The effects of pilates exercise on female sexual dysfunction in women: a controlled, prospective study

BMC Urol. 2025 Apr 2;25(1):67. doi: 10.1186/s12894-025-01749-z.

ABSTRACT

PURPOSE/OBJECTIVE: Numerous studies report the impact of daily exercise on many aspects of female sexual dysfunction (FSD). However, limited studies are investigating the effect of pilates on FSD. The primary aim of this study was to prospectively examine the effect of Pilates on female sexual function using the Female Sexual Function Index (FSFI), the Arizona Sexual Experiences Scale (ASEX), and Beck Depression Inventory (BDI) questionnaires.

METHODS: Ninety-three sexually active premenopausal women were enrolled in the study. The study group was asked to complete FSFI, ASEX, and BDI questionnaires before and after a 12-week Pilates exercise program. The control group was asked to complete FSFI, BDI, and ASEX questionnaires and continue their daily routine for 12 weeks. At the end of 12 weeks, the individuals were asked to complete the same questionnaires again.

RESULTS: FSFI, ASEX and BDI scores were compared before and after 12 weeks of Pilates exercise, and a statistically significant improvement was observed in all 3 questionnaire composite scores (p < 0.01). When the study and control groups were compared after 12 weeks, a statistically significant difference was observed between the study and control groups in FSFI scores (p < 0.01).

CONCLUSION: Present study has demonstrated undeniable improvements in ASEX, BDI, and all domains of FSFI scores after a 12-week Pilates exercise program in women with FSD. Pilates exercise may be a supportive intervention for the treatment of FSD.

PMID:40175966 | DOI:10.1186/s12894-025-01749-z