{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:17:47Z","timestamp":1773389867927,"version":"3.50.1"},"reference-count":35,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100023554","name":"Fundaci\u00f3n Canaria Instituto de Investigaci\u00f3n Sanitaria de Canarias","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100023554","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Pelvic floor disorders (PFDs), which include pelvic organ prolapse and urinary incontinence, are common conditions that often affect sexual health, but remain under-assessed within routine care. The following cases are presented to demonstrate the potential of a brief sexual health questionnaire in pelvic floor clinics and to explore how sexual function varies across common PFD phenotypes. Methods: A pilot case series was conducted with a group of five sexually active women diagnosed with PFDs at the Materno-Infantil University Hospital in Gran Canaria, Spain, between January and December 2025. Patients completed the Female Sexual Function Index (FSFI) at the index visit. Results: Mean age was 40.6 years (range 35\u201346), mean parity was 1.6 births and 60% were active smokers. Mean FSFI total score was 26.9 (range 21.4\u201332.2) and 60% scored below 26.55. Desire and arousal were relatively preserved (means 5.0 and 4.9), whereas lubrication (3.4) and satisfaction (3.9) showed greater variability. Pain scores were low overall (mean 5.2). Self-rated sexual satisfaction was low in 40%, moderate in 40% and high in 20%. Moderate-to-high anticipatory sexual anxiety was present in 80%. Conclusions: Integrating a concise questionnaire based on the FSFI into the pelvic floor consultation appears to be a reasonable approach, with the potential to address secondary sexual dysfunction in patients with PFD, thereby facilitating personalised counselling and treatment.<\/jats:p>","DOI":"10.3390\/jcm15062131","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:43:27Z","timestamp":1773225807000},"page":"2131","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual Function in Pelvic Floor Disorders: A Pilot Study on the Feasibility of Routine Assessment"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4661-5652","authenticated-orcid":false,"given":"Esther Patricia","family":"Escamilla Galindo","sequence":"first","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Hospital Complex Materno-Infantil of Las Palmas de Gran Canaria, Av. Mar\u00edtima s\/n, 35016 Las Palmas de Gran Canaria, Spain"},{"name":"Department of Medical and Surgical Sciences, Faculty of Health Sciences, University of Las Palmas de Gran Canaria, Juan de Quesada, 30, 35001 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4237-6378","authenticated-orcid":false,"given":"Alicia Inmaculada","family":"Mart\u00edn Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Hospital Complex Materno-Infantil of Las Palmas de Gran Canaria, Av. Mar\u00edtima s\/n, 35016 Las Palmas de Gran Canaria, Spain"},{"name":"Department of Medical and Surgical Sciences, Faculty of Health Sciences, University of Las Palmas de Gran Canaria, Juan de Quesada, 30, 35001 Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"9878","DOI":"10.1038\/s41598-022-13501-w","article-title":"Prevalence of pelvic floor disorders in adult women being seen in a primary care setting and associated risk factors","volume":"12","author":"Kenne","year":"2022","journal-title":"Sci Rep."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Peinado-Molina, R.A., Hern\u00e1ndez-Mart\u00ednez, A., Mart\u00ednez-V\u00e1zquez, S., Rodr\u00edguez-Almagro, J., and Mart\u00ednez-Galiano, J.M. (2023). Pelvic floor dysfunction: Prevalence and associated factors. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-16901-3"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1111\/jsm.12070","article-title":"Pelvic floor dysfunction: Women\u2019s sexual concerns unraveled","volume":"11","author":"Roos","year":"2014","journal-title":"J. Sex. Med."},{"key":"ref_4","first-page":"939","article-title":"Sexual function in women with pelvic organ prolapse and surgery influence on their complaints","volume":"94","author":"Zwierzchowska","year":"2023","journal-title":"Ginekol. Pol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1007\/s00192-005-1286-5","article-title":"Practice patterns of physician members of the American Urogynecologic Society regarding female sexual dysfunction: Results of a national survey","volume":"16","author":"Pauls","year":"2005","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s00192-008-0735-3","article-title":"Female sexual dysfunction: Are urogynecologists ready for it?","volume":"20","author":"Roos","year":"2009","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1111\/aogs.14492","article-title":"Let\u2019s talk about sexuality\u2014A web-based survey of self-reported competence in sexual problems among obstetrician-gynecologists in Finland","volume":"102","author":"Aromaa","year":"2022","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1007\/s00192-019-04092-8","article-title":"Severity of urinary incontinence is associated with prevalence of sexual dysfunction","volume":"31","author":"Gomes","year":"2020","journal-title":"Int. Urogynecol. J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.sxmr.2019.05.007","article-title":"Pelvic Floor Dysfunction And Its Effect On Quality Of Sexual Life","volume":"7","author":"Verbeek","year":"2019","journal-title":"Sex. Med. Rev."},{"key":"ref_10","first-page":"154","article-title":"Clinical presentation, sexual function and quality of life as predictors of sexual satisfaction among women with urinary incontinence before a vaginal revitalization procedure","volume":"29","author":"Soja","year":"2020","journal-title":"Adv. Psychiatry Neurol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Martins, F. (2025). Pelvic Organ Prolapse and Sexual Dysfunction. Soc. Int. Urol. J., 6.","DOI":"10.3390\/siuj6010019"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Sacarin, G., Craina, M., Sorop, B., Bica, M.C., Stelea, L., Prodan, M., Sorop, M., Abu-Awwad, A.S., Sorop-Florea, M., and Ruta, A. (2025). Chair-Based Magnetic Pelvic Floor Stimulation and Female Sexual Function in Women with Urinary Incontinence: A Systematic Review. J. Clin. Med., 14.","DOI":"10.3390\/jcm14238496"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Zalewski, M., Ko\u0142ody\u0144ska, G., Zalewska, A., and Andrzejewski, W. (2021). Comparative Assessment of Female Sexual Function Following Transobturator Midurethral Sling for Stress Urinary Incontinence. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052286"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s13224-020-01406-5","article-title":"Conservative Management of Pelvic Organ Prolapse: Indian Contribution","volume":"71","author":"Ryan","year":"2021","journal-title":"J. Obstet. Gynecol. India"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"SH25080","DOI":"10.1071\/SH25080","article-title":"Comparing sexual function in women with HPV-related precancerous genital lesions against other benign gynaecological pathologies: A cross-sectional study","volume":"22","year":"2025","journal-title":"Sex Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"S262","DOI":"10.4103\/indianjpsychiatry.indianjpsychiatry_612_23","article-title":"Promoting sexual well-being","volume":"66","author":"Rao","year":"2024","journal-title":"Indian J. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.mppsy.2007.01.004","article-title":"The physiology of human sexual function","volume":"6","author":"Levin","year":"2007","journal-title":"Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"qfae024","DOI":"10.1093\/sexmed\/qfae024","article-title":"Pelvic floor disorders and impact on sexual function: A cross-sectional study among non\u2013sexually active and sexually active women","volume":"12","author":"Stafne","year":"2024","journal-title":"Sex. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s11195-016-9457-5","article-title":"The Effect of Urinary Incontinence on Sexual Quality of Life in Women with Chronic Physical Diseases","volume":"34","author":"Kumsar","year":"2016","journal-title":"Sex Disabil."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/j.jsxm.2017.07.008","article-title":"Different Characteristics of the Female Sexual Function Index in a Sample of Sexually Active and Inactive Women","volume":"14","author":"Hevesi","year":"2017","journal-title":"J. Sex. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.ejogrb.2019.01.015","article-title":"Sexual function specific questionnaires as a useful tool in management of urogynecological patients\u2014Review","volume":"234","author":"Futyma","year":"2019","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Guallar-Bouloc, M., G\u00f3mez-Bueno, P., Gonzalez-Sanchez, M., Molina-Torres, G., Lomas-Vega, R., and Gal\u00e1n-Mercant, A. (2021). Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182312858"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3957","DOI":"10.1111\/j.1743-6109.2010.01940.x","article-title":"The Effect of Pelvic Organ Prolapse on Sexual Function in a General Cohort of Women","volume":"7","author":"Tok","year":"2010","journal-title":"J. Sex. Med."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Yazdani, A., Ebrahimi, N., Mirmosayyeb, O., and Ghajarzadeh, M. (2023). Prevalence and risk of developing sexual dysfunction in women with multiple sclerosis (MS): A systematic review and meta-analysis. BMC Womens Health, 23.","DOI":"10.1186\/s12905-023-02501-1"},{"key":"ref_25","unstructured":"Lugo, T., Leslie, S.W., Mikes, B.A., and Riggs, J. (2025). Stress Urinary Incontinence. StatPearls [Internet], StatPearls Publishing."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/19312458.2020.1718629","article-title":"Use Omega Rather than Cronbach\u2019s Alpha for Estimating Reliability","volume":"14","author":"Hayes","year":"2020","journal-title":"Commun. Methods Meas."},{"key":"ref_27","first-page":"262","article-title":"Advantages of using McDonald\u2019s omega coefficient over Cronbach\u2019s alpha","volume":"41","year":"2024","journal-title":"Nutr. Hosp."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha","volume":"2","author":"Tavakol","year":"2011","journal-title":"Int. J. Med. Educ."},{"key":"ref_29","unstructured":"George Mallery, P. (2003). SPSS for Windows Step by Step: A Simple Guide and Reference, Allyn & Bacon. [11th ed.]."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e20241846","DOI":"10.1590\/1806-9282.20241846","article-title":"The relationship between pelvic floor distress and sexual function in women with urinary incontinence","volume":"71","author":"Uzun","year":"2025","journal-title":"Rev. Assoc. Med. Bras."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ijgo.2014.04.015","article-title":"Evaluation of confounding factors interfering with sexual function in women with minimal pelvic organ prolapse","volume":"127","author":"Karabulut","year":"2014","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e144","DOI":"10.3399\/bjgp14X677518","article-title":"Sexual function in older women with pelvic floor symptoms: A cross-sectional study in general practice","volume":"64","author":"Panman","year":"2014","journal-title":"Br. J. Gen. Pract."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"7","DOI":"10.14423\/SMJ.0000000000001637","article-title":"Education in Female Sexual Function and Dysfunction among American Urogynecologic Society Members: An Unmet Need","volume":"117","author":"Ward","year":"2024","journal-title":"South. Med. J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"3020","DOI":"10.1589\/jpts.28.3020","article-title":"Knowledge of the pelvic floor in menopausal women and in peripartum women","volume":"28","author":"Neels","year":"2016","journal-title":"J Phys. Ther. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1589\/jpts.28.1524","article-title":"Knowledge of the pelvic floor in nulliparous women","volume":"28","author":"Neels","year":"2016","journal-title":"J. Phys. Ther. Sci."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/6\/2131\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T05:32:26Z","timestamp":1773379946000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/6\/2131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":35,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["jcm15062131"],"URL":"https:\/\/doi.org\/10.3390\/jcm15062131","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]}}}