Effect of pelvic floor muscle training on female sexual function: A systematic review protocol and meta‐analysis

Saus-Ortega, Carlos; Sierra-García, Ester; Martínez-Sabater, Antonio; Chover-Sierra, Elena; Ballestar-Tarín, María Luisa

doi:10.1002/nop2.1826

Cited by 2 publications

(1 citation statement)

References 62 publications

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“…Trauma to the PFMs during gestation and vaginal birth is associated with an enlargement of the genital hiatus, which in turn adversely affects female sexual function in individuals with VL 9 . PFM malfunction can impede proper blood supply to the clitoris, reduce orgasmic capacity, and hinder sexual pleasure 47 . Furthermore, predicting changes in core muscles help clinicians to effectively deal women with sexual dysfunction 48 .…”

Section: Discussionmentioning

confidence: 99%

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Hady,

Mabrouk,

Osman

2024

Sci Rep

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Vaginal laxity (VL) is a common condition among multiparous women, especially those who have delivered vaginally. Since pelvic floor muscles (PFMs) work synergistically with other core muscles, physical therapy protocols that aim to treat VL should train the PFMs in combination with other core muscles. To investigate the activity of core muscles in multiparous women with and without VL, and its relation to sexual function. An observational, cross-sectional study. The study included 100 multiparous women, who were divided into two groups according to their scores on the vaginal laxity questionnaire (VLQ). Women who scored between 1 and 3 on the VLQ were categorized as having VL (n = 48), while those who scored between 5 and 7 were placed in the control group (n = 52). The primary outcomes were PFM displacement, diaphragmatic excursion, transversus abdominis activation ratio, and lumbar multifidus thickness measured by ultrasound imaging. The secondary outcome was sexual functioning, evaluated using the Arabic female sexual function index (ArFSFI). The VL group had significantly lower PFM displacement (mean difference (MD) − 0.42; 95% confidence interval (CI) − 0.49 to − 0.33; p = 0.001), diaphragmatic excursion (MD − 2.75; 95% CI − 2.95 to − 2.55; p = 0.001), lumbar multifidus thickness (MD − 10.08; 95% CI − 14.32 to − 5.82; p = 0.02), and ArFSFI scores (MD − 9.2; 95% CI − 10.59 to − 7.81; p = 0.001) in comparison to the control group (p < 0.05). Nevertheless, the transversus abdominis activation ratio demonstrated no significant difference between the two groups (MD 0.06; 95% CI − 0.05 to 0.17; p = 0.33). Multiparous women with VL had significantly lower PFM displacement, diaphragmatic excursion, lumbar multifidus thickness, and sexual function index scores than women in the control group. The only exception was transversus abdominis activation, which did not differ significantly between the VL and control groups.

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Section: Discussionmentioning

confidence: 99%

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Hady,

Mabrouk,

Osman

2024

Sci Rep

View full text Add to dashboard Cite

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Effect of pelvic floor muscle training on female sexual function: A systematic review protocol and meta‐analysis

et al. 2023

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Aim: To recognize, appraise and summarize the research evidence that has explored the results of pelvic floor muscle training on female sexual function.Design: Systematic review and possible meta-analysis.Methodology: Between September and October 2022, the Cochrane Library, CINAHL, MEDLINE, EMBASE, PsycINFO and Scopus electronic databases will be searched. We will include RCT's in English, Spanish and Portuguese that investigate the results of pelvic floor muscle training on female sexual function. The data will be extracted by two researchers independently. Risk of bias will be measured from the Cochrane Risk of Bias Tool. The meta-analysis of the results will be performed using Comprehensive Meta-Analysis Version 2.Results: This systematic review and possible meta-analysis will contribute significantly to the promotion of pelvic floor health and women's sexual function and to strengthen clinical practice and define other areas of study.

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Effect of pelvic floor muscle training on female sexual function: A systematic review protocol and meta‐analysis

Cited by 2 publications

References 62 publications

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Effect of pelvic floor muscle training on female sexual function: A systematic review protocol and meta‐analysis

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