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reprint, amsmath,amssymb, aps, ]revtex4-2 Exploring pelvic floor symptoms indicating the prevalence of increased pelvic floor muscle tone in women aged 18-25 in the Netherlands: a cross-sectional study. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 2 April 2026 V1 Latest version Share on reprint, amsmath,amssymb, aps, ]revtex4-2 Exploring pelvic floor symptoms indicating the prevalence of increased pelvic floor muscle tone in women aged 18-25 in the Netherlands: a cross-sectional study. Authors : Alec Malmberg 0000-0001-7145-6185 [email protected] , Laura E. Frederiks , Shannon Koerhuis , Chary Veurink , Marco Blanker , André P. Wolff , and Grietje E. Knol-de Vries Authors Info & Affiliations https://doi.org/10.22541/au.177511176.65165065/v1 117 views 65 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: Increased pelvic floor muscle tone (IPFMt) is associated with somatic symptoms, in different domains, such as sexual dysfunction, lower urinary tract symptoms, defecation problems, pelvic pain and pelvic organ prolapse. This study aims to ascertain the prevalence of symptoms indicating IPFMt in adolescent women. Design: Cross sectional study. Setting: Online spread questionnaire throughout the Netherlands. Population: Women between 18 and 25 years. Methods: This study included Dutch women aged between 18 and 25 years, who had no history of gynecological, urological, gastrointestinal conditions or pregnancy. Participants were recruited through social media and completed the questionnaire ”Amsterdam Hyperactive Pelvic Floor Scale for Women (AHPFS-W)” online. The AHPFS-W distinguishes six different domains of symptoms (max score 30). Main outcome measures: Clinical AHPFS-W cut-off score: no IPFMt (6.00-10.99), mild IPFMt (11.00-12.99), and moderate to severe IPFMt (13.00-30.00). Results: A total of 1,121 eligible women participated in this study, of whom 485 (43.3%) had no indication of IPFMt, and 299 (26.7%) respectively 337 (30.1%) had a mild indication or moderate to severe indication of IPFMt. The highest AHPFS-W score was achieved in the ”Irritable Bowel Symptoms” domain. Conclusions: Among Dutch women aged 18 to 25 years, almost one third reported moderate to severe complaints on the questionnaire, indicating IPFMt. These findings suggest a high prevalence of symptoms that might be associated with IPFMt among adolescent women, thus stressing the need for awareness and further research to IPFMt in this age group. Supplementary Material File (bjog 2_increased pelvic floor muscle tone in dutch women aged 18-25.docx) Download 3.82 MB Information & Authors Information Version history V1 Version 1 02 April 2026 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords adolescent gynaecology epidemiology: general gynaecology general gynaecology statistics: epidemiological surveys Authors Affiliations Alec Malmberg 0000-0001-7145-6185 [email protected] Universitair Medisch Centrum Groningen View all articles by this author Laura E. Frederiks Universitair Medisch Centrum Groningen View all articles by this author Shannon Koerhuis Universitair Medisch Centrum Groningen View all articles by this author Chary Veurink Universitair Medisch Centrum Groningen View all articles by this author Marco Blanker Universitair Medisch Centrum Groningen View all articles by this author André P. Wolff Universitair Medisch Centrum Groningen View all articles by this author Grietje E. Knol-de Vries Universitair Medisch Centrum Groningen View all articles by this author Metrics & Citations Metrics Article Usage 117 views 65 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Alec Malmberg, Laura E. Frederiks, Shannon Koerhuis, et al. reprint, amsmath,amssymb, aps, ]revtex4-2 Exploring pelvic floor symptoms indicating the prevalence of increased pelvic floor muscle tone in women aged 18-25 in the Netherlands: a cross-sectional study.. Authorea . 02 April 2026. 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