Dyspareunia
Conditions
Keywords
Dyspareunia, Pelvic floor muscles, Women
Brief summary
Aim: To evaluate the effectiveness of physical therapy intervention techniques in the improvement of dyspareunia in climacteric women. Study design: This is a randomized controlled trial.
Detailed description
Search location: Menopause and Sexuality Clinic of the department of obstetrics and Gynecology and Clinical Research Center, Hospital de Clínicas de Porto Alegre (HCPA). Patients or participants: The recruited patients may not be vaginal atrophy (cytology-hormone test) and must provide the diagnosis of dyspareunia for more than six months being confirmed by one of the investigators through the pain score above grade 3 (visual analog pain scale) visual inspection, palpation and a questionnaire about the duration and location of pain. Intervention and measures: consist of evaluation of the pelvic floor muscles (Oxford Scale and Perfect), myoelectric assessment (Electromyography), quality of life (Cervantes Scale), sexual function (FSFI), level of depression (Beck Scale) and pain (visual analog pain scale) before and after physical therapy intervention. Expected results: To estimate the effectiveness of pelvic floor training techniques with physical therapy in women with dyspareunia.
Interventions
OTHERsuperficial heat pelvic floor muscle
Superficial heat application in the pelvic floor muscle
OTHERsuperficial heat low back
Superficial heat application in the low back
OTHERPelvic Floor Muscle Training
Pelvic floor muscle training exercises
OTHERManual therapy in iliopsoas, diaphragm and piriformis
Manual therapy in iliopsoas, diaphragm and piriformis for 10 minutes
OTHERIntra Vaginal Manual therapy
Intra Vaginal Manual therapy in the pelvic floor muscles
Electromyographic biofeedback in the pelvic floor muscles
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* dyspareunia complaint for at least six months * visual analog scale of pain above 3 * trophic vagina
Exclusion criteria
* vaginal atrophy * neurological disorders * lack of cognition and understanding * urinary tract infection and / or genital infections * prolapse grade 2 and 3 * severe systemic disease * performing physical therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the effectiveness of physiotherapy techniques in pain improvement using visual analog scale pain | Seven meetings, twice a week, in which the first is the initial assessment and the seventh is the final evaluation totaling a maximum of one month treatment for each patient. | To evaluate the effectiveness of physiotherapy techniques using the analog pain scale. |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the quality of life | To evaluate the quality of life, using Cervantes Scale in climateric women in baseline and after four weeks of intervention |
| To evaluate depression | To evaluate depression, using Beck Scale, in baseline and after four weeks of intervention |
| To evaluate sexual function | To evaluate sexual function, using Female Sexual Function Index, in baseline and after four weeks of intervention |
| To evaluate electrical activity of the pelvic floor muscles | To evaluate electrical activity of the pelvic floor muscles, using Electromyographic biofeedback , in baseline and after four weeks of intervention |
| To evaluate the pelvic floor muscle function | To evaluate the pelvic floor muscle function, using PERFECT Scale in baseline and after four weeks of intervention |
Countries
Brazil
Outcome results
None listed