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

Abstract

Genito-pelvic pain/penetration disorder (DGPP) is defined as persistent difficulties with attempted penetration, vulvovaginal pain, fear or anxiety before penetration for more than six months.This study aimed to evaluate the effect of perineal massage and the use of vaginal dilators on the sexual function of women with DGPP. This is a randomized, blinded, and allocation-concealed controlled clinical trial (CAAE: 69161623.0.0000.5152). 28 women over the age of 18 were included, who had already had sexual intercourse and who presented genito-pelvic pain/penetration, during or after sexual intercourse. The assessment of female sexual function was carried out through the application of the Female Sexual Function Index (FSFI) questionnaire before and after the intervention. The intervention was carried out in two groups: group A received perineal massage (10 min) and group B perineal massage (5 min) + vaginal dilators (5 min). The intervention was carried out twice a week, totaling 10 sessions. The difference between the final and initial value for each group was calculated and the t test was used to verify the difference, with a significance level of 5%.An improvement in the sexual function of participants in both groups was observed, but no difference was observed between the groups after the intervention (p=0.420). It is concluded that perineal massage and vaginal dilators were effective in improving sexual function, but the addition of dilators to the treatment did not provide additional benefit.