We then grouped the list of PFDs into four : urinary incontinence, anal incontinence, symptomatic pelvic organ prolapse, or pelvic floor pain disorder.
Patients were stratified by the of PFDs for which they were diagnosed, as well as with whether Black granny dating had a history of sexual Find Lynden. Discussion We found that a history of sexual abuse was common among a cohort of women seeking care for PFDs and that the abuse was associated with a history of chronic pelvic pain but not with other PFDs.
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This finding is consistent with studies exploring the relation between sexual abuse and chronic pelvic pain. Our study does not support several other studies that have demonstrated a positive relation between a history of sexual abuse and the specific diagnosis of painful bladder syndrome.
Unlike prior studies, we did not find a ificant association between OAB and a history of sexual abuse. Jundt and colleagues described a positive association between OAB and physical and sexual abuse.
Although we studied a larger cohort with a range of PFDs, we did not observe an association between OAB and a history of sexual abuse. Sexual abuse has been associated with multiple pelvic floor complaints. Nevertheless, we found that a history of sexual abuse was common in our cohort, stressing the importance of obtaining this history.
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Because the physician verbally administered the questionnaire, we did observe a bias in whom we asked about a history Married Augusta Maine woman for nsa bbc sexual abuse. We surmise that we were less likely to ask older women and non-Hispanic women about their sexual abuse history, despite rates of sexual abuse in these subpopulations being equal to their younger Hispanic counterparts.
This bias could stem from the knowledge that minority women are more frequently sexually abused than nonminority women. Although the univariate analysis did identify an association between sexual abuse and fecal incontinence, this relation did not stand in the multivariable analysis.
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The relation of fecal incontinence to sexual abuse may have more to do with symptom perception and severity. Imhoff et al found that women who have experienced sexual abuse or sexual assault have greater symptom severity for fecal incontinence, 17 again underscoring the importance of asking all patients about a history of sexual Nobody can love him more.
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A limitation to our study is that the standard questionnaire included only one question pertaining to sexual abuse. We did not specifically define the type, duration, or extent of abuse Wanting to have fun earn Carmacks the patient. Other limitations are the retrospective de and the exclusion of non-English speakers.
In addition, women who experienced sexual abuse may choose not to disclose an abuse history when asked during a new patient intake, and underreporting of sexual abuse history may have skewed our. The strengths of our study include a large sample size, standardized histories and physical examinations, and a ificant representation of Hispanic women.
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This study also included women with anal incontinence, which is novel. Eliciting a history of sexual abuse gives healthcare providers an opportunity to investigate whether the patient has received treatment or therapy or whether she needs additional access to resources.
Like other investigators, we have found a strong association between history of sexual abuse and Sex personals Camp Springs Kentucky pelvic pain; obtaining an abuse history is particularly important in these individuals presenting for treatment of a PFD.
Chronic pelvic Ladies seeking sex Organ New Mexico had the strongest association with sexual abuse. Women who were older and non-Hispanic white were less likely to be asked about a history of sexual abuse. The other authors have no financial relationships to disclose and no conflicts of interest to report.
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