The pelvic floor in sexual health: Perspective on “Investigating the role of the pelvic floor muscles in sexual function and sexual response: a systematic review and meta-analysis”

The systematic review and meta-analysis conducted by Faucher and colleagues1 offers a timely and comprehensive assessment of the role of pelvic floor muscles (PFMs) in sexual function and sexual response in women without pelvic floor disorders or chronic pelvic pain. Their work fills an important gap in the literature, which has historically focused on women with underlying pelvic dysfunctions, and it contributes meaningfully to the ongoing discussion regarding the biopsychosocial model of female sexuality. One of the key strengths of this paper is its effort to delineate the contribution of PFMs to sexual function in healthy women—a population often excluded from interventional or observational studies. The authors correctly argue that PFMs may play a central role not only in preventing dysfunction but in enhancing sexual experience and responsiveness. By limiting their analysis to women without diagnosed pelvic pathology, they eliminate a significant confounding factor and allow for clearer interpretation of baseline muscle function in sexual response.