Urge incontinence and female sexual dysfunction: a life span perspective
Chiozza M.L. Graziottin A. Urge incontinence and female sexual dysfunction: a life span perspective Graziottin A. (Guest Ed.), Female Sexual Dysfunction: Clinical Approach Urodinamica, 14 (2): 133-138, 2004
Comorbidity between urological disorders, overactive bladder and urge incontinence first, and female sexual dysfunctions (FSD) is still underdiagnosed in clinical practice, in spite of data indicating an extremely high association between the two conditions. Latent class analysis of sexual dysfunctions by risk factors in women indicate that lower urinary tract symptoms have a RR= 4.02 (2.75-5.89) of being associated with arousal disorders and a RR=7.61 (4.06-14.26) of being associated with sexual pain disorders. Clinical history focusing on prepubertal signs and symptoms of overactive bladder (enuresis, nocturia, daily symptoms) indicate that 2.3% of women currently suffering of urge incontinence do report these early symptoms when actively asked for. Pathophysiological factors underlying co-morbidity between urge incontinence and FSD may begin in early infancy or adolescence. Estrogens may attenuate bladder’ vulnerability at puberty. Their loss at menopause may re-trigger bladder overactivity, which remains borderline across the fertile age. Higher clinical and research attention is needed to further substantiate this preliminary finding and improve life-span designed preventive and therapeutic measures.
FAIR USE: The content of this paper can be downloaded, printed and read for strictly personal and non-profit use. Any citation for didactic and/or scientific purpose must quote the title of the document, the name of the author(s), the data of the book or journal, and the URL of the site (www.fondazionegraziottin.org).
WARNING: Every therapy must be discussed, tailored, prescribed and monitored by the M.D. personally consulted. Every information presented in this website can not surrogate the personal relationship with the caring physician nor be utilized without specific medical advice.