Does the Physical Therapy Intervention Improve Female Sexual Dysfunction in Saudi Society?

Abstract

Najwa Alfarra, HalaAldosary PT

Introduction: Sexual dysfunction refers to a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle traditionally includes excitement, plateau, orgasm, and resolution. Desire and arousal are both part of the excitement phase of the sexual response. The literature review confirmed that the sexual dysfunction is common, 43 % of women and 31 % of men report some degree of difficulty, it is a topic that many people are hesitant to discuss. But the treatment options are available [1]. The literature also supports the use of pelvic floor exercise in order to improve sexual function. The health concept for women magazine reported that the Neo-control magnetic chair improved the sexual dysfunctions in women specially the orgasm problems [2].

Objective: The objective of the study is to explore the role of the physical therapy intervention for the female sexual dysfunction in Saudi Arabia.

Methods: Thirty women had sexual dysfunction, were evaluated by muscle power (Oxford scale) before and after the treatment, and FSFI questioners were answered before and after the completion of the treatment.

Main Outcome Measures: The domain scores of the female sexual function index (FSFI), included desire, arousal, lubrication, orgasm, satisfaction, and pain, were calculated. The supervised pelvic floor muscle training, core strengthening pelvic exercises were conducted for 30 minutes, and magnetic field “neocontrol chair” frequency 50HZ, 15 sec. on, 1 sec. off for 20 min. power 75-80%, twice a week for six weeks(12 sesssions). Muscle power (Oxford scale) was measured before and after the treatment.

Results: All subjects successfully completed the study with no adverse events significant improvement in sexual function as assessed by the FSFI, sex desire improved by 80%, sexual arousal improved by 86%, lubrication and orgasm improved by 80%, general satisfaction 87%, 73% pain free through intercourse. Muscle power were improved from 1-2 out of 5 to 3+ out of 5.

Conclusion: The physical therapy intervention which include pelvic floor exercise, core strengthening exercise and magnetic field had improved the sexual function in female Saudi society

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