{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T15:31:16Z","timestamp":1767195076273,"version":"3.48.0"},"reference-count":55,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Sexual health is shaped by lifestyle factors alongside biomedical determinants. This review synthesises evidence on physiotherapy, balneology\/peloidotherapy, and diet therapy as preventive and therapeutic adjuncts for female sexual dysfunctions and related gynaecological conditions. Methods: A structured narrative review of PubMed and Google Scholar (June\u2013July 2025) was conducted by three independent reviewers using predefined keywords in English and Polish. Case reports, preprints, and studies before 2015 were excluded. From 7322 records, 47 studies met the inclusion criteria for qualitative synthesis. Results: Physiotherapy\u2014particularly pelvic floor muscle training, multimodal manual therapy, neuromuscular electrical stimulation (including PTNS), magnetostimulation, short-wave diathermy, and capacitive\u2013resistive monopolar radiofrequency\u2014was consistently associated with reductions in dyspareunia, chronic pelvic pain, and urinary symptoms, with parallel improvements in sexual function and quality of life. Balneological procedures (brine baths\/irrigations, crenotherapy, selected radon\/sulphide\/iodine\u2013bromine applications) and peloidotherapy demonstrated analgesic, anti-inflammatory, and perfusion-enhancing effects, with signals of benefit in vulvodynia, endometriosis, and infertility support. Dietary measures\u2014higher fruit intake (notably citrus), adequate vitamin D, targeted omega-3 use in PCOS, a Mediterranean dietary pattern, and prudent red-meat limitation\u2014were associated with favourable endocrine\u2013metabolic profiles and, in selected contexts, reduced disease risk. Conclusions: Integrating lifestyle\u2013medicine modalities with standard care may meaningfully prevent and manage female sexual dysfunctions by addressing pain, perfusion, neuromuscular control, and endocrine\u2013metabolic drivers. Implementation frameworks and high-quality trials are warranted to refine indications, dosing, and long-term effectiveness.<\/jats:p>","DOI":"10.3390\/jcm15010307","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T15:05:01Z","timestamp":1767193501000},"page":"307","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle and Selected Issues Related to Sexual Health: The Importance of Specialist Care in Balneology, Dietetics, and Physiotherapy"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3695-3245","authenticated-orcid":false,"given":"Agata","family":"Puszcz","sequence":"first","affiliation":[{"name":"Sexology and Clinical Psychology Student Research Group, Pozna\u0144 University of Medical Sciences, 70 Bukowska Street, 60-812 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6044-6918","authenticated-orcid":false,"given":"Paulina","family":"Koz\u0142owska","sequence":"additional","affiliation":[{"name":"Sexology and Clinical Psychology Student Research Group, Pozna\u0144 University of Medical Sciences, 70 Bukowska Street, 60-812 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justyna","family":"W\u00f3jcik","sequence":"additional","affiliation":[{"name":"Sexology and Clinical Psychology Student Research Group, Pozna\u0144 University of Medical Sciences, 70 Bukowska Street, 60-812 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1849-3552","authenticated-orcid":false,"given":"Anna","family":"Morawska","sequence":"additional","affiliation":[{"name":"Sexology and Clinical Psychology Student Research Group, Pozna\u0144 University of Medical Sciences, 70 Bukowska Street, 60-812 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8313-8106","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"W\u00f3jcik","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Physical Culture in Gorzow Wielkopolski, Pozna\u0144 University of Physical Education, 13 Ewaryst Estkowski Street, 66-400 Gorz\u00f3w Wielkopolski, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Plagens-Rotman","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology, Pozna\u0144 University of Medical Sciences, 33 Polna Street, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Englert-Golon","sequence":"additional","affiliation":[{"name":"Division of Gynaecological Oncology, Department of Gynaecology, Poznan University of Medical Sciences, Polna 33, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8272-7534","authenticated-orcid":false,"given":"Jakub","family":"Mroczyk","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology, Pozna\u0144 University of Medical Sciences, 33 Polna Street, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9533-2950","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Mizgier","sequence":"additional","affiliation":[{"name":"Department of Sports Dietetics, Faculty of Health Sciences, Pozna\u0144 University of Physical Education, 27\/39 Queen Jadwiga Street, 61-871 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Jakubek","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Pozna\u0144 University of Medical Sciences, 70 Bukowska Street, 60-812 Pozna\u0144, Poland"},{"name":"Department of Social Medicine and Public Health, Faculty of Medicine and Health Sciences, Calisia University, 62-800 Kalisz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Pisarska-Krawczyk","sequence":"additional","affiliation":[{"name":"Nursing Department, Calisia University, 62-800 Kalisz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-4188","authenticated-orcid":false,"given":"Stefan","family":"Sajdak","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology, Pozna\u0144 University of Medical Sciences, 33 Polna Street, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaudyna","family":"Madziar","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology, Pozna\u0144 University of Medical Sciences, 33 Polna Street, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Witold","family":"K\u0119dzia","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology, Pozna\u0144 University of Medical Sciences, 33 Polna Street, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1385-5641","authenticated-orcid":false,"given":"Gra\u017cyna","family":"Jarz\u0105bek-Bielecka","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology, Pozna\u0144 University of Medical Sciences, 33 Polna Street, 60-535 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"ref_1","unstructured":"WHO (2006). 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