Avaliação do potencial de ativação mioelétrico do assoalho pélvico, qualidade de vida e função sexual de mulheres climatéricas com e sem dispareunia


IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia




Introduction. Alterations in the pelvic floor during menopausal years, which are the result of hormonal and physical changes and of tissue aging itself, can lead to urinary and sexual dysfunction. The role of physical therapy in the treatment of urinary incontinence is well documented, but few studies have assessed its role in sexual dysfunction. Aim. To assess the myoelectric action potential of pelvic floor muscles, sexual function (using the Female Sexual Function Index, FSFI) and quality of life (using the Cervantes Scale) in perimenopausal and menopausal women with and without dyspareunia. Methods. Cross-sectional study carried out at the outpatient Menopause clinic of the Department of Gynecology, Hospital de Clínicas de Porto Alegre (HCPA), Brazil, in a sample of climacteric women aged 45 to 60 years. Participants were interviewed, completed two questionnaires (Cervantes Scale and FSFI), and underwent assessment of the pelvic floor muscles by the electromyographic biofeedback method. Results. The sample comprised 51 women with a mean age of 52.1±4.9 years. There were no statistically significant differences in resting muscle tone between women with and without dyspareunia (P = 0.152). However, women with dyspareunia scored worse on the FSFI (P <0.001) and the Cervantes Scale (P = 0.009) as compared to women without dyspareunia. Furthermore, there was a significant inverse association between FSFI pain scores and mean resting tone (rs = -0.300; P = 0.033). Conclusions. Although myoelectric activation potentials were similar in women with and without dyspareunia, there were between-group differences in FSFI and Cervantes Scale scores. Further studies are required with the possibility of standardize assessment and physical therapy interventions in climacteric women with dyspareunia.


modalidades de fisioterapia dyspareunia disfunção sexual fisiológica pelvic floor muscles sexual dysfunction climatério menopausal status dispareunia electromyography biofeedback

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