function outcomes among cohorts with pain relative to comparison groups. Of 15 studies reporting outcomes for the Female Sexual Function Index, 14 demonstrated mean scores of ≤26.55 for the pain group, indicating sexual dysfunction. In 4 studies reporting the International Index of Erectile Function, the pain cohorts demonstrated consistently lower mean subscale scores and the erectile function subscale scores were ≤25.0, indicating erectile dysfunction. Three key themes emerged from a meta-synthesis of qualitative studies: impaired sexual function; compromised intimate relationships; and impacts of pain on sexual identity, body image, and self-worth.Conclusion. Sexual dysfunction and negative impacts on intimate relationships are highly prevalent among people with chronic noninflammatory musculoskeletal pain. Consideration of these associations is relevant to the delivery of holistic, person-centered musculoskeletal pain care.

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Does fibromyalgia influence symptom bother from pelvic organ prolapse?

Abstract: In women with symptomatic prolapse, fibromyalgia is associated with an increased risk of levator myalgia and 50% more symptom bother from pelvic floor disorders.

Cited by 19 publications

References 16 publications

Pelvic floor dysfunction in women with fibromyalgia and control subjects: Prevalence and impact on overall symptomatology and psychosocial function

Pelvic floor dysfunction in women with fibromyalgia and control subjects: Prevalence and impact on overall symptomatology and psychosocial function

Pelvic Floor and Urinary Distress in Women with Fibromyalgia

Chronic Primary or Secondary Noninflammatory Musculoskeletal Pain and Disrupted Sexual Function and Relationships: A Systematic Review

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