Objective: Dyspareunia is known as the painful sexual intercourse. This study was conducted to compare the effectiveness between therapeutic ultrasound and scar mobilization in persistent postnatal dyspareunia.Methods: This is an experimental study. 30 subjects with superficial dyspareunia, age group between 25 and 35 years are taken in this study and 15 subjects in Group A were treated with ultrasound therapy, 15 subjects in Group B were treated with scar mobilization. Female sexual functional index questionnaire (FSFI) and visual analogue scale (VAS) were used as the outcome measure.
Results:Results showed a significant difference in FSFI and VAS measurements in both the groups, but clinically Group A showed better improvement in pain and quality of life than Group B.
Conclusion:There is no significant difference between ultrasound therapy and scar mobilization over the pain and quality of life in patients with persistent postnatal dyspareunia.
A 36-year-old female patient came with an bilateral lower extremity pain and altered sensation, physical evaluation and radiological finding are normal, and there was presence of myofascial trigger points in both lower extremities diagnosed as a myofascial pain syndrome (MPS) and had been treated for it. The failure of treatment for MPS is followed by reevaluation, and on subjective evaluation, her genital symptoms such as unresolving genital arousal, fullness, engorgement, and restless leg syndrome were revealed, and on the objective evaluation, there was an overactive pelvic floor muscles; with subjective and objective findings, the problem was diagnosed as persistent genital arousal disorder (PGAD), the problem causing pathoanatomic structure and pathomechanism was discovered and addressed with manual physiotherapy, and the patient got complete solution from the PGAD. The informed consent was obtained from the patient.
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