Assessment of he prevalence of pelvic floor dysfunction in women of reproductive age based on a questionnaire

The aim of the research. To determine the prevalence of symptoms of pelvic floor dysfunction in women of Barnaul and their relationship with socio-demographic and clinical-anamnestic factors.

Materials and methods. The study included 400 women aged 18–45 years living in the city of Barnaul. The study was conducted using the questionnaires PFDI 20 (Pelvic Floor Distress Inventory Questionnaire) and FSFI 19 (Female sexual function index). A comparative analysis of socio-demographic and clinical data of patients with symptoms of dysfunction and normal pelvic floor function was carried out.

Results. Symptoms of pelvic floor dysfunction are registered in 82% of women. Symptoms of pelvic organ prolapse are noted by 61% of women, urinary disorders – 68%, colorectal-anal symptoms are found in 59,5% of women. Symptoms of sexual dysfunction are registered in 60% of women. A relationship was found between the presence of pelvic floor dysfunction symptoms and a history of vaginal delivery (p = 0,005), a history of precipitous labor (p=0.02), delivery of a large fetus (p=0.000), perineal trauma during childbirth (p=0.000), abortions (p=0.001), adenomyosis (p=0.008), the presence of POP in first-degree relatives (p=0.001), chronic gastritis (p=0.002), constipation (p=0.000) and varicose veins of the lower extremities (p=0.05). Sexual dysfunction is statistically significantly more often recorded in women with a BMI of more than 25 kg/m2 (p=0.02).

Conclusions. Symptoms of pelvic floor dysfunction are highly prevalent among women of reproductive age. The relationship between the presence of pelvic floor dysfunction symptoms and socio-demographic and clinical-anamnestic factors women is determined.

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