Association Between Obesity, Sexual Activity and Sexual Function in Women With Pelvic Floor Disorders

摘要

Objectives: The objective of this study was to determine the association between obesity, sexual activity and sexual function in women with pelvic floor disorders (PFDs). Methods: A retrospective study of women seeking care for PFDs was conducted between May 2008 and May 2009. Obesity was defined as body mass index >= 30 kg/m~2. Outcomes included sexual activity and sexual function measured using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12). Multivariable regression was used to estimate the association between obesity and sexual inactivity and function. Results: There were 161 (45.5%) non-obese and 193 (54.5%) obese women, with a subset of 214 sexually active women. Obesity was not associated with sexual inactivity, but was associated with worse PISQ-12 scores compared with non-obese women (mean score 36.9 +- 38 versus 74.8 +- 34, P < 0.001). On multivariable linear regression, obese women had a mean score of 30 points lower (95% confidence interval -40.6 to -20.2, P < 0.001) on the PISQ-12 compared with non-obese women. Conclusions: Obesity is associated with worse sexual function in women with PFDs.