Braekken Ingeborg H, Majida Memona, Ellström Engh Marie, Bø Kari
Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway; Department of Public Health and Primary Health Care, Physiotherapy Research Group, University of Bergen, Bergen, Norway.
J Sex Med. 2015 Feb;12(2):470-80. doi: 10.1111/jsm.12746. Epub 2014 Nov 17.
Pelvic floor muscle training (PFMT) has level 1 evidence of reducing the size and symptoms associated with pelvic organ prolapse (POP). There is scant knowledge, however, regarding whether PFMT has an effect on sexual function.
The aim of the trial was to evaluate the effect of PFMT on sexual function in women with POP.
In this randomized controlled trial, 50 women were randomized to an intervention group (6 months of PFMT and lifestyle advice) and 59 women were randomized to a control group (lifestyle advice only).
Participants completed a validated POP-specific questionnaire to describe frequency and bother of prolapse, bladder, bowel, and sexual symptoms and answered a semi-structured interview.
No significant change in number of women being sexually active was reported. There were no significant differences between groups regarding change in satisfaction with frequency of intercourse. Interview data revealed that 19 (39%) of women in the PFMT group experienced improved sexual function vs. two (5%) in the control group (P<0.01). Specific improvements reported by some of the women were increased control, strength and awareness of the pelvic floor, improved self-confidence, sensation of a "tighter" vagina, improved libido and orgasms, resolution of pain with intercourse, and heightened sexual gratification for partners. Women who described improved sexual function demonstrated the greatest increases in pelvic floor muscle (PFM) strength (mean 16 ± 10 cmH2 0) and endurance (mean 150 ± 140 cmH2 0s) (P<0.01).
PFMT can improve sexual function in some women. Women reporting improvement in sexual function demonstrated the greatest increase in PFM strength and endurance.
盆底肌训练（PFMT）有一级证据表明其可减小盆腔器官脱垂（POP）的大小并缓解相关症状。然而，关于PFMT对性功能是否有影响，人们知之甚少。
本试验旨在评估PFMT对POP女性性功能的影响。
在这项随机对照试验中，50名女性被随机分配至干预组（接受6个月的PFMT及生活方式建议），59名女性被随机分配至对照组（仅接受生活方式建议）。
参与者完成一份经过验证的特定于POP的问卷，以描述脱垂、膀胱、肠道及性症状的频率和困扰程度，并回答一份半结构化访谈。
报告显示性活跃女性的数量没有显著变化。两组在性交频率满意度的变化方面没有显著差异。访谈数据显示，PFMT组中有19名（39%）女性性功能得到改善，而对照组中只有2名（5%）（P<0.01）。一些女性报告的具体改善包括对盆底的控制、力量和感知增强，自信心提高，感觉阴道“更紧致”，性欲和性高潮改善，性交疼痛缓解，以及伴侣的性满足感增强。描述性功能改善的女性盆底肌（PFM）力量（平均16±10 cmH2O）和耐力（平均150±140 cmH2Os）增加幅度最大（P<0.01）。
PFMT可改善部分女性的性功能。报告性功能改善的女性PFM力量和耐力增加幅度最大。
