title: [Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve].
abstract: Vaginismus is a poorly understood disorder, characterized by an involuntary muscular spasm of the pelvic floor muscles and outer third of the vagina during intercourse attempt, which results in aversion to penetration. It is reported to affect 1-7% of women worldwide. With this report the authors aim to describe the case of a young patient with vaginismus in whom techniques usually from the chronic pain domain were used as part of her multimodal therapeutic regimen.
authors.affiliation: Hospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, Portugal. Electronic address: carvalho.joanac@gmail.com.
authors.forename: Joana Chaves Gonçalves Rodrigues de
authors.initials: JCGR
authors.lastname: Carvalho
authors.affiliation: Hospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, Portugal.
authors.forename: Luís Miguel
authors.initials: LM
authors.lastname: Agualusa
authors.affiliation: Hospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, Portugal.
authors.forename: Luísa Manuela Ribeiro
authors.initials: LMR
authors.lastname: Moreira
authors.affiliation: Hospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, Portugal.
authors.forename: Joana Catarina Monteiro da
authors.initials: JCMD
authors.lastname: Costa
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage*; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage*; D003000:Clonidine / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D060525:Pudendal Nerve; D061208:Pulsed Radiofrequency Treatment; D000077212:Ropivacaine / Q000008:administration & dosage*; D061028:Trigger Points; D052065:Vaginismus / Q000628:therapy*
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D000077212:Ropivacaine; D003000:Clonidine
keywords: Chronic pain; Dor crônica; Nervo pudendo; Ponto gatilho; Pudendal nerve; Pulsed radiofrequency; Radiofrequência pulsada; Trigger point; Vaginismo; Vaginismus