The University of Southampton
University of Southampton Institutional Repository

Pelvic floor physical therapy for lifelong vaginismus: A retrospective chart review and interview study

Pelvic floor physical therapy for lifelong vaginismus: A retrospective chart review and interview study
Pelvic floor physical therapy for lifelong vaginismus: A retrospective chart review and interview study
Pelvic floor physical therapy is used in the treatment of sexual pain disorders; however, women with lifelong vaginismus have not yet been included in treatment studies or have not been differentiated from women with acquired vaginismus and/or dyspareunia. This retrospective chart review and interview study was intended to obtain initial information on physical therapy interventions, course, and outcome in women who have never been able to experience vaginal intercourse. The files of 53 women, consecutively treated at one physical therapy clinic, were included in the chart review; 13 of these women volunteered to be interviewed. The chart review revealed significant pelvic floor pathology and an average treatment course of 29 sessions. Internal manual techniques were found to be most effective, followed by patient education, dilatation exercises, and home exercises. Although participants were very satisfied with the physical therapy, some symptoms, such as pain, anxiety/fear, and pelvic floor tension remained and scores on the Female Sexual Distress Scale and Female Sexual Function Index indicated clinical levels of sexual distress and impaired sexual function after treatment. Although there appears to be no linear relation between symptom reduction and healthy sexual function, this initial information suggests that physical therapy may be a promising treatment option for some women with lifelong vaginismus and merits further evaluation.
0092-623X
306-320
Reissing, Elke D.
d6c69d14-9820-4280-be76-97e74bc16f2d
Armstrong, Heather L.
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Allen, Caroline
4831a0d5-a9a5-46ea-b7c1-14a4f33cf7c5
Reissing, Elke D.
d6c69d14-9820-4280-be76-97e74bc16f2d
Armstrong, Heather L.
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Allen, Caroline
4831a0d5-a9a5-46ea-b7c1-14a4f33cf7c5

Reissing, Elke D., Armstrong, Heather L. and Allen, Caroline (2013) Pelvic floor physical therapy for lifelong vaginismus: A retrospective chart review and interview study. Journal of Sex & Marital Therapy, 39 (4), 306-320. (doi:10.1080/0092623X.2012.697535).

Record type: Article

Abstract

Pelvic floor physical therapy is used in the treatment of sexual pain disorders; however, women with lifelong vaginismus have not yet been included in treatment studies or have not been differentiated from women with acquired vaginismus and/or dyspareunia. This retrospective chart review and interview study was intended to obtain initial information on physical therapy interventions, course, and outcome in women who have never been able to experience vaginal intercourse. The files of 53 women, consecutively treated at one physical therapy clinic, were included in the chart review; 13 of these women volunteered to be interviewed. The chart review revealed significant pelvic floor pathology and an average treatment course of 29 sessions. Internal manual techniques were found to be most effective, followed by patient education, dilatation exercises, and home exercises. Although participants were very satisfied with the physical therapy, some symptoms, such as pain, anxiety/fear, and pelvic floor tension remained and scores on the Female Sexual Distress Scale and Female Sexual Function Index indicated clinical levels of sexual distress and impaired sexual function after treatment. Although there appears to be no linear relation between symptom reduction and healthy sexual function, this initial information suggests that physical therapy may be a promising treatment option for some women with lifelong vaginismus and merits further evaluation.

Full text not available from this repository.

More information

Accepted/In Press date: 21 June 2012
e-pub ahead of print date: 7 March 2013
Published date: 1 July 2013

Identifiers

Local EPrints ID: 429946
URI: https://eprints.soton.ac.uk/id/eprint/429946
ISSN: 0092-623X
PURE UUID: 452ffc6e-c080-4dd7-9d0f-d43b3eeee528
ORCID for Heather L. Armstrong: ORCID iD orcid.org/0000-0002-1071-8644

Catalogue record

Date deposited: 09 Apr 2019 16:30
Last modified: 22 Oct 2019 00:21

Export record

Altmetrics

Contributors

Author: Elke D. Reissing
Author: Caroline Allen

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×