Pelvik taban kas gücünün kadınlarda cinsel fonksiyon ve aşırı aktif mesane semptomlarıyla ilişkisi: Kesitsel bir gözlemsel çalışma

OBJECTIVE: This study aims to evaluate the relationship between pelvic floor muscle (PFM) strength and female sexual function -particularly orgasmic capacity– and to examine the influence of overactive bladder (OAB) symptoms on this relationship. MATERIAL and METHODS: This cross-sectional study included 316 sexually active heterosexual women aged 18–60 years who presented to a gynecology outpatient clinic with OAB symptoms. PFM strength was assessed using the Modified Oxford Classification. Sexual function, bladder symptoms, and perception of the partner’s ejaculation duration were evaluated using the FSFI, OAB-V8, and PEP-Female questionnaires, respectively. RESULTS: Women who reported experiencing orgasm had significantly higher Modified Oxford scores, FSFI scores, and PEP-Female scores, and lower OAB-V8 scores (p<0.001 for all comparisons). PFM strength showed strong positive correlations with FSFI and PEP-Female scores, and a strong negative correlation with OAB-V8 scores. CONCLUSION: Pelvic floor muscle strength is closely associated with both sexual function and bladder health in women. Assessment and strengthening of pelvic floor muscles may contribute to simultaneous improvements in sexual satisfaction and urinary control in women experiencing sexual dysfunction. Keywords: pelvic floor, sexual dysfunction, orgasm, overactive urinary bladder, women’s health