Fisioterapia

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    FISIOTERAPIA EN DISPAREUNIA: UNA REVISIÓN SISTEMÁTICA
    (Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-08-27) Calvopiña Yanez, Andrea Mishell; Bonilla Ayala, Josselyn Gabriela
    Introduction: Sexual pain or dyspareunia is a common but very delicate issue for women, affecting their quality of life, associated with endometriosis due to specific or indirect factors in the dysfunction of the bladder and/or pelvic floor, causing adverse effects such as: the reduction of desire, dissatisfaction, and pain in the sexual act. The objective is to carry out a search for scientific articles that address physiotherapeutic treatments in dyspareunia and analyze the most effective methods by comparing the different techniques aimed at relieving the symptoms and improving the quality of life in these patients. Methods: A search for studies was carried out in the PubMed, ScienceDirect and Scopus databases and the inclusion and exclusion criteria were applied, selecting 11 articles focused on physiotherapy treatment for the improvement of symptoms in dyspareunia. Results: The selected articles covered various physiotherapy treatments based on muscle relaxation techniques, biofeedback, training (stretching and strengthening) of the pelvic floor muscles, manual interventions, and the use of vaginal dilators, obtaining significant results. such as: reduction of signs and symptoms, optimization of muscle function, increase in tissue elasticity and decrease in pain. Conclusion: Although there is promising evidence for the effectiveness of physical therapy in the treatment of dyspareunia, there is still much to learn about best practices, personalization of treatment, and the exact mechanisms that would decrease its signs and symptoms.