Nazarpour Soheila, Simbar Masoumeh, Majd Hamid Alavi, Tehrani Fahimeh Ramezani
Department of Midwifery, Chalous Branch, Islamic Azad University, Chalous 4661961367, Iran.
Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran 1996835119, Iran.
Sex Health. 2018 Nov;15(5):396-402. doi: 10.1071/SH17203.
Background The adverse effects of menopause on sexual function could be mitigated by pelvic floor muscle (PFM) training. This study aimed to investigate the effects of PFM exercises on sexual function in postmenopausal women.
A randomised clinical trial was conducted among 97 Iranian postmenopausal women, aged 40 to 60 years. The participants' baseline sexual functions were assessed using the Female Sexual Function Index (FSFI) questionnaire. They were then randomly designated to two groups: (1) the intervention group, which received specific instructions on PFM exercises and was followed up on a weekly basis; and (2) the control group, which received general information on menopause. After 12 weeks, the sexual functions of the participants were reassessed.
No significant difference was initially observed between the two groups in terms of demographic and socioeconomic characteristics and total scores of FSFI. After the intervention, however, the scores of arousal, orgasm and satisfaction were significantly higher in the intervention group (3.10, 4.36, and 4.84 vs 2.75, 3.89, and 4.36 respectively; P<0.05).
PFM exercises have the potential to improve the sexual function of postmenopausal women and are thus suggested to be included in healthcare packages designed for postmenopausal women.
背景 盆底肌训练可减轻绝经对性功能的不良影响。本研究旨在调查盆底肌锻炼对绝经后女性性功能的影响。
对97名年龄在40至60岁的伊朗绝经后女性进行了一项随机临床试验。使用女性性功能指数(FSFI)问卷评估参与者的基线性功能。然后将她们随机分为两组:(1)干预组,接受盆底肌锻炼的具体指导,并每周进行随访;(2)对照组,接受有关绝经的一般信息。12周后,重新评估参与者的性功能。
两组在人口统计学和社会经济特征以及FSFI总分方面最初未观察到显著差异。然而,干预后,干预组的性唤起、性高潮和满意度得分显著更高(分别为3.10、4.36和4.84,而对照组分别为2.75、3.89和4.36;P<0.05)。
盆底肌锻炼有可能改善绝经后女性的性功能,因此建议将其纳入为绝经后女性设计的医疗保健套餐中。