The objective of this research was to determine whether sexual complaints,such as dyspareu nia,are associated with pelvic floor disorders.We used data collected for the Maryland Women’s Health Study.Among adult women scheduled for hysterectomy,we used multiple logistic re-gression analysis to identify chara cteristics associated with4sexual complaints:decreased libi do,vaginal dryness,dyspareunia,and anorgasmia.Among1299participants,495(38.1%)had evidence of pelvic floor disorders.Sexual complaints were significant ly more common among women with pelvic floor disorders(53.2%vs 40.4%,P<.01).In the multiple regression model,u rinary in-continence was significantly associated with low libido(odds ratioOR1.96),vaginal dryness(OR 2.11),and dyspareunia(OR 2.04),independent of age,educational attainment,and race.In contrast,p elvic organ prolapse was not associated with any sexual complaint.In a cohort of women planning hys -terectomy,wome n with urinary in-continence were significantly more likely to report sexual complaints.
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