Pelvic floor dysfunction and polycystic ovary syndrome

Taghavi, Seyed-Abdolvahab, Bazarganipour, Fatemah, Allan, Helen T. ORCID: https://orcid.org/0000-0001-9391-0385, Khashavi, Zahra, Reisi, Nasrin, Dosha, Nadiyeh, Aghili, Fatemah, Keramati, Mohadeseh, Zahedi, Sedigheh and Aji-Ramkani, Amireh (2017) Pelvic floor dysfunction and polycystic ovary syndrome. Human Fertility, 20 (4) . pp. 262-267. ISSN 1464-7273 [Article] (doi:10.1080/14647273.2017.1292003)

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Abstract

Objectives: To compare the prevalence of pelvic floor muscle dysfunction (PFMD) in patients with and without polycystic ovary syndrome (PCOS); to test PFMD in women with different PCOS phenotypes.
Methods: This was a case-control study of 202 women who were recruited in an infertility clinic in Hormozgan, Iran: PCOS (n=103) and control groups who were healthy women whose husbands were diagnosed with male infertility (n=99). According to the presence or absence of menstrual dysfunction (M), hyperandrogenism (HA) and polycystic ovaries on ultrasonoghraphy (PCO), patients with PCOS were divided into three phenotypes: HA+PCO, M+PCO and M+HA+PCO. PFMD was assessed by the Pelvic Floor Distress Inventory-20 (PFDI-20.
Results: The reported PFMD symptoms were higher in PCOS (P=0.05) than the non-PCOS group. The mean PFDI score in the HA+M+PCO was higher compared to other phenotypes, although the difference did not reach significance level (P>0.05). The mean LH level was higher in HA+M+PCO than the two other phenotypes. There was a significant positive correlation between LH level and PFDI score (P<0.04).
Conclusion: The findings suggest that a high level of LH may cause PFMD. Further studies are needed to determine the precise role of LH levels and potential treatment options in women with PCOS and PFMD.
Keywords: polycystic ovary syndrome, pelvic floor distress inventory, pelvic floor muscle dysfunction

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