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FEMALE SEXUAL DYSFUNCTION

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Medical information reviewed by: PETRU STEGARESCU MD., Urologist

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Centrokinetic comes to meet patients with the first concept in the field of pelvic disorder recovery in Romania, a project designed for both women and men, through which we address pelvic pain of urological, orthopedic, neurological or rheumatological nature, urinary incontinence in women and erectile dysfunction in men. The department is coordinated by Dr. Minciuna, a senior urologist specialized in diagnosing and treating these problems. Alongside Dr. Minciuna, the department also includes:

Introduction

The pelvic floor muscles support the pelvic organs, control urinary and fecal continence, and are crucial for proper genital function and achieving orgasm. Due to aging, postnatal status, or menopause, the tone of the pelvic muscles decreases, with significant consequences. As a result, they no longer provide sufficient support to the pelvic organs and bladder control, and can negatively affect intimate satisfaction.

Female sexual dysfunction

Healthy sexual function is an essential component of life. Therefore, sexual dysfunction can negatively impact women's well-being. Female sexual dysfunction (FSD) is age-dependent and very common among women in premenopause and menopause. Available studies report that the prevalence of sexual dysfunction among women ranges between 25% and 63%. It has been found that the incidence among women younger than 25 years is approximately 20%, while in women aged between 55 and 74 years, the incidence is up to 80%.
Pelvic muscle function is closely linked to a healthy female sexual cycle. The muscles support the pelvic organs and maintain the normal function of the vagina by keeping these organs in their anatomical position. The pelvic floor muscles also play an important role in maintaining pregnancy, achieving orgasm, and are responsible for adequate genital arousal. A firmer muscle tone increases the intensity of muscular contractions during orgasm and allows a woman to identify, isolate, and control the contractions of the pelvic floor muscles.

Technology used

Any problem of the pelvic muscles can lead to denervation of the female erectile tissues followed by sexual dysfunction. The main cause of the development of female sexual function disorders is pelvic muscle atrophy, which inhibits orgasmic potential. Therefore, the initial approach for treating sexual dysfunction is strengthening the pelvic floor muscles (PFM).
The non-invasive approach should be the first treatment option before any surgical intervention, consisting of a therapy based on high-intensity focused electromagnetic technology. The technology used at Centrokinetic clinic triggers intense contractions of the pelvic muscles. The focused electromagnetic energy penetrates up to 10 cm into the pelvic floor area, where it induces supramaximal contractions independent of the brain, at high repetition rates.

Due to repetitive muscle stimulation combined with the vasodilatory effect of electromagnetic fields and the restoration of muscle tone, we deduce that this technology can positively affect women's intimate health and sexual function.

The treatment consists of toning the pelvic floor muscles using the most advanced recovery device in the world: the FMS REMED Chair. The therapy consists of 30-minute sessions in which the patient sits on the chair, which generates 30,000 pelvic muscle contractions. The average treatment duration is 16–20 sessions of 20 minutes each, with a frequency of 2–3 sessions per week.
FMS therapy using the REMED chair (for functional muscle stimulation) is a much faster alternative to train the pelvic muscles in order to improve urethral sphincter function. There are also Kegel exercises that can be performed in the physical therapy room, recommended by gynecologist Arnold Kegel since the 1940s for women with postpartum urinary incontinence or sexual dysfunctions; these exercises can be performed by both women and men.

Our experience shows that this technology is a promising method for solving women’s low sexual satisfaction by strengthening pelvic muscle tone; moreover, treatments have improved patients’ vaginal lubrication, which in turn enhanced their ability to achieve orgasm.

Studies have found a strong correlation between orgasm and satisfaction. This indicates that patients were able to reach orgasm more easily, which logically reflects in their sexual satisfaction. Conversely, no correlation was found between pain and desire, even though one might assume that reduced pain would increase sexual desire. All studies highlight the importance of pelvic muscle tone in women’s intimate life and the fact that treatments can be approached in a non-invasive way. Both sexual dysfunctions and incontinence are strongly influenced by the condition of the muscles as well as emotional state. Treatments should be applied to improve both aspects in patients with atrophied pelvic muscles and are therefore an alternative not only for women facing incontinence problems but also for those who feel that their sexual satisfaction is affected and could be improved.

The duration of pelvic muscle contraction has been correlated with sexual arousal and intensity. This finding suggests that both orgasm and arousal are linked to better muscle function.

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