Opinion

Video

Ramzy T. Burns, MD, on female urinary incontinence and sexual function

Key Takeaways

  • Female urinary incontinence affects up to 62% of US women, with 25% experiencing negative impacts on sexual health.
  • Incontinence can decrease sexual desire, satisfaction, and orgasm due to anxiety about leakage.
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"We see [urinary incontinence] in up to 62% of US women, and we know that in women with incontinence, about 25% report that it negatively impacts their sexual health," says Ramzy T. Burns, MD.

In this video, Ramzy T. Burns, MD, summarizes some takeaways from her 2024 Sexual Medicine Society of North America Fall Scientific Meeting talk "When Being Wet Is Not Sexy - Female Incontinence and Impact on Sexual Function." Burns is a urogynecology and reconstructive pelvic surgery fellow at Indiana University, Indianapolis.

Transcription:

Please summarize some takeaways from your talk "When Being Wet Is Not Sexy - Female Incontinence and Impact on Sexual Function."

Hi, I'm Ramzy Burns. I'm a urogynecology and reconstructive pelvic surgery fellow at Indiana University, and today I got to speak on "When Being Wet Is Not Sexy - Female Incontinence and Impact on Sexual Function.” Some of the highlights from my talk today were basically that female urinary incontinence is very prevalent. We see it in up to 62% of US women, and we know that in women with incontinence, about 25% report that it negatively impacts their sexual health. We see that incontinence impacts sexual health because it obviously causes women to leak, which makes them not feel sexy. It impacts their desire for sex as a result of that. It decreases their satisfaction during sexual activity, because they can't relax, because then they might leak, and decreases their overall orgasm. The good news is, is that there are a ton of treatment options available for both stress and urge incontinence, and all of those treatment options in the literature have been shown to improve female sexual function across many different domains. One of the caveats is that some of our treatment options can impair female sexual function by causing de novo dyspareunia, and so it is important to talk to women not only about improving their incontinence, improving their sexual function, but also potentially about some of the adverse effects of these treatment options as well.

This transcript was AI generated and edited by human editors for clarity.

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