Untersuchung der Auswirkungen von Beckenbodenübungen auf die vaginale und sexuelle Gesundheit bei Frauen nach der Menopause.

In the intervention types, women are given training on pelvic floor exercises, that they can perform in the form of home exercises for 12 weeks. Before starting pelvic floor exercises therapy, a physiotherapist who specializes in pelvic floor compatibility will provide information about the location of the pelvic floor muscles through anatomical models and their effect on healthy, vaginal and sexual function. The effects of pelvic floor exercises on this system will be explained on an individual basis, and normal palpation is required to demonstrate their correct execution of contraction of the pelvic floor muscles. Participants will be taught how to contract and contract different muscles, such as the abdominal muscles, hip muscles, and gluteal muscles, or how to avoid pelvic tilt during contraction, and how to perform both rapid and sustained contractions.

In the intervention types, women are given training on pelvic floor exercises, that they can perform in the form of home exercises for 12 weeks. Before starting pelvic floor exercises therapy, a physiotherapist who specializes in pelvic floor compatibility will provide information about the location of the pelvic floor muscles through anatomical models and their effect on healthy, vaginal and sexual function. The effects of pelvic floor exercises on this system will be explained on an individual basis, and normal palpation is required to demonstrate their correct execution of contraction of the pelvic floor muscles. Participants will be taught how to contract and contract different muscles, such as the abdominal muscles, hip muscles, and gluteal muscles, or how to avoid pelvic tilt during contraction, and how to perform both rapid and sustained contractions.

• Training der Beckenbodenmuskulatur

No intervention will be made in the control unit.

This test was developed to diagnose dry eye (16). In this study, the test will be used to evaluate vaginal dryness. Test strips (ERC) not impregnated with blue dye, 5 mm wide and 35 mm long, are used for the test. The strip will be placed in the vagina, above the Carunculae Hymenalis, by holding it with sterile forceps or by holding the very end of the strip. After the test strip placement is standardized in this way, time will be kept with a stopwatch. The test strip will be left in the vagina for 5 minutes. When the time is completed, the test strip will be removed immediately and the distance the vaginal wetness has progressed will be measured according to the values on the strip.

Visual Analog Scale (VAS) is used to convert some values that cannot be measured digitally into digital form. The two ends of a 100 mm line are marked by defining the two ends of the parameter to be evaluated and by asking the patient where their parts fit on this line by drawing a line or by using punctuation or signs. The distance between the point placed and the lowest end of the line (0 = no symptoms) is measured as '0' when they do not feel any symptoms, and '10' when they have the most severe symptom that continues throughout their life, and the numerical value change is the symptom. is showing. The severity of vaginal dryness, burning and dyspareunia will be evaluated via VAS.

Female Sexual Function Index, Rosen et al. It was developed in 2000 to evaluate female sexual functions. The Likert-type scale, consisting of 19 items, has 6 sub-dimensions: desire, arousal, lubrication, orgasm, satisfaction and pain. It has been reported that the FSFI is a valid and reliable tool in the evaluation of sexual function of Turkish women.

PMSQ was developed in 2020 by Maria Josef Lima and colleagues (17) to measure sexual activity after menopause. The original language of the scale has been deleted and an English version is also available. The survey contains 36 items assessing sexual activity. Questions are answered according to ordinal Likert scales (0-5). The total cost of the survey is shown as 215, and the total score due to the presence of intermittent questions is 100 maximum. 0 indicates the worst sexual function, 100 indicates the best sexual function (0-100). The scale has 9 subdomains: self-image, quality of sexual life, sexual intimacy, desire, importance of sexual life, arousal, orgasm, satisfaction and effects of menopause.

To evaluate the impact of vaginal symptoms on individuals' functionality and well-being, Alison Huang et al. The "Daily Effect of Vaginal Aging Scale (VYGE Scale)" developed by A.Ş. will be used. This scale comprehensively evaluates the impact of menopause-specific vaginal symptoms on daily living activity, emotional state, sexual health, and body image. The average score and total score can be calculated separately for the 4 subsections of the scale. While the scale subdomain scores vary between 0-4, the scale total score varies between 0-16. High scores obtained with the scale reflect the negative impact of vaginal symptoms on health-related quality of life.

In order to measure the presence of pelvic floor symptoms and how much these symptoms bother the person, Toprak Celenay Ş. et al. "Pelvic Floor Distress Inventory-20" (PFDE-20), whose validity and reliability in Turkish has been demonstrated by , will be used. This scale is among the most commonly used tools to measure pelvic organ prolapse, urinary and colorecto-anal problems that may develop due to pelvic floor dysfunction, and the degree of discomfort associated with these symptoms. A total of 20 items belonging to 3 subdomains: "Pelvic Organ Prolapse Distress Inventory-, "Colorectal-Anal Distress Inventory-8" and "Urinary Distress Inventory-6" In the scale consisting of one item, the presence of pelvic floor symptoms is questioned and, if present, how much this symptom bothers the person is scored between 1-4, from "unimportant" to "very much".

Pelvic floor muscle strength is measured manually by asking the person to squeeze the index and middle fingers inserted into the vagina. This is a subjective method. The strength of the contraction felt around the finger is scored according to the Modified Oxford Scale created by Laycock and Chiarelli in 1989. In the digital palpation method, in addition to muscle strength, endurance, number of repetitions, speed and time are also measured using the 'PERFECT' system. The PERFECT system was created by Laycock and Jerwood in 2001, based on the Oxford scale (24).