Tratamento fisioterapêutico da dispareunia no puerpério: estudo retrospectivo

Abstract

Objective: This study aimed to describe the physical therapy role in the treatment of dyspareunia in postpartum women and clinical and functional aspects. Materials and Methods: Retrospective study, in the form of a series of cases, in which medical records of women attended by a pelvic physical therapist in a private clinic in Goiânia-Goiás, from March 2019 to May 2021 were analyzed, who completed the medical records . Results: 10 patients who sought physical therapy for postpartum sexual dysfunction at a private clinic in Goiânia were included. The postpartum time ranged from 30 days postpartum to 9 months. Of the patients, 80% (8) had only one pregnancy and 20% (2) are multiparous, 20% (2) reported having had an abortion. The cesarean delivery route was performed by 40% (4) of the patients, while 60% (6) performed vaginally. Dyspareunia was a symptom present in all patients and this was the reason for the consultation with the physiotherapist. Conclusion: The physical therapy techniques used were similar in all cases, namely: vaginal massage, external vaginal electrical stimulation, contraction and relaxation of the pelvic floor muscles, use of Epi-no, among others; being in agreement with the literature, with improvement in all patients, with an average of five sessions. The main difference was the use of Epi-no, a device used in the preparation and maintenance of stretching of the pelvic floor muscles for childbirth, in the treatment of dyspareunia. study.