Impact of biofeedback therapy for pelvic floor related constipation to improve sexual function.
Gastroenterology and Hepatology from Bed to Bench,
9 December 2020
Objective: 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 on improving the health status in these patients is conflicting. The purpose of this study was to investigate the effect of biofeedback therapy on constipation in order to improve sexual function among the female population with pelvic floor hypertonicity.
Study design: 42 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 the 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: Biofeedback significantly improved orgasm, arousal, dyspareunia (respectively P = 0.001, P = 0.001, P = 0.001). But there was no significant improvement in libido and partner satisfaction domains (respectively P = 0.132, P = 0.341). The significant negative correlations were detected between the age and sexual function. On the other hand, there was no negative relation between vaginal delivery and cesarean delivery with different components of sexual function.
Conclusion: It seems the improvement in pelvic floor muscle hypertonicity leads to sexual satisfaction. However, more data are needed to prove this correlation.
Keywords: Sexual Dysfunction, Biofeedback, Pelvic Floor Disorder, Constipation.
- Sexual Dysfunction, Biofeedback, Pelvic Floor Disorder, Constipation.
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