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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3059 records
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Created on : 03 Nov 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Sexual function among women with urinary incontinence and pelvic organ prolapse. American Journal of Obstetrics and Gynecology 191(3):751-56.

Author(s) :

Handa VL, Harvey L, Cundiff GW, Siddique SA, Kjerulff KH.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :


The objective of this research was to determine whether sexual complaints, such as dyspareunia, are associated with pelvic floor disorders.

Study design

We used data collected for the Maryland Women’s Health Study. Among adult women scheduled for hysterectomy, we used multiple logistic regression analysis to identify characteristics associated with 4 sexual complaints: decreased libido, vaginal dryness, dyspareunia, and anorgasmia.


Among 1299 participants, 495 (38.1%) had evidence of pelvic floor disorders. Sexual complaints were significantly more common among women with pelvic floor disorders (53.2% vs 40.4%, P < .01). In the multiple regression model, urinary incontinence was significantly associated with low libido (odds ratio [OR] 1.96), vaginal dryness (OR 2.11), and dyspareunia (OR 2.04), independent of age, educational attainment, and race. In contrast, pelvic organ prolapse was not associated with any sexual complaint.


In a cohort of women planning hysterectomy, women with urinary incontinence were significantly more likely to report sexual complaints.

Sumário (português)  :

Comments :

Mais aucun rapport n’est établi avec l’histoire procréative de ces femmes, et ne sélectionner que des femmes en attente d’hystérectomie est mettre un biais bien bizarre qui n’apporte rien sur les autres femmes.

Argument (français) :

Parmi des femmes envisageant une hystérectomie, celles qui rapportent des troubles dans leur sexualité souffrent en général d’incontinence urinaire.

Argument (English):

Argumento (português):

Keywords :

➡ evidence-based medicine/midwifery ; dyspareunia ; incontinence/prolapsus

Author of this record :

Cécile Loup — 03 Nov 2004

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