Physiotherapeutic interventions in the treatment of female dyspareunia: an exploratory study




Physiological sexual dysfunction; Physiotherapy modalities; Women.


Introduction: Dyspareunia is one of the existing sexual dysfunctions, it is defined as a painful sexual act or attempt. This dysfunction causes severe pain and is classified among the group of painful sexual disorder, which is a highly prevalent category and has a major negative impact on the quality of life of the women affected and their sexual partnership. Objective: To analyze and describe the light of current literature with a good methodological quality, the approach of physiotherapy in the treatment of female dyspareunia. Methodology: This is an integrative literature review with a qualitative and quantitative approach. Studies addressing physical therapy treatment in women with dyspareunia, published from 2010 to 2020, without linguistic restriction, including periodicals, were included. Duplicate studies, book chapters, literature reviews, systematic reviews, editorial letters, comments, guidelines and abstracts of scientific articles were excluded. The databases used for the bibliographic survey were: Pubmed, Medline, PEDro and ScienceDirect. Data collection was carried out in the months of May and July of the current year 2020. Results and Discussion: After collecting the data, it was observed that physiotherapeutic resources such as Electrotherapy and Kinesiotherapy of the pelvic floor have a positive effect regarding this dysfunction, such as in the normalization of muscle tone, in the increase of perineal awareness, in proprioception, in the strengthening, elasticity, vascularization and improvement of pain, thus improving the sexual interaction of women. Final Considerations: It is believed that this study contributes to a possible adaptation of therapeutic services and expansion of knowledge about women's pelvic sexual pain, we show that the physiotherapist is the health professional who has all the knowledge to provide support to women in this touching.

Author Biographies

Fernando Soares da Silva Neto, Universidade Federal da Paraíba

Graduado em Fisioterapia pela Faculdade UNINASSAU - João Pessoa, Pós Graduado em Multidisciplinar em Oncologia e Cuidados Paliativos pela Faculdade IBRA, Pós graduando em Genero e Diversidade na Escola - GDE\ NIPAM pela Universidade Federal da Paraíba-UFPB.

Anna Luiza Paiva Jericó, Centro Universitário Maurício de Nassau

Graduada em Fisioterapia pela Uninassau - Campo João Pessoa


Abdo, C.H.N. (2014). Descobrimento sexual do Brasil. São Paulo: Summus Editorial.

Aquino, L., H., C. (2019). Intervenções Fisioterapêuticas Na Dispareunia. Monografia, Ariquemes-RO.

Associação Psiquiátrica Americana. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. (2014). Tradução Maria Inês Corrêa Nascimento, Porto Alegre, Artmed (5).

Barreto, K. L., Mesquita, Y. A., Santos Junior, F. F. U., & Gameiro, M. O. (2018). Treinamento da força muscular do assoalho pélvico e os seus efeitos nas disfunções sexuais femininas. Motricidade, 14(1), 424-427.

BrasilI, A. P. A., & AbdoII, C. H. N. (2016). Transtornos sexuais dolorosos femininos. Diagn. tratamento, 89-92.

Brauer, M., Lakeman, M., van Lunsen, R., & Laan, E. (2014). Predictors of task‐persistent and fear‐avoiding behaviors in women with sexual pain disorders. The Journal of Sexual Medicine, 11(12), 3051-3063.

Brotto, L. A., Yong, P., Smith, K. B., & Sadownik, L. A. (2015). Impact of a multidisciplinary vulvodynia program on sexual functioning and dyspareunia. The journal of sexual medicine, 12(1), 238-247.

Coffito. Resolução n° 372 de 6 de novembro (2009). Reconhece como Especialista de Fisioterapia na Saúde da Mulher como especialidade do profissional Fisioterapeuta e dá outras providências. Recuperado de <>.

De Souza Antonioli, R., & Simões, D. (2010). Abordagem fisioterapêutica nas disfunções sexuais femininas. Revista Neurociências, 18(2), 267-274.

De Moura, T. R., Nunes, E. F. C., sutter Latorre, G. F., & Vargas, M. M. (2019). Dispareunia relacionada à via de parto: uma revisão integrativa. Revista de Ciências Médicas, 27(3), 157-165.

Dionisi, B., & Senatori, R. (2011). Effect of transcutaneous electrical nerve stimulation on the postpartum dyspareunia treatment. Journal of Obstetrics and Gynaecology Research, 37(7), 750-753.

Fitz, F. (2016). Fisioterapia no tratamento das disfunções sexuais femininas. Fisioterapia Brasil, 16(2), 165-180. doi:

Ghaderi, F., Bastani, P., Hajebrahimi, S., Jafarabadi, M. A., & Berghmans, B. (2019). Pelvic floor rehabilitation in the treatment of women with dyspareunia: a randomized controlled clinical trial. International urogynecology journal, 30(11), 1849-1855.

Lahaie, M. A., Amsel, R., Khalifé, S., Boyer, S., Faaborg-Andersen, M., & Binik, Y. M. (2015). Can fear, pain, and muscle tension discriminate vaginismus from dyspareunia/provoked vestibulodynia? Implications for the new DSM-5 diagnosis of genito-pelvic pain/penetration disorder. Archives of sexual behavior, 44(6), 1537-1550.

Lima, R. G. R., dos Santos Silva, S. L., da Boaviagem Freire, A., & Barbosa, L. M. A. (2016). Tratamento Fisioterapêutico nos Transtornos Sexuais Dolorosos Femininos: Revisão Narrativa. Revista Eletrônica da Estácio Recife, 2(1).

Mariano, A. M., & Rocha, M. (2017). Revisão da Literatura: Apresentação de uma Abordagem Integradora Structural Equations View project Service Quality View project. In XXVI Congreso Internacional de la Academia Europea de Dirección y Economía de la Empresa (AEDEM), n. September, pv, 26.

Silva, D. J., & Abreu, A. (2018). Recursos fisioterapêuticos para as disfunções sexuais femininas: uma revisão literária. HÓRUS, 9(1), 53-66.

Schvartzman, R. (2016). Intervenção fisioterapêutica em mulheres climatéricas com dispareunia: ensaio clínico randomizado. Recuperado de <https://www.lume.ufrgs. br/bitstream/handle/10183/150667/001008730.pdf?sequence=1&isAllowed=y>.

Schvartzman, R., Schvartzman, L., Ferreira, C. F., Vettorazzi, J., Bertotto, A., & Wender, M. C. O. (2019). Physical therapy intervention for women with dyspareunia: a randomized clinical trial. Journal of sex & marital therapy, 45(5), 378-394.

Shigeta, M., Sekiguchi, Y., & Nakamura, R. (2016). 037 Effects of Physical Therapy on Female Dyspareunia in Japan. The Journal of Sexual Medicine, 13(6), S255.

Trindade, S., & Luzes, R. (2017). Atuação do fisioterapeuta nas disfunções sexuais femininas. Alumni-Revista Discente da UNIABEU-ISSN 2318-3985, 5(9), 10-16.



How to Cite

SILVA NETO, F. S. da .; JERICÓ, A. L. P. Physiotherapeutic interventions in the treatment of female dyspareunia: an exploratory study. Research, Society and Development, [S. l.], v. 9, n. 9, p. e209996570, 2020. DOI: 10.33448/rsd-v9i9.6570. Disponível em: Acesso em: 21 jun. 2024.



Review Article