Evidence map›Paper›PMID 37482613›Full record

SynthesisBMC women's health2023

Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis.

Paula Fernández-Pérez, Raquel Leirós-Rodríguez, Mª Pilar Marqués-Sánchez, María Cristina Martínez-Fernández, Fernanda Oliveira de Carvalho, Leonardo Y S Maciel

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Sexual health interventions for treating sexual dysfunction in women with female genital mutilation: A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Paula Fernández-PérezNursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401, Ponferrada, Spain.
Raquel Leirós-RodríguezSALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401, Ponferrada, Spain. rleir@unileon.es.
Mª Pilar Marqués-SánchezSALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401, Ponferrada, Spain.
María Cristina Martínez-FernándezSALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 24401, Ponferrada, Spain.
Fernanda Oliveira de CarvalhoBrazilian Hospital Services Company (Ebserh) R. Cláudio Batista - Palestina, Aracaju, 49060-676, Brazil.
Leonardo Y S MacielPhysical Therapy Department of Lagarto, Universidade Federal de Sergipe, Gov. Marcelo Déda Ave, São José, Lagarto, 49400-000, Brazil.
Universidad de León · ESUniversidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDyspareunia is defined as the occurrence of pain during or after sexual intercourse, which directly affects physical, sexual, and mental health. This condition can lead to depression, anxiety, and low self-esteem in women who experience it.

objectivesThe aim of this research was to evaluate the effectiveness of physical therapy interventions for the treatment of female dyspareunia.

designA systematic review and meta-analysis was conducted.

methodSearch of publications was conducted in Scopus, Medline, Pubmed, Cinahl and Web of Science. Treatment effects were defined as standardized mean difference and their 95% confidence intervals. Statistical heterogeneity was assessed using Crohan's Q test and quantified using the I

resultsOf the 19 articles selected, six applied multimodal physiotherapy treatments; five, electrotherapy; three, Thiele's massage; two, interdisciplinary interventions or pelvic floor muscle training; and one, extracorporeal shockwave therapy. The meta-analysis showed significant results for the variables pain and quality of life with the interventions based on electrotherapy and electrotherapy combined with pelvic floor muscle training. These interventions did not show significant results for the improvement of sexual function.

conclusionsPhysiotherapy techniques are effective and procedures have been identified with reliable results in improving pain and quality of life in patients with dyspareunia. One of the most important aspects is the strengthening of the perineal musculature and the application of Transcutaneous Electrical Nerve Stimulation. Furthermore, manual trigger point release therapy and Thiele massage, optimize and guarantee the reduction of pain intensity. PROSPERO REGISTRATION: CRD42021236155.

Indexed as

DyspareuniaTranscutaneous Electric Nerve StimulationFemaleHumansPainPhysical Therapy ModalitiesQuality of LifeDyspareuniaExercise therapyManual therapyPelvic floorPhysical therapy modalitiesPhysiological sexual disordersPhysiological sexual dysfunctionsRehabilitation

Identifiers

PMID37482613
PMCPMC10364425
OpenAlexW4385174734

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.