Obstetrics and Gynecology
Aida Mohamadi; Mahsa Ghajarzadeh; Fatemeh Davari Tanha; Amirreza Azimi
Articles in Press, Accepted Manuscript, Available Online from 21 December 2023
Abstract
Background: Women with multiple sclerosis (MS) suffer from a wide range of complications. The goal of this study was to compare sexual dysfunction (SD), depression, and sexual quality of life in women with MS with these problems in women without MS.
Methods: Fifty-four women with MS and 108 women without ...
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Background: Women with multiple sclerosis (MS) suffer from a wide range of complications. The goal of this study was to compare sexual dysfunction (SD), depression, and sexual quality of life in women with MS with these problems in women without MS.
Methods: Fifty-four women with MS and 108 women without MS were enrolled. All participants were asked to fill valid and reliable versions of BDI (Beck Depression Inventory), FSFI (Female Sexual Function Index), and SQOL (sexual quality of life) questionnaires.
Results: Mean scores for BDI, SQOL, and orgasm and satisfaction domains of FSFI were significantly different between case and control groups. Sexual quality of life (SQOL) had a significant positive correlation with FSFI (r=0.568, p<0.001) and a significant negative correlation with BDI scores (r=-0.528, p<0.001). A significant negative correlation was also found between FSFI and BDI scores (r=-0.325, p<0.001). According to the total FSFI cut-off point, 53.7% of cases and 44.4% of controls had SD (p=0.168).
Considering SQOL as a dependent variable and age, education level, marriage duration, husband’s age, and BDI and FSFI scores as independent variables, linear regression analysis showed that education level, BDI score, and FSFI score were independent predictors of SQOL in all participants, while among MS patients, only BDI and FSFI were significant predictors of SQOL.
Conclusion: Sexual quality of life and sexual function should be considered in women with MS, and depression should be assessed and treated as a possible risk factor.
Obstetrics and Gynecology
Zinat Ghanbari; Marzieh Hajibabaei; Elaheh Miri Ashtiani; Azita Ghanbarpour; Ali Montazeri
Volume 7, Issue 2 , September and October 2021, , Pages 114-120
Abstract
Background & Objective: Pelvic floor disorders (PFDs) are common devastating situations among women globally. The present study aimed to evaluate the clinical efficacy of radiofrequency (RF) on pelvic floor distress, restoration, and sexual function among women with PFDs.Materials & Methods: This ...
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Background & Objective: Pelvic floor disorders (PFDs) are common devastating situations among women globally. The present study aimed to evaluate the clinical efficacy of radiofrequency (RF) on pelvic floor distress, restoration, and sexual function among women with PFDs.Materials & Methods: This pre-post intervention study was performed on forty-three women with PFDs, who referred to a teaching pelvic floor clinic. Patients underwent RF three times fortnightly. Women were examined at three time points of baseline, one month post-intervention, and in a three months follow-up. In addition, a biofeedback evaluation was performed by a physiotherapist at the first session and follow-up. All women were asked to complete the Female Sexual Function Index and Pelvic Floor Distress Inventory questionnaires at the first session and in follow-up assessments. Descriptive statistics, the paired samples t-test, and the Friedman test were used to analyze the data.Results: The mean and standard deviation of the age and gravidity of participants were 40.3±8.01 years and 2.65±1.3, respectively. We observed that 81.4% of women had a history of vaginal delivery. A significant improvement was found in the levator muscle tonicity by manual examination in the three-month follow-up (P < /em><0.001). Moreover, maximal pelvic floor contraction measured by biofeedback improved (P < /em>=0.075). There were significant improvements in female sexual function and pelvic floor distress, including pelvic organ prolapse, colorectal-anal distress, and urinary distress after RF therapy (P < /em><0.001).Conclusion: The findings of the current investigation showed that RF could be applied for pelvic floor restoration and is likely to improve sexual function and pelvic floor distress.
Obstetrics and Gynecology
Tahereh Eftekhar; Marzieh Hajibabaei; Leila Pourali; Maryam Vizheh; Ali Montazeri
Volume 6, Issue 3 , June 2021, , Pages 128-133
Abstract
Background & Objective: Vaginal laxity is a prevalent disorder that influences woman’s sexual satisfaction and quality of life. This study aimed to evaluate the impact of Higgs radiofrequency on pelvic organ prolapse and sexual function among women suffering from vaginal laxity.Materials & ...
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Background & Objective: Vaginal laxity is a prevalent disorder that influences woman’s sexual satisfaction and quality of life. This study aimed to evaluate the impact of Higgs radiofrequency on pelvic organ prolapse and sexual function among women suffering from vaginal laxity.Materials & Methods: This was a pre- and post-intervention study. Twenty-two subjects who suffered from vaginal laxity referring to a pelvic floor clinic affiliated with Tehran University of Medical Sciences were studied. Higgs radiofrequency was administered at six sessions with a two-week interval. Women were evaluated by an urogynecologist for pelvic organ prolapse quantification (POP-Q) twice: before and three months after intervention. Also, women responded to the Female Sexual Function Index (FSFI-19) at baseline and three months follow-up assessment. Data were analyzed by descriptive statistics and paired samples t-test.Results: The mean age of participants was 40.30 (SD = 8.01) years. The mean number of gravidities was 2.45 (SD = 1.29). Seventeen women (77.3 %) suffered from severe or moderate vaginal laxity. After intervention, the point Ba (P < /em>=0.02), perineal body-point PB (P < /em>=0.058) and total vaginal length (0.014) significantly improved. Also, female sexual function and its six domains improved (P < /em><0.001).Conclusion: The findings indicated that Higgs radiofrequency was a safe and noninvasive technique that improved some pelvic organ prolapse quantification and sexual function among women suffering from vaginal laxity.
