PI has confirmed this is not a clinical trial and was entered in error in the system.

The investigators aim to perform cognitive interviews to assess how pelvic floor disorders impact sexual functioning in women who have sex with women (WSW). As a secondary objective there will be cognitive interviews to assess perceptions of sexual function questionnaires such as Female Sexual Function Index (FSFI) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-IUGA Revised (PISQ-IR) in WSW.

There is a paucity of data regarding care of women who have sex with women (WSW). While some cohort studies are being performed in general gynecology, no studies document the reasons as to why WSW seek urogynecological care, or how pelvic floor disorders (PFDs) affect sexual function in this population. Another detrimental gap in current knowledge and a barrier to care for WSW is the lack of understanding of what would drive WSW to seek care, if there are special considerations for care, or if the commonly used condition specific questionnaires adequately reflect their concerns. The Investigators aim to perform qualitative interviews to understand how PFDs affect sexual function, and if commonly utilized sexual function questionnaires are inclusive to WSW.

Inclusion Criteria:

• WSW who have a PFD (pelvic organ prolapse, urinary incontinence, fecal incontinence)
• Age >18
• Able to provide consent
• Able to read/write in English

Exclusion Criteria:

• WSW who have not been sexually active in the past 6 months
• Incarcerated patients
• Pregnant or lactating patients
• Unable to consent with study procedures or guided discussions
• Unable to speak English
• No sexual activity in the past 6 months

This trial is open only to wmen

New patients over the age of 18 who present to urogynecology office or contact the research team with interest in participating in the study who self-identify as women who have sex with women. This may include but is not limited to: lesbian and bisexual women.