Investigating the Impact of Acetabular Dysplasia on Sexual Dysfunction and Psychological Well-Being in Women.

This study aimed to explore the relationship between acetabular dysplasia (AD), a known risk factor for pelvic floor dysfunction (PFD), and its effects on sexual function and psychological well-being in women. A cross-sectional study was conducted with 125 female patients experiencing genitopelvic pain and penetrative disorders. Participants were categorized into AD-positive and AD-negative groups based on anteroposterior pelvic radiographs. Sexual function was evaluated using the Golombok-Rust Sexual Satisfaction Inventory (GRISS), while pain and psychological well-being were assessed using the Visual Analog Scale (VAS) and the Beck Depression Inventory (BDI), respectively. Results showed that AD-positive patients had significantly higher pain (VAS: 8.15 ± 1.1, < 0.001) and anxiety scores (BDI: 12.3 ± 11.0, < 0.02). Sexual function was notably impaired in the AD-positive group, with lower sexual satisfaction and a higher prevalence of anorgasmia ( = 0.01). The AD-negative group demonstrated better scores in frequency and satisfaction with touch ( = 0.04, = 0.03). Additionally, AD-positive patients exhibited limited hip rotation and a higher incidence of osteoarthritis and Legg-Calvé-Perthes disease. This study highlights the broader impact of AD on women's quality of life, emphasizing the need for targeted therapeutic interventions to address sexual dysfunction and psychological distress in affected patients.