Physiotherapeutic interventions in the management of postpartum sexual dysfunctions: an integrative review
DOI:
https://doi.org/10.33448/rsd-v11i16.37801Keywords:
Sexual dysfunction physiological; Physiotherapy; Postpartum.Abstract
During pregnancy, childbirth, and postpartum women go through anatomical and functional changes in the pelvic floor that can trigger a decrease in vaginal sensation, reduced blood flow, muscular hypotonia, and vaginal dryness, which can lead to the development of sexual dysfunctions. These alterations can be classified as penetration disturbances, orgasmic disturbance, interest and/or arousal disturbances, and genitopelvic pain during sexual activity. These dysfunctions negatively influence women's quality of life. Objective: The study aimed to gather and analyze evidence on physical therapy interventions and their effectiveness in the rehabilitation process of postpartum sexual dysfunctions. Methods: This is an integrative review conducted in PubMed, PEDro and Scielo databases. We used the Guideline Preferred Reporting Items for Systematic Reviews and Meta-Analyses - The PRISMA Statement. The research question was: What are the physical therapy interventions and their effectiveness in the rehabilitation of postpartum sexual dysfunctions? Results: 275 studies were found, 6 of which were selected according to the eligibility criteria. The study showed that early introduction of education on body awareness, use of vibratory devices such as EmbaGyn and Magic Kegel Master and pelvic floor muscle training in postpartum women plays an important role in the effectiveness of improving sexual dysfunctions in the puerperium, in addition to providing sexual self-efficacy and quality of life.
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