Pelvic floor muscle exercise (PFME) is recommended as a first-line treatment for urinary incontinence. However, a review of the literature suggests the effect of PFME on sexual function (SF), particularlyduring pregnancy and the postpartum period, is understudied. The primary outcome was the impact of antenatal or postnatal PFME on at least 1SF variable, including desire, arousal, orgasm, pain, lubrication, and satisfaction. The secondary outcome was theimpact of PFME on PFM strength. : The current data needs to be interpreted in the context of the studies’ risk of bias, small .