Evaluation of the efficacy of Capacitive Resistive Monopolar Radiofrequency at 448 kHz in the physiotherapeutic treatment of female dyspareunia.

Background and purpose: Dyspareunia is genital pain associated with sexual activity that affects the quality of life of many women. Physiotherapy is a promising, albeit sometimes uncomfortable, option. This study aims to integrate capacitive resistive monopolar radiofrequency (CRMRF) as a complementary therapy. This study aims to evaluate the benefits of combining CRMRF with vaginal manual physiotherapy in young women with dyspareunia. Method: ology: A randomized, prospective, single-blind clinical trial was conducted. Women aged 18 to 30 with superficial dyspareunia were divided into two groups: an intervention group (GI) receiving CRMRF and manual therapy, and a control group (GC) receiving only manual therapy. Four sessions were conducted, assessing sexual function using the Female Sexual Function Index (FSFI) and the Female Sexual Function Questionnaire (FSM). Data were collected before and after treatment, with a follow-up at three months. Results: Both groups showed significant improvements in sexual function at the end of treatment. In the GI, improvements were observed in desire, arousal, lubrication, satisfaction, and pain reduction. The GC also showed improvements in these domains. No significant improvements were observed in either group at three months, suggesting that treatment benefits were maintained without additional long-term improvements. Conclusion: Manual therapy alone and in combination with CRMRF improved sexual function immediately after treatment. No additional improvements were observed at three months, indicating the sustained benefits and emphasizing the need to evaluate maintenance strategies and consider psychological factors. Clinical trials registration: #NCT5844189.