Sexual function is related to body image perception in women with pelvic organ prolapse

Lior Lowenstein*, Tondalaya Gamble, Tatiana V. Deniseiko Sanses, Heather Van Raalte, Cassandra Carberry, Sharon Jakus, Scott Kambiss, Sarah Mcachran, Thythy Pham, Sarit Aschkenazi, Kay Hoskey, Kimberly Kenton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

104 Scopus citations


Introduction. A previous study demonstrated that women seeking treatment for advanced pelvic organ prolapsed (POP) reported decreased self-perceived body image and decreased quality of life. Aims. To determine the relationship between: (i) sexual function and POP, (ii) self-perceived body image and POP; and (iii) sexual function and self-perceived body image in women with prolapse. Methods. After IRB approval, consecutive women with POP stage II or greater presenting for urogynecologic care at one of eight academic medical centers in the United States were invited to participate. In addition to routine urogynecologic history and physical examination, including pelvic organ prolapse quantification (POPQ), consenting participants completed three validated questionnaires: Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) to assess sexual function; Modified Body Image Perception Scale (MBIS) to assess self-perceived body image; Prolapse subscale of Pelvic Floor Distress Inventory (POPDI-6) to assess condition specific bother from POP. Pearson's correlations were used to investigate the relationship between independent variables. Main Outcome Measures. Sexual function and modified body image score and its correlation with symptoms of POP. Results. Three hundred eighty-four participants with a mean age of 62 ± 12 years were enrolled. Median POPQ stage was 3 (range 2-4). 62% (N = 241) were sexually active and 77% (N = 304) were post-menopausal. Mean PISQ-12, MBIS, and POPDI scores were (33 ± 7, 6 ± 5, 39 ± 23, respectively). PISQ-12 scores were not related to stage or compartment (anterior, apical, or posterior) of POP (P > 0.5). Worse sexual function (lower PSIQ-12 scores) correlated with lower body image perception (higher MBIS scores) (rho = -0.39, P < 0001) and more bothersome POP (higher POPDI scores) (rho = -0.34, P < 0001). Conclusions. Sexual function is related to a woman's self-perceived body image and degree of bother from POP regardless of vaginal topography. Sexual function may be more related to a woman's perception of her body image than to actual topographical changes from POP.

Original languageEnglish (US)
Pages (from-to)2286-2291
Number of pages6
JournalJournal of Sexual Medicine
Issue number8
StatePublished - 2009


  • Body Image
  • Body Image Perception and Sexuality Adjustment
  • Pelvic Organ Prolapse
  • Sexual Function

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology
  • Urology


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