Impacto de seis semanas de massagem perineal em mulheres com transtorno de dor gênito-pélvica/penetração

Abstract

Objectives: To assess the impact of six weeks of perineal massage on sexual function and muscle tone in women with genito-pelvic pain/penetration disorder (PPDG). Material and methods: Intervention study. Sample consisting of 14 women with sexual pain from the community of the city of Uberlândia and who met the following inclusion criteria: being over 18 years of age and having already undergone sexual intercourse with vaginal penetration, meeting the DSM-5 criteria for genito-pelvic pain/penetration disorder and have PFM hypertonia assessed by vaginal palpation. Exclusion criteria were: women with diagnosed neuromuscular disease; pregnant or postpartum women; urinary tract infection symptoms at the time of evaluation; pain triggered after surgical procedure; menopausal women; women who cannot tolerate perineal and intravaginal touch; previous trauma or fracture in the pelvic region; neurological or cognitive diseases that make it difficult or prevent full understanding of the procedures. Sexual function was assessed using the Female Sexual Function Index (FSFI) questionnaire and muscle tone through vaginal palpation. All evaluations were performed before and after the ten interventions. Results: Fourteen women with sexual pain, with a mean age of 28.4 (± 6.3) completed the treatment. There was a significant improvement in sexual function and sexual pain assessed by the FSFI and a significant decrease in the frequency of increased pelvic floor muscle tone. Conclusion: six weeks of perineal massage promoted improvement in pain, sexual function and decreased frequency of increased tone in women with PGD.