Secondary dysmenorrhea and dyspareunia associated with pelvic girdle dysfunction: A case report and review of literature |
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| Affiliation: | 1. SOMA Istituto Osteopatia Milano, Milan, Italy;2. Ospedale San Raffaele Resnati, Milan, Italy;1. Post-Graduate Program in Rehabilitation Sciences, Augusto Motta University (UNISUAM), Rio de Janeiro, Brazil;2. Almirante Adalberto Nunes Physical Education Center (CEFAN), Navy of Brazil, Brazil;3. Federal University of Rio de Janeiro - Medical School - Physiotherapy Department, Rio de Janeiro, Brazil;4. Post-Graduate Program in Exercise Science and Sports University of Rio de Janeiro State (UERJ), Rio de Janeiro, Brazil;1. IMS Pain Clinic, Hilland Physical Institute, Bergen, Norway;2. Stadium Physiotherapy, Brann Footballstadium, Bergen, Norway;3. Idrettsveien General Practice, Brann Footballstadium, Bergen, Norway;4. Department of Clinical Dentistry, University of Bergen, Norway;5. Department of Clinical Science, University of Bergen, Norway;6. Department of Rheumatology, Haukeland University Hospital, Bergen, Norway;1. Research Physical Therapy Specialists, Columbia, SC, USA;2. American Academy of Manipulative Therapy, Montgomery, AL, USA;3. A Plus Physical Therapy, Livingston, NJ, USA;4. Montgomery Osteopractic Physiotherapy and Acupuncture Clinic, Montgomery, AL, USA;1. Universidade do Vale do Rio dos Sinos (UNISINOS), São Leopoldo, Rio Grande do Sul, Brazil;2. Centro Universitário da Serra Gaúcha (FSG), Caxias do Sul, Rio Grande do Sul, Brazil |
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| Abstract: | Secondary dysmenorrhea is frequently associated with dyspareunia. When the diagnostic workup is negative, its clinical management could be complex and a cause for concerned for the patient. We reported a case of a young woman who suffered from dyspareunia, dysmenorrhea and chronic pelvic pain. After symptoms progression and pharmacological therapy unresponsiveness, the gynaecologist referred the patient to an osteopath for the functional evaluation of the abdominal pevic area. The examination revealed the presence of pelvic, lumbosacral, and sacrococcygeal dysfunctions which, once treated, significatively reduced the severity of dysmenorrhea and dyspareunia. A multidisciplinary approach might be considered in case of suspected functional impairment. This should be carefully evaluated, considering the previous trauma history and the somatic dysfunctions on abdominal-pelvic fascia. |
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| Keywords: | Pelvic adhesions Dyspareunia Pelvic fascia Somatic dysfunction Osteopathic manipulative treatment |
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