A study in Sexual Medicine examined the relationship between pelvic floor muscle (PFM) function and sexual function in perimenopausal women.
What the Research Shows
Researchers evaluated 252 women aged 40–55 using the FSFI, PFM strength assessment, and hormonal measurements.
Key findings:
• Women with dysfunctional PFMs reported significantly poorer sexual outcomes—lower libido, orgasm, and satisfaction.
• Higher prevalence of overweight and central adiposity in the dysfunctional PFM group.
• Positive correlation between PFM strength and sexual function domains including libido, arousal, orgasm, and satisfaction.
• Greater PFM strength was associated with reduced risk of sexual dysfunction.
What This Means for Clinical Care
Stronger PFMs may be protective against sexual dysfunction during the menopausal transition.
• Pelvic floor health should be routinely assessed in perimenopausal patients experiencing sexual concerns.
• Weight management and addressing central adiposity may complement PFM rehabilitation.
• Integrating PFM training with hormone therapy may optimize sexual function outcomes.
Holistic Approach to Midlife Sexual Health
These findings support incorporating pelvic floor rehabilitation into comprehensive care for perimenopausal women, addressing PFM strength alongside hormonal and metabolic factors.
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