title: Perineal Massage Improves the Dyspareunia Caused by Tenderness of the Pelvic Floor Muscles.
abstract: AimTo evaluate the long-term effectiveness of perineal Thiele massage in the treatment of women with dyspareunia caused by tenderness of the pelvic floor muscles.MethodsA total of 18 women with diagnoses of dyspareunia caused by tenderness of the pelvic floor muscles were included in the study. The women were divided in two groups: the dyspareunia (D) group - 8 women with dyspareunia caused by tenderness of the pelvic floor muscles; and the chronic pelvic pain group (CPP) group - 10 women with dyspareunia caused by tenderness of the pelvic floor muscles associated with CPP. Each patient filled out the Visual Analogue Scale (VAS), the McGill Pain Index, the Female Sexual Function Index (FSFI) and the Hospital Anxiety and Depression Scale (HADS). After an evaluation, the women underwent transvaginal massage using the Thiele technique over a period of 5 minutes, once a week for 4 weeks.ResultsAll women had significant improvements in their dyspareunia according the VAS and the McGill Pain Index (p< 0,001), but the HADS scores did not show significant differences. Regarding sexual function, the D group showed improvements on all aspects of sexual function, while the CPP group showed differences only in the pain domain.ConclusionThiele massage is effective in the treatment of dyspareunia caused by tenderness of the pelvic floor muscles with a long-term pain relief.
authors.affiliation: Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
authors.forename: Ana Paula Moreira da
authors.initials: AP
authors.lastname: Silva
authors.affiliation: Division of Gynecology, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States.
authors.forename: Mary Lourdes
authors.initials: ML
authors.lastname: Montenegro
authors.affiliation: Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
authors.forename: Maria Beatriz Ferreira
authors.initials: MB
authors.lastname: Gurian
authors.affiliation: Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
authors.forename: Andreia Moreira de Souza
authors.initials: AM
authors.lastname: Mitidieri
authors.affiliation: Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
authors.forename: Lucia Alves da Silva
authors.initials: LA
authors.lastname: Lara
authors.affiliation: Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
authors.forename: Omero Benedicto
authors.initials: OB
authors.lastname: Poli-Neto
authors.affiliation: Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, SP, Brazil.
authors.forename: Julio Cesar
authors.initials: JC
authors.lastname: Rosa E Silva
mesh_terms: D000328:Adult; D004414:Dyspareunia / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008405:Massage; D063806:Myalgia / Q000150:complications*; D059952:Pelvic Floor Disorders / Q000150:complications*; D013997:Time Factors; D016896:Treatment Outcome