Abstract

ABSTRACT Introduction Only recently, the stigma of women using vibrators for sexual pleasure has started to fade. However, for many it still remains a taboo and surrounded with anxiety despite a variety of potential health benefits from its use. Due to the sensitive nature of the conditions Female Pelvic Medicine and Reconstructive Surgery (FPMRS) specialists treat, they are best suited to review and recommend vibrators to women as a health maintenance intervention. Objective The aim of this review is to evaluate the current utilization and recommendations of vibrator use. Methods We performed a systematic review of PubMed, clinicaltrials.gov, Ovid and the Cochrane databases from inception to January 2021. The search was based on the keywords: "sex toy woman", "pelvic vibrator", "sexual stimulation vibrator", "vaginal vibrator” "vibrator pelvic floor", “vibrator incontinence”. Five hundred forty-nine relevant articles were identified. Studies that met inclusion criteria (original research, female subjects, vibrators studied for health benefit) were reviewed. Exclusion criteria included expert opinion or content was not related to our aims. A total of 17 original studies met the criteria and were reviewed in depth. Results The studies naturally fell into four topics: sexual function (8), pelvic floor muscles (2), incontinence (6), and vulvodynia (1) . Among the identified studies, vibrators were considered as an accepted modality to enhance a woman's sexual experience, positively correlated with increased sexual desire, satisfaction, and overall sexual function. Vibratory stimulation can improve pelvic floor muscles strength, vulvodynia, and incontinence. Conclusions Vibrators are not well studied and given the promising benefits demonstrated in the articles identified, more research efforts should be directed towards investigating their utility. Considering the potential pelvic health benefits of vibrators, their recommendation to women should be included in our pelvic floor disorder treatment armamentarium. Disclosure No

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