Impact of Therapeutic Exercise on Sexual Dysfunction in Women and Men. A Systematic Review.
Abstract
INTRODUCTION: Sexual dysfunctions constitute a problem in people's sexual health, with an incidence of 31% in men and 41% in women. From a physiotherapy perspective, therapeutic exercise is presented as a simple, noninvasive treatment method that also has a beneficial impact on other systems of the human body.
OBJECTIVE: To analyze the effectiveness of therapeutic exercise in people of both sexes with sexual dysfunctions.
METHOD: A systematic search was conducted in the following databases: PubMed, Medline, Scopus, SportDiscus, Web of Science, and PEDro, between December 2023 and January 2024. Studies that met the established inclusion and exclusion criteria were selected. The MeSH terms used are: Exercise Therapy, Sexual Dysfunctions, Physiological and Sexual Dysfunctions, Psychological.
RESULTS AND DISCUSSION: Seven articles were selected; All of them were randomized controlled trials (RCTs). The primary outcomes analyzed were pain, function, urinary incontinence, prolapse, and pelvic floor muscle strength and endurance.
CONCLUSIONS: Therapeutic exercise can mediate pain, urinary incontinence, sexual function, and muscle strength and endurance that may occur after sexual dysfunction; although supervised exercise is recommended.