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Purpose of Review <p>Female sexual dysfunction (FSD) frequently co-occurs with urinary incontinence (UI) and substantially impacts quality of life for women. Pelvic floor muscle (PFM) dysfunction is increasingly recognized as a physical link between these conditions, yet research and clinical care often address UI and FSD in parallel rather than as connected phenomena. This narrative review synthesizes recent evidence on PFM performance in women with UI and FSD, as well as conservative interventions targeting the PFM and surrounding tissues through medical management and pelvic floor physical therapy.</p> Recent Findings <p>Most studies focus narrowly on PFM strengthening and rely on patient-reported outcomes, limiting insight into specific PFM deficits related to specific FSD or UI presentations. The authors propose a framework connecting discrete PFM performance impairments to specific FSD and UI presentations, offering a theoretical rationale that can serve to guide clinical care and research.</p> Summary <p>Future studies should focus on PFM assessment of all components of performance with specific treatment related to dysfunctions to advance precision pelvic floor care.</p>

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Pelvic Floor Muscle Performance as a Proposed Mechanistic Link Between Urinary Incontinence and Female Sexual Dysfunction: A Narrative Review

  • 期刊论文

  • 发表日期：

    2026年3月2日

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  • Karla Wente,
  • Ariana Alexander,
  • Briana Giordano

摘要

Purpose of Review

Female sexual dysfunction (FSD) frequently co-occurs with urinary incontinence (UI) and substantially impacts quality of life for women. Pelvic floor muscle (PFM) dysfunction is increasingly recognized as a physical link between these conditions, yet research and clinical care often address UI and FSD in parallel rather than as connected phenomena. This narrative review synthesizes recent evidence on PFM performance in women with UI and FSD, as well as conservative interventions targeting the PFM and surrounding tissues through medical management and pelvic floor physical therapy.

Recent Findings

Most studies focus narrowly on PFM strengthening and rely on patient-reported outcomes, limiting insight into specific PFM deficits related to specific FSD or UI presentations. The authors propose a framework connecting discrete PFM performance impairments to specific FSD and UI presentations, offering a theoretical rationale that can serve to guide clinical care and research.

Summary

Future studies should focus on PFM assessment of all components of performance with specific treatment related to dysfunctions to advance precision pelvic floor care.