Impact of Physical Resistance Training on the Sexual Function of Women with Polycystic Ovary Syndrome

Abstract

Introduction There is a need for specific measures to address overall care in women with polycystic ovary syndrome (PCOS). Physical resistance training (PRT) has been shown to improve certain body parameters. However, the effect of PRT on the sexual function of PCOS women has not been evaluated. Aim The study aimed to assess sexual function and emotional status of PCOS women after 16 weeks of PRT. Methods This case-control study involved 43 women with PCOS and 51 control ovulatory women, aged 18–37 years. All women were subjected to a supervised PRT protocol for 16 weeks and evaluated at the end of the program. Sexual function was assessed at baseline and after PRT protocol. Main Outcome Measures The main outcome measure used was the Female Sexual Function Index (FSFI). Results Of the 43 women with PCOS, 30 (69.70%) had a basal total FSFI score ≤ 26.55 and 24 of them (58.54%) had a score ≤ 26.55 after PRT (P = 0.08). Of the 51 control women, 32 (62.7%) and 27 (52.9%) had FSFI scores < 26.55 at baseline and after PRT, respectively (P = 0.06). Control women experienced a significant improvement in pain domain score after PRT (P < 0.03). PCOS women experienced significant increases in total score and in the desire, excitement and lubrication domains after PRT (P < 0.01 each). After PRT, there was a significant difference between the PCOS and control groups in the sexual desire domain (4.09 ± 1.29 vs. 3.75 ± 1.42, P = 0.04). Significantly fewer women in the PCOS group were at risk of depression (P < 0.01) and anxiety (P < 0.02) after than before PRT, whereas the differences in the control group were not significant. Mean depression and anxiety scores were reduced significantly in both the PCOS (P < 0.01 each) and control (P < 0.01) groups. Conclusions PRT significantly enhanced total score and the desire, excitement, and lubrication domains of the FSFI in PCOS women. PRT reduced pain, and total depression and anxiety scores in both groups.

Is polycystic ovary syndrome associated with risk of female sexual dysfunction? A systematic review and meta-analysis

“…Among them, 11 studies were excluded for lacking a control group; six studies did not meet the inclusion criteria; four studies for inappropriate grouping; five studies for insufficient outcome data; and three studies for previous publications. In all, 10 relevant studies (Drosdzol et al, 2007;Battaglia et al, 2008;Stovall et al, 2012;Ercan et al, 2013;Ferraresi et al, 2013;Benetti-Pinto et al, 2015;Lara et al, 2015;Zueff et al, 2015;Diamond et al, 2017;Noroozzadeh et al, 2017b) met our pre-defined eligibility criteria, and were included in the present study. The selection process is presented in FIGURE 1.…”

“…A total of 2626 participants with a mean age range between 25 and 36 years were enrolled, 1163 of whom were women with PCOS whereas the remaining 1463 women were healthy individuals. Six studies (Stovall et al, 2012;Ferraresi et al, 2013;Benetti-Pinto et al, 2015;Lara et al, 2015;Zueff et al, 2015;Diamond et al, 2017) were conducted in America, three studies (Drosdzol et al, 2007;Battaglia et al, 2008;Ercan et al, 2013) in Europe, and one study (Noroozzadeh et al, 2017b) FIGURE 1 Study selection. The two included studies that provided the mean total FSFI scores and the total cases of the study group and control group but did not report the number of FSD cases:…”

“…Benetti-Pinto (2015) (Drosdzol et al, 2007;Battaglia et al, 2008;Stovall et al, 2012;Ercan et al, 2013;Ferraresi et al, 2013;Lara et al, 2015;Zueff et al, 2015;Noroozzadeh et al, 2017b) reported the number of FSD cases, of which three (Ercan et al, 2013;Ferraresi et al, 2013;Lara et al, 2015) studies reported the mean total FSFI scores, whereas two studies (Benetti-Pinto et al, 2015;Diamond et al, 2017) provided the mean total FSFI scores but without the number of FSD cases.…”

Efeitos do treinamento físico aeróbio sobre a função sexual em mulheres com síndrome dos ovários policísticos: ensaio clínico controlado

“…Dessa forma, como a região da musculatura pélvica é também a região comumente investigada e treinada com objetivos de melhora da função sexual (RIVALTA et al, 2010;LARA et al, 2015;NAZARPOUR et al, 2017), melhorando o VO2máx., é possível que o mesmo possa interferir na função sexual.…”

“…Nesse sentido, grande destaque tem sido dado às medidas não farmacológicas, especialmente a orientação nutricional e a prática regular de exercício físico (BRUNER; CHAD; CHIZEN, 2006;THOMSOM et al, 2012;KOGURE et al, 2016;LARA et al;RIBEIRO et al, 2016). O treinamento físico aeróbio é um importante meio de tratamento de mulheres com SOP, sobretudo com sobrepeso e obesidade, e demonstrou ser eficaz na redução da depressão e no aumento da qualidade de vida dessas mulheres associados à orientação nutricional (THOMSON et al, 2010;MARIO et al, 2017).…”