title: The use of amielle vaginal trainers as adjuvant in the treatment of vestibulodynia: an observational multicentric study.
abstract: OBJECTIVE
  To assess the effectiveness of a specific set of vaginal dilators (Amielle Comfort) as a part of vestibulodynia therapy.
  
  
  METHODS
  Fifteen women referred for vestibulodynia, localized vulvodynia, were advised to use vaginal dilators (Amielle Comfort) accompanied by standardized instructions, after previously receiving 1 or more therapies for the vestibulodynia.
  
  
  RESULTS
  The post-treatment Marinoff scale for dyspareunia significantly improved in patients after vaginal dilator treatment compared with baseline values (2.2 +/- 0.4 vs 1.1 +/- 0.9; P < .01), and the Female Sexual Function Index scores were significantly improved compared with the prestudy values (16.3 +/- 5.5 vs 25.3 +/- 7.5; P < .01).
  
  
  CONCLUSIONS
  Among women with previous therapy for vestibulodynia, vaginal dilator use was associated with improvement in symptoms. Vaginal dilators can play an important role in overcoming pelvic floor muscular responses that remain and sometimes increase after pain perception has decreased.
authors.affiliation: V. Buzzi Hospital, Milan, Italy. filippomurina@tin.it
authors.forename: Filippo
authors.initials: F
authors.lastname: Murina
authors.forename: Roberto
authors.initials: R
authors.lastname: Bernorio
authors.forename: Rosanna
authors.initials: R
authors.lastname: Palmiotto
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D004106:Dilatation / Q000295:instrumentation* / Q000379:methods*; D004414:Dyspareunia / Q000628:therapy*; D005260:Female; D006801:Humans; D007558:Italy; D008875:Middle Aged; D054515:Vulvar Vestibulitis / Q000628:therapy*