Sexuelle Gesundheit bei Frauen mit Beckenbodenstörungen
摘要
Female sexual health can be affected by pelvic floor disorders such as incontinence or prolapse. Studies show that up to 50% of women over the age of 50 are affected by pelvic organ prolapse, leading to significant psychological, physical, and sexual impairments. These conditions are common, especially among women after childbirth or during menopause. The pelvic floor muscles play a central role in sexual function, where dysfunctions such as tension or weakness often lead to dyspareunia or orgasm disorders. The effects on sexual health are complex and comprise both physical and psychological factors. Targeted therapy such as pelvic floor training and physiotherapy can alleviate symptoms and improve sexual satisfaction; however, surgical interventions may be necessary in some cases. Preoperative and postoperative assessments using questionnaires like the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, International Urogynecological Association (IUGA)-Revised (PISQ-IR), or the Female Sexual Function Index (FSFI) help to capture the impact of pelvic floor disorders on sexual function. Postoperatively, many women report an improvement in their sexual function, particularly in the case of relief of incontinence and prolapse symptoms. However, negative effects after surgery can also occur. Therefore, it is important to thoroughly explain these potential outcomes to the patient during counselling and always present alternative surgical options. This article explores the relationship between pelvic floor disorders and sexual health to promote a better understanding of their diagnosis, treatment, and prevention.