{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T15:42:05Z","timestamp":1792424525650,"version":"4.5.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,12,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Pessaries are commonly used to treat pelvic floor disorders, but little is known about the sexual function of pessary users.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>We aimed to describe sexual function among pessary users and pessary management with regard to sexual activity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This is a secondary analysis of a randomized trial of new pessary users, where study patients completed validated questionnaires on sexual function and body image at pessary fitting and 3 months later.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Women completed the Pelvic Organ Prolapse\u2014Urinary Incontinence Sexual Function Questionnaire, International Urogynecological Association Revised (PISQ-IR), a validated measure that evaluates the impact of pelvic floor disorders on sexual function, a modified female body image scale (mBIS), and questions regarding pessary management surrounding sexual activity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 127 women, 54% (68\/127) were sexually active at baseline and 42% (64\/114) were sexually active at 3 months. Sexual function scores were not different between baseline and 3 months on all domains except for a drop of 0.15 points (P \u2009=\u20090.04) for sexually active women, and a drop of 0.34 points for non-sexually active women (P \u2009=\u20090.02) in the score related to the sexual partner. Total mBIS score did not change (P \u2009=\u20090.07), but scores improved by 0.2 points (P \u2009=\u20090.03) in the question related to self-consciousness. Pessary satisfaction was associated with improved sexual function scores in multiple domains and improved mBIS scores. The majority (45\/64, 70%) of sexually active women removed their pessary for sex, with over half stating their partner preferred removal for sex (24\/45, 53%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Many women remove their pessary during sex for partner considerations, and increased partner concerns are the only change seen in sexual function in the first 3 months of pessary use. Pessary use may improve self-consciousness and pessary satisfaction is associated with improvements in sexual function and body image.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1111\/jsm.13060","type":"journal-article","created":{"date-parts":[[2015,12,3]],"date-time":"2015-12-03T05:45:22Z","timestamp":1449121522000},"page":"2339-2349","source":"Crossref","is-referenced-by-count":37,"title":["Sexual Function and Pessary Management Among Women Using a Pessary for Pelvic Floor Disorders"],"prefix":"10.1093","volume":"12","author":[{"given":"Kate V.","family":"Meriwether","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Albuquerque, NM , USA"},{"name":"University of New Mexico \u00a0 , Albuquerque, NM , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko M.","family":"Komesu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Albuquerque, NM , USA"},{"name":"University of 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USA"},{"name":"University of New Mexico \u00a0 \u00a0 , Albuquerque, NM , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca G.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Albuquerque, NM , USA"},{"name":"University of New Mexico \u00a0 , Albuquerque, NM , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"2023010713381259600_bb0010","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/AOG.0000000000000057","article-title":"Prevalence and trends of symptomatic pelvic floor disorders in U.S. women","volume":"123","author":"Wu","year":"2014","journal-title":"Obstet Gynecol"},{"issue":"6\u2009Pt 1","key":"2023010713381259600_bb0015","first-page":"931","article-title":"A survey of pessary use by members of the American Urogynecologic 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