Raquel García-Laria, Alejandra Alonso-Calvete, Lorenzo Justo-Cousiño, Iria Da Cuña-Carrera, Mercedes Soto-González
{"title":"盆底肌训练对绝经后妇女性功能的影响。系统回顾和荟萃分析。","authors":"Raquel García-Laria, Alejandra Alonso-Calvete, Lorenzo Justo-Cousiño, Iria Da Cuña-Carrera, Mercedes Soto-González","doi":"10.1093/sexmed/qfaf067","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During postmenopause, women frequently experience genitourinary symptoms that may result in sexual dysfunctions. Common treatments include hormone replacement therapy or vaginal lubricants. Pelvic floor muscle training (PFMT) has been observed to have beneficial effects on sexual function in other groups of women.</p><p><strong>Aim: </strong>To evaluate the effect of PFMT on sexual function in postmenopausal women.</p><p><strong>Methods: </strong>A systematic search was conducted in June 2025, in PubMed, Scopus, Web of Science, Medline, CINAHL databases, and the Google Scholar search engine. Inclusion criteria were randomized clinical trial articles published in English, in which at least one intervention addressed the study objective. A meta-analysis was conducted with a random-effects model.</p><p><strong>Results: </strong>A total of five studies were selected after applying eligibility criteria. All included articles implemented PFMT interventions, showing improvements in sexual function as assessed by the Female Sexual Function Index. A significant positive effect was shown in the total score of Female Sexual Function Index in experimental group in comparison with control group (<i>P</i> < .001; standard mean difference [SMD] = 1.33; <i>I</i> <sup>2</sup> = 92%). A significant positive effect was also demonstrated in orgasm domain (<i>P</i> < .001; SMD = 1.91; <i>I</i> <sup>2</sup> = 97%), arousal domain (<i>P</i> < .001; SMD = 1.87; <i>I</i> <sup>2</sup> = 96%), and satisfaction domain (<i>P</i> < .001; SMD = 2.16; <i>I</i> <sup>2</sup> = 98%). A significant negative effect was found in desire domain (<i>P</i> < .001; SMD = 0.34; <i>I</i> <sup>2</sup> = 86%) and lubrication domain (<i>P</i> < .001; SMD = 0.26; <i>I</i> <sup>2</sup> = 87%) and finally no significant effects were found in pain domain.</p><p><strong>Strengths and limitations: </strong>Although this is the first meta-analysis to address this topic in postmenopausal women, the results are heterogeneous and the scientific evidence remains limited.</p><p><strong>Conclusion: </strong>PFMT appears to have positive effects on sexual function in postmenopausal women, particularly in aspects such as orgasm, arousal, and satisfaction.</p>","PeriodicalId":21782,"journal":{"name":"Sexual Medicine","volume":"13 4","pages":"qfaf067"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449232/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of pelvic floor muscle training on sexual function of postmenopausal women. A systematic review and meta-analysis.\",\"authors\":\"Raquel García-Laria, Alejandra Alonso-Calvete, Lorenzo Justo-Cousiño, Iria Da Cuña-Carrera, Mercedes Soto-González\",\"doi\":\"10.1093/sexmed/qfaf067\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>During postmenopause, women frequently experience genitourinary symptoms that may result in sexual dysfunctions. Common treatments include hormone replacement therapy or vaginal lubricants. Pelvic floor muscle training (PFMT) has been observed to have beneficial effects on sexual function in other groups of women.</p><p><strong>Aim: </strong>To evaluate the effect of PFMT on sexual function in postmenopausal women.</p><p><strong>Methods: </strong>A systematic search was conducted in June 2025, in PubMed, Scopus, Web of Science, Medline, CINAHL databases, and the Google Scholar search engine. Inclusion criteria were randomized clinical trial articles published in English, in which at least one intervention addressed the study objective. A meta-analysis was conducted with a random-effects model.</p><p><strong>Results: </strong>A total of five studies were selected after applying eligibility criteria. All included articles implemented PFMT interventions, showing improvements in sexual function as assessed by the Female Sexual Function Index. A significant positive effect was shown in the total score of Female Sexual Function Index in experimental group in comparison with control group (<i>P</i> < .001; standard mean difference [SMD] = 1.33; <i>I</i> <sup>2</sup> = 92%). A significant positive effect was also demonstrated in orgasm domain (<i>P</i> < .001; SMD = 1.91; <i>I</i> <sup>2</sup> = 97%), arousal domain (<i>P</i> < .001; SMD = 1.87; <i>I</i> <sup>2</sup> = 96%), and satisfaction domain (<i>P</i> < .001; SMD = 2.16; <i>I</i> <sup>2</sup> = 98%). A significant negative effect was found in desire domain (<i>P</i> < .001; SMD = 0.34; <i>I</i> <sup>2</sup> = 86%) and lubrication domain (<i>P</i> < .001; SMD = 0.26; <i>I</i> <sup>2</sup> = 87%) and finally no significant effects were found in pain domain.</p><p><strong>Strengths and limitations: </strong>Although this is the first meta-analysis to address this topic in postmenopausal women, the results are heterogeneous and the scientific evidence remains limited.</p><p><strong>Conclusion: </strong>PFMT appears to have positive effects on sexual function in postmenopausal women, particularly in aspects such as orgasm, arousal, and satisfaction.</p>\",\"PeriodicalId\":21782,\"journal\":{\"name\":\"Sexual Medicine\",\"volume\":\"13 4\",\"pages\":\"qfaf067\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449232/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sexual Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/sexmed/qfaf067\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexual Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/sexmed/qfaf067","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Effects of pelvic floor muscle training on sexual function of postmenopausal women. A systematic review and meta-analysis.
Background: During postmenopause, women frequently experience genitourinary symptoms that may result in sexual dysfunctions. Common treatments include hormone replacement therapy or vaginal lubricants. Pelvic floor muscle training (PFMT) has been observed to have beneficial effects on sexual function in other groups of women.
Aim: To evaluate the effect of PFMT on sexual function in postmenopausal women.
Methods: A systematic search was conducted in June 2025, in PubMed, Scopus, Web of Science, Medline, CINAHL databases, and the Google Scholar search engine. Inclusion criteria were randomized clinical trial articles published in English, in which at least one intervention addressed the study objective. A meta-analysis was conducted with a random-effects model.
Results: A total of five studies were selected after applying eligibility criteria. All included articles implemented PFMT interventions, showing improvements in sexual function as assessed by the Female Sexual Function Index. A significant positive effect was shown in the total score of Female Sexual Function Index in experimental group in comparison with control group (P < .001; standard mean difference [SMD] = 1.33; I2 = 92%). A significant positive effect was also demonstrated in orgasm domain (P < .001; SMD = 1.91; I2 = 97%), arousal domain (P < .001; SMD = 1.87; I2 = 96%), and satisfaction domain (P < .001; SMD = 2.16; I2 = 98%). A significant negative effect was found in desire domain (P < .001; SMD = 0.34; I2 = 86%) and lubrication domain (P < .001; SMD = 0.26; I2 = 87%) and finally no significant effects were found in pain domain.
Strengths and limitations: Although this is the first meta-analysis to address this topic in postmenopausal women, the results are heterogeneous and the scientific evidence remains limited.
Conclusion: PFMT appears to have positive effects on sexual function in postmenopausal women, particularly in aspects such as orgasm, arousal, and satisfaction.
期刊介绍：
Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.
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