The relationship between pelvic organ prolapse, genital body image, and sexual health.

Abstract:

AIMS:Pelvic organ prolapse involves physical changes to the genitals, potentially distressing to women. We hypothesized poorer genital body image in prolapsed women versus controls and that genital body image would correlate with sexual health. METHODS:Seventy-four sexually active women, 13 with prolapse, 24 with surgically corrected prolapse, 37 without prolapse, completed the Genital Self Image Scale (GSIS-20), Body Esteem Scale (BES), and Female Sexual Function Index (FSFI). RESULTS:In prolapsed women median GSIS-20 scores were 28/40, women with surgically corrected prolapse 32/40 and never prolapsed 34/40 (χ(2) = 9.6, P < 0.01). Post hoc analysis showed significant differences between prolapsed and never prolapsed groups (P < 0.05). After adjusting for BES, GSIS-20 correlated with overall FSFI (r = 0.384, P < 0.01), and its subscales of desire (r = 0.34, P < 0.05) and satisfaction (r = 0.41, P < 0.01). CONCLUSIONS:Women with prolapse are at risk for poorer genital body image and reduced sexual health.

journal_name

Neurourol Urodyn

authors

Zielinski R,Miller J,Low LK,Sampselle C,DeLancey JO

doi

10.1002/nau.22205

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1145-8

issue

7

eissn

0733-2467

issn

1520-6777

journal_volume

31

pub_type

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