Pelvic floor muscles training in women with dyspareunia: randomized clinical trial

Authors

  • Franciele da Silva Pereira UDESC
  • Carolina Lazzarim de Conto UFSC
  • Karoline Sousa Scarabelot UDESC
  • Janeisa Franck Virtuoso UFSC

DOI:

https://doi.org/10.33233/fb.v21i4.3936

Keywords:

dyspareunia, Physical therapy, sexuality

Abstract

Introduction: Dyspareunia affects female sexual function as well as quality of life. In this mode, pelvic floor training generates awareness of the vaginal region as well as enhances sexual function. Aim: To analyze the effect of pelvic floor muscle training (PFMT) on the quality of life of women with dyspareunia. Methods: This was a randomized clinical trial in sexually active women with symptoms of dyspareunia that were randomly assigned to Intervention Group (GI; n = 6) and Control Group (CG; n = 7). Sexual function was verified through the Female Sexual Function Index (FSFI). Dyspareunia interference on quality of life was verified by a visual analog scale (0 = no interference; 10 = maximum interference). The GI was submitted to the PFMT for eight weeks, two weekly meetings lasting 40 minutes, and the CG received no training. For data analysis, descriptive and inferential statistics were used, with a significance level of 5%. Results: The domains desire, arousal, lubrication, orgasm and satisfaction did not present significant difference in both groups. However, there was a decrease in the values found in the pain domain (p = 0.043; d = 1.24) in the GI. Regarding the interference of dyspareunia in quality of life, values were significantly better in GI (p = 0.022; d = 1.95). Conclusion: After physical therapy intervention of pelvic floor muscles training there is pain improvement in women.

Author Biographies

Franciele da Silva Pereira, UDESC

Doutoranda no Programa de Pós-Graduação em Ciência do Movimento Humano da Universidade do Estado de Santa Catarina (UDESC, Florianópolis, SC, Brasil

Carolina Lazzarim de Conto, UFSC

Mestranda no Programa de Pós-Graduação em Ciência da Reabillitação da Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brasil

Karoline Sousa Scarabelot, UDESC

Doutoranda do Programa de Pós-graduação em ciências do movimento humano (UDESC), Florianópolis, SC, Brasil  

Janeisa Franck Virtuoso, UFSC

Professora efetiva do curso de Fisioterapia da Universidade Federal de Santa Catarina, Coordena o Grupo de Estudos em Fisioterapia na Saúde da Mulher (GEFISAM), Participa do Laboratório de Envelhecimento, Recursos e Reumatologia (LERER), Florianópolis, SC, Brasil

References

Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Int Urogynecol J 2017;28(2):191-213. doi: 10.1007/s00192-016-3123-4

Ferreira ALCG, Souza I, Amorim MMR. Prevalência das disfunções sexuais femininas em clí­nica de planejamento familiar de um hospital escola no Recife, Pernambuco. Rev Bras Saúde Matern. Infant 2007;7(2):143-150. doi: 10.1590/s1519-38292007000200004

Jamali S, Rahmanian A, Javadpour S. Examining the sexual function and related attitudes among aged women: A cross- sectional study. Int J Reprod Bio Med 2016;14(1):29-38.

Sperandio FF, Sacomiri C, Passos Porto I, Cardoso FL. Prevalência de dispareunia na gravidez e fatores associados. Rev Bras Saúde Matern Infant 2016;16(1):49-55. doi: 10.1590/1806-93042016000100006

McDonald EA, Gartland D, Small R, Brown SJ. Dyspareunia and childbirth: a prospective cohort study. BJOG 2015;122(5):672-9. doi: 10.1111/1471-0528.13263

Serati M, Bogani G, Di Dedda MC, Braghiroli A, Uccella S, Cromi A, Ghezzi F. A comparison between vaginal estrogen and vaginal hyaluronic for the treatment of dyspareunia in women using hormonal contraceptive. Eur J Obstet Gynecol Reprod Biol 2015;191:48-50. doi: 10.1016/j.ejogrb.2015.05.026

Brotto LA, Yong,P, Smith KB, Sadownik LA. Impact of a multidisciplinary vulvodynia program on sexual functioning and dyspareunia. J Sex Med 2015;12(1):238-47. doi: 10.1111/jsm.12718

Eftekhar T, Sohrabi M, Haghollahi F, Shariat M, Miri E. Comparison effect of physiotherapy with surgery on sexual function in patients with pelvic floor disorder: A randomized clinical trial. Iran J Reprod Med 2014;12(1):7-14.

Piassarolli V, Hardy E, Andrade N, Ferreira N, Osis M. Treinamento dos músculos do assoalho pélvico nas disfunções sexuais femininas. Rev Bras Ginecol Obstetr 2010;32(5):234-40. doi: 10.1590/s0100-72032010000500006

Kegel A. Sexual functions of the pubococcygeus muscle. West J Surg Obstet Gynecol 1952;60(10):521-4.

Bø K, Talseth T, Vinsnes A. Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women. Acta Obstet Gynecol Scand 2000;79(7):598-603.

Bø K, Larsen S. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: classification and characterization of responders. Neurourology and Urodynamics 1992;9:497-507. doi: 10.1002/nau.1930110505

Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cut off scores, J Sex Marital Ther 2005;31(1):1-20. doi: 10.1080/00926230590475206

Thiel RRC. Tradução para português, adaptação cultural e validação do Female Sexual Function Index. Rev Bras Ginecol Obstet 2008;30(10):504-10. doi: 10.1590/S0100-72032008001000005

Correia L, Brasil C, Silva M, Silva D, Amorim H, Lordêlo P. Função sexual e qualidade de vida de mulheres: um estudo observacional. Revista Portuguesa de Clí­nica Geral 2016;32(6):405-9. doi: 10.32385/rpmgf.v32i6.11961

Higa R, Lopes MHBM. Fatores associados com a incontinência urinária na mulher. Rev Bras Enferm 2005;58(4):422-8.

Luz SCT. Educação Perineal Progressiva EPP - em busca da continência urinária. São Paulo: Biblioteca 24 horas; 2011. p. 98.

Schvartzman R, Schvartzman L, Ferreira FC, Vettorazzi J, Bertotto A, Wender COM. Physical therapy intervention for women with dyspareunia: a randomized clinical trial. J Sex Marital Ther 2019;14:1-31. doi: 10.1080/0092623X.2018.1549631

Braekken HI, Majida M, Engh ME, Bø K. Morphological changes after pelvic floor muscle training measured by 3-dimensional ultrasonography: a randomized controlled trial. Obstet Gynecol 2010;115(2Pt1):317-24. doi: 10.1097/AOG.0b013e3181cbd35f

Ma Y, Qin H. Pelvic floor muscle exercises may improve female sexual function. Med Hypotheses 2009;72(2):223. doi: 10.1016/j.mehy.2008.09.026

Braekken IH, Majida M, Engh ME, Bø K. Can pelvic floor muscle training improve sexual function in women with pelvic organ prolapse? A randomized controlled trial. J Sex Med 2015;12(2):470-80. doi: 10.1111/jsm.12746

Fritzer N. Tammaa A. Salzer H. Hudelist G. Dyspareunia and quality of sex life after surgical excision of endometriosis: a systematic review. Eur J Obstet Gynecol Reprod Biol 2014;173:1-6. doi: 10.1016/j.ejogrb.2013.10.032

Redivo LB, Werlang BSG, Müller MC. Qualidade de vida em mulheres que procuram atendimento ginecológico. Psic Saúde & Doenças 2008;9(1):113-29.

Published

2020-08-08