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Sexual Complaints, Pelvic Floor Symptoms, and Sexual Distress in Women over Forty




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Women who've had a vacuum-assisted delivery don't appear to have a higher risk for stress incontinence.

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People who are overweight or obese have a much higher risk of stress incontinence. Excess weight increases pressure on the abdominal and pelvic organs. Hysterectomy in women and particularly surgery for prostate cancer in men can alter the function and support of the bladder and urethra, making it much more likely for a person to develop stress incontinence. Complications Complications of stress incontinence may include: If you experience stress Wommen with your daily activities, you may feel embarrassed and distressed by the im. Symptoms related iin vaginal atrophy are: A reduction in the fullness of the vulva and the vagina Dryness, itching and burning in the vagina or on the vulva Pain during sexual intercourse Vaginal bleeding An increase in urinary tract infections due to a change in the acidity of the vagina.

Urinary symptoms of pelvic organ prolapse are urge incontinence and painful urination. Treatments for menopausal urinary symptoms As lack of estrogen is the primary cause of urogenital atrophy, the treatments for it in postmenopausal women involve hormone therapy HT. These can help restore the vagina to premenopausal condition and relieve many symptoms of urogenital atrophy. Maintain a healthy weight. Get regular, daily physical activity and exercise. Limit consumption of caffeine and alcohol. Manage chronic conditions, such as diabetes, that might contribute to overactive bladder symptoms. Learn where your pelvic floor muscles are and then strengthen them by doing Kegel exercises — tighten contract muscles, hold the contraction for two seconds and relax muscles for three seconds.

Work up to holding the contraction for five seconds and then 10 seconds at a time.

In to pee distress Women

Do three sets disgress 10 repetitions each day. Sometimes, however, frequent urination may be due to damage to the nerves in the bladder as well. Sometimes a woman does not experience problems with bladder control immediately after giving birth, but she may experience symptoms years later. Symptoms and complications Additional symptoms, such as pain or the inability to control one's bladder, can help the doctor identify the cause of the frequent urination. A woman may have additional symptoms besides how often she urinates. This may give doctors a clue as to the potential cause of her frequent urination.

For example, if a woman's frequent urination is due to a urinary tract infection, she could experience a severe and systemic infection if left untreated.

This could damage her kidneys and cause narrowing of the urethras. If urinary frequency occurs on its own with no immediately treatable illness, it can affect a woman's quality of life. A woman may not be able to sleep well due to having to wake up to go to the bathroom very often. She may also refrain from social events for fear of having to go to the bathroom too frequently. These complications can all have an effect on a woman's sense of well-being.

However, until recently, most research on female sexual function has focused on sexual complaints but has not considered the quality-of-life impact of these complaints in relation to sexual distress [ 4 ]. The Female Sexual Distress Scale FSDS [ 5 ] is a potentially useful adjunct to other validated sexual function questionnaires because it allows an assessment of distress related to sexual function. These data are helpful in creating a frame of reference regarding the impact of sexual complaints on quality of life. However, there has been little investigation of the sexual complaints that women find most bothersome or distressing.

For example, low libido is the most common sexual complaint, but many women with low libido do not report personal distress related to this symptom [ 3 ]. Additionally, prior research suggests that women with pelvic floor symptoms, such as pelvic organ prolapse and incontinence, may be more likely to report sexual symptoms [ 78 ]. However, little is known about whether pelvic floor complaints, such as incontinence of urine during sexual activity, are sexually distressing [ 9 ]. Aims Our study aims to investigate the association between reported sexual complaints and perceived level of sexual distress in women. In a population of adult women seeking ambulatory gynecologic care, we assessed sexual complaints, sexual interference from pelvic floor symptoms, and distress related to sexual function.


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