Impact of biofeedback therapy for pelvic floor-related constipation to improve sexual function.

Biofeedback Constipation Pelvic floor disorder Sexual dysfunction

Journal

Gastroenterology and hepatology from bed to bench
ISSN: 2008-2258
Titre abrégé: Gastroenterol Hepatol Bed Bench
Pays: Iran
ID NLM: 101525875

Informations de publication

Date de publication:
2020
Historique:
entrez: 15 2 2021
pubmed: 16 2 2021
medline: 16 2 2021
Statut: ppublish

Résumé

The purpose of this study was to investigate the effect of biofeedback therapy on constipation to improve sexual function among the female population with pelvic floor hypertonicity. It appears that pelvic floor disorder could lead to sexual complaints. Unfortunately, there are few data on the correlation between pelvic floor-related constipation and sexual disorders. The biofeedback role as a conservative method in improving the health status in these patients is conflicting. Forty-two eligible women were included in the study. The exclusion criteria were not being sexually active, not having functional constipation according to Rome IV criteria, and having other psychiatric issues, according to DSM4TR criteria. All participants were treated using biofeedback in eight sessions, during two months. Before and after the treatment, they were analyzed by pelvic floor impact questionnaire, pelvic floor Distress Inventory, and Short Scale Personal Experiences Questionnaire (SPE Q). Biofeedback significantly improved orgasm, arousal, and dyspareunia (respectively P = 0.001, P = 0.001, P = 0.001). However, there was no significant improvement in libido and partner satisfaction domains (respectively P = 0.132, P = 0.341). Significant negative correlations were detected between the age and sexual function. On the other hand, there was no negative relationship between vaginal delivery as well as cesarean delivery and different components of sexual function. It seems the improvement in pelvic floor muscle hypertonicity leads to sexual satisfaction. Nevertheless, more data are required to prove this correlation.

Sections du résumé

AIM OBJECTIVE
The purpose of this study was to investigate the effect of biofeedback therapy on constipation to improve sexual function among the female population with pelvic floor hypertonicity.
BACKGROUND BACKGROUND
It appears that pelvic floor disorder could lead to sexual complaints. Unfortunately, there are few data on the correlation between pelvic floor-related constipation and sexual disorders. The biofeedback role as a conservative method in improving the health status in these patients is conflicting.
METHODS METHODS
Forty-two eligible women were included in the study. The exclusion criteria were not being sexually active, not having functional constipation according to Rome IV criteria, and having other psychiatric issues, according to DSM4TR criteria. All participants were treated using biofeedback in eight sessions, during two months. Before and after the treatment, they were analyzed by pelvic floor impact questionnaire, pelvic floor Distress Inventory, and Short Scale Personal Experiences Questionnaire (SPE Q).
RESULTS RESULTS
Biofeedback significantly improved orgasm, arousal, and dyspareunia (respectively P = 0.001, P = 0.001, P = 0.001). However, there was no significant improvement in libido and partner satisfaction domains (respectively P = 0.132, P = 0.341). Significant negative correlations were detected between the age and sexual function. On the other hand, there was no negative relationship between vaginal delivery as well as cesarean delivery and different components of sexual function.
CONCLUSION CONCLUSIONS
It seems the improvement in pelvic floor muscle hypertonicity leads to sexual satisfaction. Nevertheless, more data are required to prove this correlation.

Identifiants

pubmed: 33585007
pii: GHFBB-13-S75
pmc: PMC7881407

Types de publication

Journal Article

Langues

eng

Pagination

S75-S80

Informations de copyright

©2020 RIGLD, Research Institute for Gastroenterology and Liver Diseases.

Références

Women Health. 2019 Jan;59(1):101-113
pubmed: 29979949
J Sex Med. 2015 Feb;12(2):416-23
pubmed: 25293781
Best Pract Res Clin Obstet Gynaecol. 2015 May;29(4):541-7
pubmed: 25805440
World J Gastroenterol. 2015 Jan 28;21(4):1053-60
pubmed: 25632177
Int J Colorectal Dis. 2019 Mar;34(3):387-391
pubmed: 30635719
Turk J Obstet Gynecol. 2018 Dec;15(4):210-216
pubmed: 30693135
Rev Bras Enferm. 2018 Sep-Oct;71(5):2496-2505
pubmed: 30304182
Aust N Z J Obstet Gynaecol. 2015 Aug;55(4):309-14
pubmed: 25537397
J Sex Med. 2015 May;12(5):1233-41
pubmed: 25855126
Am J Obstet Gynecol. 2005 Jul;193(1):103-13
pubmed: 16021067
East Mediterr Health J. 2005 Jan-Mar;11(1-2):62-7
pubmed: 16532672
Curr Urol Rep. 2017 Jun;18(6):47
pubmed: 28585105
Int Urogynecol J Pelvic Floor Dysfunct. 2009 May;20 Suppl 1:S65-71
pubmed: 19440785
Arq Gastroenterol. 2012 Apr-Jun;49(2):135-42
pubmed: 22767001
Int J Colorectal Dis. 2017 May;32(5):667-674
pubmed: 28299421
Best Pract Res Clin Obstet Gynaecol. 2014 Oct;28(7):977-90
pubmed: 25108498
J Sex Med. 2017 Feb;14(2):226-237
pubmed: 28041844
Best Pract Res Clin Obstet Gynaecol. 2019 Jan;54:41-48
pubmed: 30076040
Rev Esp Enferm Dig. 2009 Dec;101(12):850-4
pubmed: 20082545
J Sex Marital Ther. 2002 Oct-Dec;28(5):389-97
pubmed: 12378841
BMJ. 2004 Feb 14;328(7436):393-6
pubmed: 14962877

Auteurs

Seyedshahab Banihashem (S)

Department of Psychosomatic Medicine, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Nasrin Chalakinia (N)

Psychiatry and Behavioral Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Pegah Eslami (P)

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Mehran Mahdavi Roshan (M)

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Ali Kheradmand (A)

Department of Psychosomatic Medicine, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Saeed Abdi (S)

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Somayeh Motazedian (S)

Department of Psychosomatic Medicine, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Maryam Nasserinejad (M)

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Mohammad Reza Zali (MR)

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Classifications MeSH