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Acta Obstet Gynecol Scand. 2010 Jun;89(6):817-22. doi: 10.3109/00016341003801623.

Postpartum sexual function of women and the effects of early pelvic floor muscle exercises.

Author information

1
Department of Midwifery, Faculty of Health Sciences, University of Marmara, Istanbul, Turkey.

Abstract

OBJECTIVE:

To evaluate the effects of early pelvic floor muscle training after vaginal delivery on sexual function.

DESIGN:

Prospective randomized study.

SETTINGS:

Urogynecology clinic of a tertiary medical center in Istanbul, Turkey.

POPULATION:

Total of 75 primiparous women.

METHODS:

Pelvic floor-muscle strength was assessed during rest and straining in primiparous women in their 4th postpartum month, after which the women were randomized into training (n = 37) and control (n = 38) groups. Patients were re-evaluated in the 7th postpartum month.

MAIN OUTCOME MEASURES:

Female sexual function and pelvic muscle strength scores.

RESULTS:

Desire, pain and total female sexual index scores were significantly higher in the 7th month compared to 4th month in both groups (p < 0.05). However, sexual arousal, lubrication, orgasm, and satisfaction scores were improved in the 7th month in the training group (paired t-test, p < 0.001), but not significantly in the control group (p > 0.05). All domains except satisfaction were significantly higher in the training group compared with the controls. Pelvic floor-muscle strength was found to be increased in the 7th month in the training group (Wilcoxon rank test, Z = 4.123, p < 0.001), whereas there was no significant difference between the 4th and 7th month measurements in the controls (p > 0.05).

CONCLUSION:

Pelvic floor-muscle training improves pelvic floor-muscle function, and starting after the puerperal period, exercise appears to have positive effects on female sexual function.

PMID:
20397759
DOI:
10.3109/00016341003801623
[Indexed for MEDLINE]

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