{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T20:39:42Z","timestamp":1784752782580,"version":"3.55.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Fundaci\u00f3 Instituci\u00f3 dels Centres de Recerca de Catalunya"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>Factors contributing to sexual inactivity and dysfunction in women with pelvic floor dysfunction (PFD) remain unclear. We hypothesized that sexuality may be affected by different biopsychosocial factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted in women with PFD attending a tertiary urogynecology unit. Sexual activity and function were assessed using the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Function Questionnaire (PISQ-IR) validated in Spanish. Demographic and clinical data were collected through validated questionnaires (International Consultation on Incontinence Questionnaire, Bladder Control Self-Assessment Questionnaire, Pelvic Floor Distress Inventory-20 (to be homogeneous with the previous ones)), POP Quantification stage, and the modified Oxford scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 1169 women (mean age 60.2\u2009\u00b1\u200913.5\u00a0years; 71.3% menopausal), 88.1% reported urinary incontinence, 54.4% anal incontinence (AI), and 40.6% symptomatic pelvic organ prolapse (POP). The sexually inactive rate was 40.4% (472 out of 1169), mainly because of a lack of interest (353 out of 472), and 24.1% (114 out of 472) because of PFD. Based on the PISQ-IR cutoff, the sexual dysfunction rate was 24.4% (170 out of 697) among sexually active participants. Multivariate analysis identified biological factors contributing to sexual inactivity (older age, hypertension, and symptomatic POP; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05) and sexual dysfunction (dyspareunia, symptomatic POP, and AI symptoms; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05). Notably, two biological factors contribute to a lower risk of sexual dysfunction: a higher Oxford score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029) and older age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Psychological factors such as mental health problems were associated with sexual dysfunction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015), whereas the social factor of having a partner was strongly associated with being sexually active (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multiple biopsychosocial factors influence sexual activity and function in women with PFD. Approximately 2 out of 5 women were sexually inactive and a quarter were at risk of sexual dysfunction. The PISQ-IR helps health care professionals to identify women whose sexual activity or function is affected by pelvic floor symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06668-7","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T13:22:41Z","timestamp":1779456161000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Contributing Factors for Sexual Inactivity and Sexual Dysfunction in Women with Pelvic Floor Disorders"],"prefix":"10.1007","author":[{"given":"Lorena","family":"L\u00f3pez-Fr\u00edas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1909-3759","authenticated-orcid":false,"given":"S\u00f2nia","family":"Angl\u00e8s-Acedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Galan Rullo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Box Caparr\u00f3s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Em\u00edlia","family":"S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Ros Cerro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Espu\u00f1a-Pons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"issue":"3","key":"6668_CR1","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1016\/j.ogc.2019.04.010","volume":"46","author":"MM Good","year":"2019","unstructured":"Good MM, Solomon ER. 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