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

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.