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Women With Overactive Bladder (OAB) at Higher Risk for Sexual Dysfunction

The women were divided into two groups based on their menopausal status. One hundred twenty-two women were premenopausal, and the remaining 145 had finished menopause, which was defined as finishing twelve months without a menstrual period. 

The women completed a questionnaire called the Female Sexual Function Index (FSFI). This tool evaluates overall sexual function along with six individual domains: desire, arousal, vaginal lubrication, orgasm, sexual satisfaction, and sexual pain. 

Based on FSFI scores, about 77% of the participants were considered at risk for sexual dysfunction. This figure included 66% of the premenopausal and 86% of the postmenopausal women. 

Severity of OAB was assessed using another questionnaire. Most of the women had severe OAB. 

However, the degree of OAB severity was linked to poorer outcomes on the arousal, lubrication, orgasm, and pain domains of the FSFI for postmenopausal women only, especially if they had urge incontinence (a strong urge to urinate that sometimes results in urine leakage). This correlation was not found for premenopausal women. 

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