» Articles » PMID: 17498103

Overactive Bladder and Women's Sexual Health: What is the Impact?

Overview
Journal J Sex Med
Date 2007 May 15
PMID 17498103
Citations 23
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: Overactive bladder (OAB) is quite prevalent and significantly affects health-related quality of life and daily functioning.

Aim: The impact of OAB on sexual health is currently not known. This qualitative study was conducted to gain a thorough understanding of OAB's impact.

Methods: Sexually active women with continent or incontinent OAB were recruited from urology and urogynecology clinics. Six focus groups of women (three continent and three incontinent) were conducted to assess the sexual health of women with OAB. Data were analyzed descriptively and qualitatively.

Main Outcome Measures: Qualitative data, Sexual Quality of Life Questionnaire-Female, Overactive Bladder Questionnaire.

Results: Thirty-four women (11 continent; 23 incontinent) participated; mean age was 48.4 years; 76% were white, 67% postmenopausal, and 88% in a long-term relationship. Continent women reported more frequent sexual activity than incontinent women; 91% reported intercourse >or=1-3 times per month vs. 50% of incontinent women. Half of the incontinent women reported a reduction in sexual desire related to OAB, aging, and menopause. Over half of continent women experienced pain with intercourse, and the majority complained of having to interrupt intercourse to void. Although not all incontinent women reported incontinence during intercourse, the majority were embarrassed by their incontinence and OAB with resulting loss of self-image. Both continent and incontinent women reported difficulty achieving orgasm because of pain, fear of incontinence, or anxiety related to intercourse. Approximately a third of the women would not initiate discussion of sexual issues with their physicians, but all women expressed concern about the impact of OAB on their sexual life.

Conclusion: Overactive bladder with or without incontinence negatively affects women's sexual health, reducing sexual desire and ability to achieve orgasm. Given the impact of OAB on sexual health, sexual health should be routinely assessed by clinicians and addressed by researchers.

Citing Articles

"There is a lot of shame that comes with this": A qualitative study of patient experiences of isolation, embarrassment, and stigma associated with overactive bladder.

Brodsky C, Sitto H, Wittmann D, Wallner L, Streur C, DeJonckheere M Neurourol Urodyn. 2024; 43(8):1817-1825.

PMID: 39039801 PMC: 11776393. DOI: 10.1002/nau.25557.


Overactive bladder negatively affects erectile function and promotes premature ejaculation: findings from large representative population-level study.

Przydacz M, Osman N, De Cillis S, Guillot-Tantay C, Herve F, Husch T World J Urol. 2024; 42(1):139.

PMID: 38478079 DOI: 10.1007/s00345-024-04841-5.


The Investigation of Percutaneous Tibial Nerve Stimulation (PTNS) as a Minimally Invasive, Non-Surgical, Non-Hormonal Treatment for Overactive Bladder Symptoms.

McPhail C, Carey R, Nambiar S, Willison N, Bahadori S, Aryan P J Clin Med. 2023; 12(10).

PMID: 37240596 PMC: 10219410. DOI: 10.3390/jcm12103490.


Sexual Disorders in Women with Overactive Bladder and Urinary Stress Incontinence Compared to Controls: A Prospective Study.

Naumann G, Hitschold T, Frohnmeyer D, Majinge P, Lange R Geburtshilfe Frauenheilkd. 2021; 81(9):1039-1046.

PMID: 34531610 PMC: 8437582. DOI: 10.1055/a-1499-8392.


Social media analytics of overactive bladder posts: what do patients know and want to know?.

Gonzalez G, Vaculik K, Khalil C, Zektser Y, Arnold C, Almario C Int Urogynecol J. 2021; 32(10):2729-2736.

PMID: 33710426 DOI: 10.1007/s00192-021-04686-1.