Evaluation of sexual function in women with genital prolapse, pessary users

Evaluation of sexual function in women with genital prolapse, pessary users

Franklin J. Espitia-De la Hoz

Departamento de Uroginecología y Cirugía reconstructiva del piso pélvico, Urogolyn Care-Eje Cafetero; Departamento de Sexología Clínica, Hathor, Clínica Sexológica. Armenia, Pereira, Colombia

*Correspondence: Franklin J. Espitia-De la Hoz. Email: espitiafranklin71@gmail.com

Abstract

Objective: To evaluate sexual function in women with genital prolapse, before and after the use of the pessary.

Method: Cross-sectional study. Thirty-five women (38 and 47 years old) with symptomatic genital prolapse were included. They were diagnosed with the pelvic organ prolapse quantification system (POP-Q), treated in three university clinics in the Coffee Region (Colombia), between 2022 and 2024. Sexual function was evaluated with the Index of Female Sexual Function (IFSF), before and 6 months after the use of the pessary. Consecutive sampling was done. Descriptive analysis was performed.

Results: The average age of the participants was 46.85 ± 9.72 years. Fifty-four-point twenty-eight percent presented anterior prolapse, 31.42% posterior and 14.28% apical. Grade 2 prolapse was the most common (48.57%), and grade 4 was the least common (8.57%). The main symptom was the sensation of a vaginal lump (88.57%), followed by urination urgency (71.42%). The prevalence of sexual dysfunction before pessary use was 82.85% and after pessary use was 25.71%. The IFSF score in the total population before and after pessary use was 21.15 ± 7.64 and 27.56 ± 8.39, respectively. Desire disorder predominated (82.85%), followed by orgasm (51.42%).

Conclusions: The use of the pessary has a positive effect on the sexual function of women with genital prolapse, achieving a decrease of 2/3 in the prevalence of sexual dysfunctions. The use of a pessary should be considered as part of the first line of therapy in patients with genital prolapse equal to or greater than grade 2.

Keywords: Prolapse; Genitalia; Women; Pessaries; Sexual health

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