(007) Physical activity and female sexual dysfunction: too much of a good thing?

Abstract Introduction Research on the relationship between physical activity (PA) and female sexual dysfunction (FSD) is lacking. Objectives To investigate clinical, psychological, correlates of PA in women with FSD. Methods A non-selected series n=322 pre- post-menopausal patients consulting for FSD was retrospectively studied. Regular involvement its frequency (<1 hour/week: sedentary, 1-3 hours/week: active, 4-6 very >6 extremely active) were investigated a specific question. FSDs, including HSDD (Hypoactive desire disorder) FGAD (Female genital arousal disorder), diagnosed according to structured clinical interview. Participants underwent examination clitoral Doppler ultrasound, asked complete Female Sexual Function Index (FSFI), Distress Scale-Revised (FSDS-R), Body Uneasiness Test (BUT), Middlesex Hospital Questionnaire (MHQ). Results At multivariate analysis, engaging (67.4%, n=217) scored significantly higher several FSFI domains - desire, lubrication showed lower distress resistance arteries, as compared sedentary women. significant, inverse association observed. Mediation analysis demonstrated that negative partly mediated by body image concerns (BUT Global severity index), psychopathological symptoms (MHQ total score) (FSDS-R score). These latter two factors also reduced risk FGAD, whilst BMI full mediator FGAD. Finally, extreme associated worse scores psychosexual parameters (i.e. satisfaction histrionic/hysterical symptoms), even lifestyle. Conclusions In FSD, better function vascularization, odds FGAD; benefits sexuality both psychological organic determinants; excessive related poor overall low satisfaction. Disclosure No.