Navegando por Palavras-chave "vaginismus"

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    Estudo comparativo dos tratamentos fisioterapêuticos e psicológicos em pacientes atendidas no setor de sexualidade feminina - Projeto Afrodite da Disciplina de Ginecologia endocrinológica da Universidade Federal de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2013-04-24) Alcides, Maria Angelica [UNIFESP]; Silva, Ivaldo da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objetive: To evaluate and compare the proposed physiotherapeutic and psychotherapeutic interventions in patients with the diagnosis of vaginismus. Methods: We evaluated and compared in a descriptive study with 24 women, two groups: physiotherapy treatment (G1) and psychological treatment and physiotherapy (G2). Both groups underwent screening and were assessed through evaluation form by the multidisciplinary team (Doctors, Psychologists, Physiotherapists) sector of female sexuality Unifesp. To evaluate the physical therapy evaluation was performed bodily and physical assessment of pelvic floor muscle using palpation method and perineal body (subjective) so we could see any changes involuntary spastic contraction. We evaluated the physical and functional integrity of the pelvic floor in order to assess possible changes in muscle through digital examination and/or bidigital (objective evaluation). Were also collected during the evaluation questionnaires Sexual Quality of Life ? Female Sexual Quotient and Inventory and Beck ? BDI (psychological evaluation) for both the G1 Group as well as for the Group G2. Only underwent the treatment, patients with diagnosis of vaginismus. After signing the consent form, the same was referred for treatment with physical therapy and psychology individualized treatments. The number of sessions for therapy (physiotherapy and psychological) were 10 initial sessions the treatment may be extended for 10 more sessions if the multidisciplinary team thought very necessary. The treatment group G1 and G2 were started by working sex education (through the mirror technique and illustrative booklet (anatomy of the internal and external genitalia). Treatment Group G1 was accomplished through relaxation techniques and perineal body, respiratory training, normalization of body tone and perineal massage performed with and desensitization and perineal body and application of specific exercises (body awareness ? and acceptance verbalization through visualization and perineal body in the mirror) (mirror technique ? visualization body) and (autofocus ? visual and tactile perception of the body in the mirror). Results: The study included 15 patients in Group G1 and 9 patients in Group G2. With respect to gynecological assessment, initially seventeen (70.83%) failed to perform evaluation at the end of treatment the twenty-for (100.0%) have done it. In assessing physiotherapy, seven (46.67%) and nine in Group G1 (100.0%) in Group G2 conducted subjective evaluation and eight (53.33%) underwent objective evaluation the end of treatment the twenty-four (100.0%) of the patients began to perform objective evaluation. There was also improvement in relation to the scores of QSF (Female Sexual Quotient) and BDI (Beck Inventory of Psychological Assessment) and regarding the Partial and Total Penetration. Conclusions: physiotherapy should be an integral part of the multidisciplinary team treating sexual dysfunctions, we conclude also that the resources physiotherapeutic help produce physical changes in the body and perineal muscle, central nervous system, altering the mechanism of pain through the reeducation sensory motor.
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    Significado do termo vaginismo para as mulheres com esta disfunção sexual
    (Universidade Federal de São Paulo (UNIFESP), 2016-04-30) Ambrogini, Carolina Carvalho [UNIFESP]; Silva, Ivaldo da Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The terms vaginismus and dyspareunia are being progressively abandoned by the scientific community. In DSM-5 they were replaced by genito-pelvic pain / penetration disorders. However, the real meaning of the word " vaginismus " have been little explored in the literature, where there is no data on the impact of this terminology for the patients themselves. The term vaginismus is derived from the word "vagina," which could cause embarrassment to the patients, however, it has several quotes on the internet where women with this condition seek for knowledge and support. Brazil is known as the country of carnival, but this apparent liberality is not confirmed in the Brazilian daily living that is still very influenced by conservative dogmas and taboos on sexuality, so a word that refers to a sexual organ could be stigmatizing, but there is no data in the literature which confirm this hypothesis. Objectives: To obtain greater understanding of the meaning of the word "vaginismus" for patients with this sexual dysfunction and discuss the classification of the DSM V for such disorder, trying to understand the meaning of the term Genito-Pelvic Pain / Disorders Penetration for patients. Methods: This is a qualitative study using focus groups with women diagnosed with vaginismus for obtaining data until the saturation of themes. The material of these groups was recorded and transcribed and the main topics were defined by two researchers who actively participated in the group and a third that held triangulation. Thus, codes and categories were set out and quantified according to the number of mentions. Results: 18 women participated in three focus groups that were conducted from August to October 2014. In the transcriptions of the groups, four codes were evident in order of importance: meaning of the word "vaginismus", classified as a bad term in most of the entries; unpreparedness of medical service; personal suffering that vaginismus cause as sexual dysfunction and the change in the terminology as favorable. Conclusions: The term "vaginismus" is stigmatizing for most participants, but facilitates the understanding and the demand for specialized treatment. The term genito-pelvic pain is more technical but less embaracing for these women. In addition, doct