title: Increasing orgasm and decreasing dyspareunia by a manual physical therapy technique.
abstract: BACKGROUND
  Female sexual pain and dysfunction.
  
  
  OBJECTIVE
  To evaluate the effectiveness of a new site-specific, manual soft-tissue therapy in increasing orgasm and reducing dyspareunia (painful intercourse) in women with histories indicating abdominopelvic adhesion formation.
  
  
  METHODS
  A total of 29 new patients presenting with infertility or abdominopelvic pain-related problems, and also indicating sexual pain or dysfunction, received a series of treatments (mean, 19.5 hours) designed to address biomechanical dysfunction and restricted mobility due to adhesions affecting the reproductive organs and adjacent structures.
  
  
  METHODS
  Primary outcome measures were post-test vs pretest scores on: (1) the Female Sexual Function Index (FSFI) full scale, orgasm domain, and pain domain; and (2) 3 supplemental 10-point rating scales of sexual pain levels. Secondary outcome measures were post-test vs pretest scores in the other 4 FSFI domains (desire, arousal, lubrication, and satisfaction). The Wilcoxon signed-rank test was used for all statistical analyses.
  
  
  RESULTS
  For the 23 patients available for follow-up, the paired FSFI post-test vs pretest scores were significant (P < or = .003) on all measures. Of the 17 patients who completed the 3 sexual pain scales, the paired post-test vs pretest scores were significant (P < or = .002).
  
  
  CONCLUSIONS
  Many cases of inhibited orgasm, dyspareunia, and other aspects of sexual dysfunction seem to be treatable by a distinctive, noninvasive manual therapy with no risks and few, if any, adverse effects. The therapy should be considered a new adjunct to existing gynecologic and medical treatments.
authors.affiliation: Clear Passage Therapies, Gainesville, Florida 32606, USA. cptherapy@aol.com
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Wurn
authors.forename: Belinda F
authors.initials: BF
authors.lastname: Wurn
authors.forename: C Richard
authors.initials: CR
authors.lastname: King
authors.forename: Amanda S
authors.initials: AS
authors.lastname: Roscow
authors.forename: Eugenia S
authors.initials: ES
authors.lastname: Scharf
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Shuster
mesh_terms: D000328:Adult; D004414:Dyspareunia / Q000628:therapy*; D005260:Female; D006801:Humans; D009948:Orgasm; D026741:Physical Therapy Modalities; D020018:Sexual Dysfunctions, Psychological / Q000503:physiopathology* / Q000628:therapy*; D016896:Treatment Outcome