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Understanding and Treating Superficial Primary Dyspareunia: A Masterclass with Dr. Melanie Carminati

Welcome everyone to the first masterclass with Dr. Melanie Carmati! Today, we’ll be delving into an important topic in the field of physical therapy and Pilates – dyspareunia, which refers to pain during intercourse. This blog will explore the different types of dyspareunia, its causes, assessment, and treatment, focusing on superficial primary dyspareunia, which is musculoskeletal in nature.

Defining Dyspareunia

Dyspareunia is characterized by pain experienced before, during, or after intercourse. It can be categorized as superficial, affecting the vulva or vaginal entrance, or deep, causing discomfort in the deeper parts of the pelvis. Primary and Secondary Causes Dyspareunia can be further classified as primary or secondary, depending on the underlying cause. Primary dyspareunia is typically related to musculoskeletal issues, whereas secondary dyspareunia may be associated with other diseases or conditions.

Assessment and Patient History

When a patient presents with dyspareunia, a thorough history is taken to determine the type and timing of the pain. Factors like the presence of bacterial infections, UTIs, history of trauma, or post-natal experiences are considered to get a comprehensive understanding of the patient’s condition. The Bio-Psychosocial Model of Pain Pain is a complex experience influenced by biological, psychological, and sociological factors. In the context of dyspareunia, the intimate nature of sex introduces additional psychological aspects to consider, such as past trauma or stress.

Pelvic Floor Assessment and Treatment

To address superficial primary dyspareunia, pelvic floor physical therapy is employed. The pelvic floor, a multilayered muscle group, plays a crucial role in supporting pelvic organs, sexual function, and urinary control. Treatment Approach Treatment for superficial primary dyspareunia involves various techniques. Manual therapy is used to identify and relax tense muscles, often employing the innovative WentBack™️ therapy, which provides warmth and relaxation to hypersensitive pelvic tissues. Breathing exercises, including diaphragm breathing, are prescribed as homework for patients. Psychological Support Addressing the psychological aspect of pain is crucial. Patients are encouraged to seek psychotherapy or counseling for past traumas, sexual issues, or stress management, as emotional well-being can impact physical symptoms.

Superficial primary dyspareunia is a common condition that can significantly impact a person’s life. Through proper assessment and a comprehensive treatment plan that includes physical therapy, manual therapy, and psychological support, patients can find relief and regain control over their intimate experiences.

Join us for the next masterclass to explore a case study involving the treatment of superficial primary dyspareunia with WinBack™️ Tecar Therapy. Remember, you’re not alone, and there is help available. Join us next month for another informative session with Dr. Melanie Carminati!

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