Aim To determine the effects on sexual function of improved pelvic floor muscle function and improvements in urinary incontinence resulting from pelvic floor rehabilitation.

Method A study of 30 urogynaecological clinic patients who received pelvic floor rehabilitation treatments: that is, electrical stimulation, biofeedback, and Kegel exercises. Questionnaires were used to collect demographic data and obstetric-gynaecological history. Sexual history was obtained through face-to-face interview. Pelvic muscle strength was measured with a perineometer. Improvement in incontinence was measured using the pad test.

Results Before pelvic floor rehabilitation, the mean pelvic muscle strength of patients was 20.8±10.4 cmH₂O. After the treatment, the mean strength was 39.5±16.6. The number of positive pad tests was 26 before treatment and nine after treatment. A total of 16 women reported decreased sexual desire before the treatment; six reported improvement after treatment. Five women reported vaginal dryness during the arousal stage, with no reported change after treatment. Nine out of 15 women who experienced dyspareunia before treatment reported improvement afterwards, with three reporting complete relief from pain. Five out of seven women who complained of difficulty in reaching climax before the treatments continued to have difficulty after the treatment. Two patients experienced improvement in this area.

Conclusion Improvement in sexual desire, performance during coitus, and achievement of orgasm were observed in women who received pelvic floor muscle rehabilitation. No change was seen in the arousal stage of sexual activity.