The use of amielle vaginal trainers as adjuvant in the treatment of vestibulodynia: an observational multicentric study.
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.
Murina
Filippo
F
V. Buzzi Hospital, Milan, Italy. filippomurina@tin.it
Bernorio
Roberto
R
Palmiotto
Rosanna
R
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*