Department of Obstetrics and Gynaecology, Croydon University Hospital, Croydon, Surrey, UK; Department of Obstetrics and Gynaecology, Erasmus University Medical Center, Rotterdam, The Netherlands.
J Sex Med. 2014 Mar;11(3):743-52. doi: 10.1111/jsm.12070. Epub 2013 Jan 24.
Sexual function of women suffering from pelvic organ prolapse (POP) and/or urinary incontinence (UI) is adversely affected. However, our current understanding of the exact relationship between female sexual dysfunction and POP and/or UI is incomplete. A qualitative study can improve our understanding by describing what women themselves perceive as the real problem.
To gain a more in-depth understanding of the impact of POP and/or UI on the different categories of female sexual dysfunction by way of a qualitative study.
Qualitative semistructured interviews were conducted in 37 women scheduled for pelvic floor surgery, and one was excluded from analysis due to incomplete recordings.
The impact of POP and/or UI on female sexual function.
Only 17% of women were completely positive about their sex life. Both POP and UI had a negative effect on body image. Women with POP had a negative image of their vagina, which caused them to be insecure about their partner's sexual experience, while women with UI were embarrassed about their incontinence and pad use, and feared smelling of urine. Worries about the presence of POP during sexual activity, discomfort from POP, and reduced genital sensations were the most important reasons for decreased desire, arousal, and difficulty reaching an orgasm in women with POP. Fear of incontinence during intercourse affected desire, arousal, and orgasm and could be a cause for dyspareunia in women with UI. Desire was divided into two main elements: "drive" and "motivation." Although "drive," i.e., spontaneous sexual interest, was not commonly affected by POP and/or UI, a decrease in "motivation" or the willingness to engage in sexual activity was the most common sexual dysfunction mentioned.
Body image plays a key role in the sexual functioning of women with POP and/or UI with the biggest impact on women's "motivation."
患有盆腔器官脱垂（POP）和/或尿失禁（UI）的女性的性功能会受到不利影响。然而，我们目前对于女性性功能障碍与 POP 和/或 UI 之间的确切关系的理解并不完整。定性研究可以通过描述女性自身认为的真正问题来提高我们的理解。
通过定性研究深入了解 POP 和/或 UI 对女性性功能不同类型的影响。
对 37 名计划行盆底手术的女性进行了定性半结构式访谈，其中 1 名因记录不完整而被排除在分析之外。
POP 和/或 UI 对女性性功能的影响。
仅有 17%的女性对自己的性生活完全满意。POP 和 UI 均对身体形象产生负面影响。患有 POP 的女性对自己的阴道形象不满意，这使她们对伴侣的性体验缺乏安全感，而患有 UI 的女性则对失禁和使用护垫感到尴尬，并担心尿液的气味。担心在性行为中出现 POP、POP 引起的不适以及生殖器感觉减退是导致患有 POP 的女性性欲、唤起和达到性高潮困难的最重要原因。担心在性交时失禁会影响欲望、唤起和性高潮，并且可能是患有 UI 的女性出现性交疼痛的原因。欲望分为两个主要元素：“驱动”和“动机”。尽管 POP 和/或 UI 通常不会影响“驱动”，即自发性性兴趣，但“动机”或参与性行为的意愿下降是最常见的性功能障碍。
身体形象在患有 POP 和/或 UI 的女性性功能中起着关键作用，对女性的“动机”影响最大。
