Pelvic Floor and Sexual Health Quiz

A mnemonic used to identify potentially reversible causes of urinary incontinence. It stands for:

• Diabetes
• Infection
• Atropy
• Perineal hematoma/mass
• Encopresis/fecal impaction
• Restricted mobility
• Sleep disorder
• Stool impaction

The S in the DIAPERS mnemonic stands for sleep disorder. This includes conditions like insomnia, sleep apnea, and restless leg syndrome which can lead to urinary incontinence.

Pelvic floor physical therapy (PFPT) is a safe and effective treatment that can help improve bladder control and reduce urinary incontinence during pregnancy and postpartum.

All pregnant patients should be screened for syphilis at their first prenatal visit, regardless of risk factors. This is because syphilis can be passed from mother to fetus with serious implications.

Stress urinary incontinence (SUI) is a common condition during pregnancy. Pelvic floor physical therapy (PFPT) is a safe and effective treatment option that can help strengthen the pelvic floor muscles and reduce SUI symptoms.

A condition characterized by recurrent pain during sexual intercourse, often caused by various factors.

Involuntary contraction of the pelvic floor muscles, making penetration difficult or impossible during intercourse.

A diagnosis of exclusion characterized by vulvar pain lasting at least 3 months without a clear identifiable cause.

A new term combining dyspareunia and vaginismus, focusing on the broader spectrum of genito-pelvic pain related to penetration.

A type of therapy that aims to improve the function and control of pelvic floor muscles.

Sexual dysfunction is diagnosed when issues with sexual response occur without being caused by a mental disorder, substance/medication, or other medical condition.

A Sexual Dysfunction is considered "lifelong" when it has been present since the individual became sexually active, while an "acquired" dysfunction means it started after a period of normal sexual function.

The severity of sexual dysfunction is measured based on the level of distress it causes. Mild involves mild discomfort, Moderate signifies moderate distress, while Severe reflects extreme distress.

Physical examinations for patients with genito-pelvic pain/penetration disorder can be anxiety-inducing. It is crucial to ensure the patient feels in control and has the option to choose the setting and even have a chaperone present.

A pelvic examination can be valuable for diagnosis and therapeutic feedback, but it should be conducted with care. Offering the patient a mirror and allowing them to participate in the process can increase comfort and understanding.

Decreased estrogen levels can lead to dryness and thinning of the vaginal tissues, making intercourse uncomfortable.

Problems with the muscles that support the bladder and rectum can lead to incontinence, especially during pregnancy or after childbirth.

Examining the vagina and cervix involves gently inserting a lubricated speculum. This allows for visual inspection of these areas.

Changes in mood and relationships can be a side effect of hormonal changes, especially estrogen decline.

Lubricants can help with vaginal dryness, which can be caused by low estrogen levels or other conditions.