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The Pelvic Floor Muscles Strength and Sexual Function in Primigravid and Non-pregnant Nulliparous

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ClinicalTrials.gov Identifier: NCT02866292
Recruitment Status : Completed
First Posted : August 15, 2016
Last Update Posted : August 15, 2016
Sponsor:
Information provided by (Responsible Party):
Marília Duarte dos Santos, Federal University of Uberlandia

Brief Summary:
This study has two aims: a) to evaluate the pelvic floor muscles strength in primigravid and non-pregnant nulliparous women and to correlate with their sexual function and b) to compare PFM strength and sexual function between women in the second and third pregnancy trimesters.

Condition or disease Intervention/treatment
Sexual Behavior Other: Pelvic floor muscle and sexual function evaluation

  Show Detailed Description

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Study Type : Observational
Actual Enrollment : 154 participants
Time Perspective: Cross-Sectional
Official Title: Is There Relationship Between the Pelvic Floor Muscles Strength and Sexual Function in Primigravid and Non-pregnant Nulliparous?
Study Start Date : November 2014
Actual Primary Completion Date : July 2016
Actual Study Completion Date : August 2016

Group/Cohort Intervention/treatment
non-pregnant nulliparous
Nulliparous without previous gestation. Pelvic floor muscle evaluation by means of vaginal palpation and vaginal squeeze pressure (perineometer), and evaluation of the sexual function by the Female Sexual Function Index (FSFI) questionnaire.
Other: Pelvic floor muscle and sexual function evaluation

PFM evaluation was performed by vaginal palpation and vaginal squeeze pressure. During vaginal palpation the physiotherapist introduced the index and middle fingers about 4cm inside the vagina, and requested to hold the maximum contraction of the PFM. Muscle function was classified by the Oxford Scale Modified.

The vaginal squeeze pressure was measured through Perineometer.To obtain the measurements, the subjects remained positioning and vaginal sensor was introduced into the vaginal cavity. The women were oriented and motivated verbally to perform three voluntary maximal contractions sustained for five seconds and one minute interval between them.

Sexual function was evaluated by the Female Sexual Function Index (FSFI) questionnaire. The questionnaire consists of 19 multiple-choice questions, which involves six sexual response domains: desire, arousal, lubrication, orgasm, satisfaction and pain.


primigravid
Pregnant women on her first pregnancy and gestational age above 14 weeks. Pelvic floor muscle evaluation by means of vaginal palpation and vaginal squeeze pressure (perineometer), and evaluation of the sexual function by the Female Sexual Function Index (FSFI) questionnaire.
Other: Pelvic floor muscle and sexual function evaluation

PFM evaluation was performed by vaginal palpation and vaginal squeeze pressure. During vaginal palpation the physiotherapist introduced the index and middle fingers about 4cm inside the vagina, and requested to hold the maximum contraction of the PFM. Muscle function was classified by the Oxford Scale Modified.

The vaginal squeeze pressure was measured through Perineometer.To obtain the measurements, the subjects remained positioning and vaginal sensor was introduced into the vaginal cavity. The women were oriented and motivated verbally to perform three voluntary maximal contractions sustained for five seconds and one minute interval between them.

Sexual function was evaluated by the Female Sexual Function Index (FSFI) questionnaire. The questionnaire consists of 19 multiple-choice questions, which involves six sexual response domains: desire, arousal, lubrication, orgasm, satisfaction and pain.





Primary Outcome Measures :
  1. muscle strength with Oxford scale [ Time Frame: through study completion, an average of 1 year ]
  2. score of Female Sexual Function Index questionnaire [ Time Frame: through study completion, an average of 1 year ]


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Ages Eligible for Study:   18 Years to 40 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
The sample consisted of 154 women divided into two groups: the first of pregnant women, formed by 76 primigravidae participants in the Prenatal Program of the public health system in Uberlandia city (Brazil). The second consists of 78 non-pregnant nulliparous.
Criteria

Inclusion Criteria:

  • Be non-pregnant nulliparous or primigravid women with pregnant only one fetus alive and without abnormalities that could increase uterine volume
  • Present ability to contract the pelvic floor muscles
  • Report at least one sexual relationship in the four weeks prior to data collection

Exclusion Criteria:

  • Were previous urogynecological surgery history
  • Non-pregnant nulliparous who did not have sexual intercourse with vaginal penetration
  • Presence of cognitive impairment or neurological condition that could affect muscle activation
  • Present urinary tract infection at the time of data collection.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02866292


Locations
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Brazil
Marília Duarte dos Santos
Uberlandia, Minas Gerais, Brazil, 38405024
Sponsors and Collaborators
Federal University of Uberlandia