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Research Papers - Sexual Function

Int Urogynecol J Pelvic Floor Dysfunct. 2010 May;21(5):553-6. Epub 2010 Jan 20.
Can stronger pelvic muscle floor improve sexual function?

Lowenstein L Gruenwald I , Gartman I , Vardi Y
One hundred seventy-six women with a mean age of 37 years were included in the study. Women with strong or moderate pelvic floor muscle strength scored significantly higher for orgasm and sexual arousal than women with weak pelvic floor muscles.

J Sex Med. 2010 Feb 2. [Epub ahead of print]
Sexual Function and Quality of Life in Women with Urinary Incontinence Treated by a Complete Pelvic Floor Rehabilitation Program (Biofeedback, Functional Electrical Stimulation, Pelvic Floor Muscles Exercises, and Vaginal Cones).
Rivalta M, Sighinolfi MC, Micali S, De Stefani S, Bianchi G

Sixteen patients with urinary incontinence underwent a complete pelvic floor rehabilitation program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones). After pelvic floor rehabilitation, none of the patients reported urine leakage during sexual activity. Resolution of incontinence was achieved in 13 (81.25%) women. Only three (18.75%) patients had positive 1-hour pad test after the treatment.

Mescape J Med. 2008 Jan 30;10(1):23
The use of amielle vaginal trainers as adjuvant in the treatment of vestibulodynia: an observational multicentric study.

Murina F, Bernorio R, Palmiotto R.
OBJECTIVE: To assess the effectiveness of a specific set of vaginal dilators (Amielle Comfort) as a part of vestibulodynia therapy. STUDY DESIGN: Fifteen women referred for vestibulodynia, localized vulvodynia, were advised to use vaginal dilators (Amielle Comfort) accompanied by standardized instructions, after previously receiving 1 or more therapies for the vestibulodynia. RESULTS: The posttreatment Marinoff scale for dyspareunia significantly improved in patients after vaginal dilator treatment compared with baseline values (2.2 +/- 0.4 vs 1.1 +/- 0.9; P < .01), and the Female Sexual Function Index scores were significantly improved compared with the prestudy values (16.3 +/- 5.5 vs 25.3 +/- 7.5; P <.01). CONCLUSION: Among women with previous therapy for vestibulodynia, vaginal dilator use wasassociated with improvement in symptoms. Vaginal dilators can play an important role in overcoming pelvic floor muscular responses that remain and sometimes increase after pain perception has decreased.

Talli Y. Rosenbaum (2013):An integrated mindfulness-based approach to the treatment of women with sexual pain and anxiety: promoting autonomy and mind/body connection, Sexual and Relationship Therapy, Journal of Sex and Relationship Therapy DOI:10.1080/14681994.2013.764981

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