Efeito da massagem perineal e do uso de dilatadores vaginais na queixa de dor de mulheres com dor genito-pélvica/penetração

Abstract

Genito-Pelvic Pain/Penetration Disorder (PPGD) manifests itself through difficulty in achieving vaginal penetration, together with the presence of pain. Among the approaches to treating PGD is the use of vaginal dilators, however, evidence regarding their use in improving sexual function has been inconclusive. The objective of this study was to investigate the effect of perineal massage and the use of vaginal dilators on pain complaints in women with PGD. Randomized and blind controlled clinical trial (CAAE: 69161623.0.0000.5152), whose sample consisted of 28 women, divided into group A that received perineal massage for 10 minutes (n=14) and group B that received perineal massage (5 minutes) associated with the use of vaginal dilators (5 minutes) (n=14). Complaints of myofascial pain were assessed through palpation of the muscle belly of the obturator internus and levator ani muscle groups and each muscle was quantified into a score from 0 to 10 using the Visual Analogue Pain Scale (VAS) before and after the intervention. The analysis of variance test (ANOVA) with Tukey's post-roc test was used, with a significance of 5%. The results showed a reduction in pain complaints in both groups (p<0.01), but no significant difference was observed between the interventions (p=0.206). It is concluded that both techniques were effective in improving PGD pain, but the addition of dilators to the treatment did not provide additional benefit.