{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T23:22:59Z","timestamp":1782516179518,"version":"3.54.5"},"reference-count":22,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"01","license":[{"start":{"date-parts":[[2016,12,27]],"date-time":"2016-12-27T00:00:00Z","timestamp":1482796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>\n            Aim\u2003To evaluate the long-term effectiveness of perineal Thiele massage in the treatment of women with dyspareunia caused by tenderness of the pelvic floor muscles.<\/jats:p><jats:p>\n            Methods\u2003A total of 18 women with diagnoses of dyspareunia caused by tenderness of the pelvic floor muscles were included in the study. The women were divided in two groups: the dyspareunia (D) group \u2013 8 women with dyspareunia caused by tenderness of the pelvic floor muscles; and the chronic pelvic pain group (CPP) group \u2013 10 women with dyspareunia caused by tenderness of the pelvic floor muscles associated with CPP. Each patient filled out the Visual Analogue Scale (VAS), the McGill Pain Index, the Female Sexual Function Index (FSFI) and the Hospital Anxiety and Depression Scale (HADS). After an evaluation, the women underwent transvaginal massage using the Thiele technique over a period of 5 minutes, once a week for 4 weeks.<\/jats:p><jats:p>\n            Results\u2003All women had significant improvements in their dyspareunia according the VAS and the McGill Pain Index (p\u2009&lt;\u20090,001), but the HADS scores did not show significant differences. Regarding sexual function, the D group showed improvements on all aspects of sexual function, while the CPP group showed differences only in the pain domain.<\/jats:p><jats:p>\n            Conclusion\u2003Thiele massage is effective in the treatment of dyspareunia caused by tenderness of the pelvic floor muscles with a long-term pain relief.<\/jats:p>","DOI":"10.1055\/s-0036-1597651","type":"journal-article","created":{"date-parts":[[2016,12,27]],"date-time":"2016-12-27T23:34:09Z","timestamp":1482881649000},"page":"26-30","source":"Crossref","is-referenced-by-count":23,"title":["Perineal Massage Improves the Dyspareunia Caused by Tenderness of the Pelvic Floor Muscles"],"prefix":"10.61622","volume":"39","author":[{"given":"Ana Paula Moreira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Lourdes","family":"Montenegro","sequence":"additional","affiliation":[{"name":"Division of Gynecology, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Beatriz Ferreira","family":"Gurian","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreia Moreira de Souza","family":"Mitidieri","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia Alves da Silva","family":"Lara","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omero Benedicto","family":"Poli-Neto","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio Cesar","family":"Rosa e Silva","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2016,12,27]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1590\/S1807-59322005000100011","article-title":"Female sexual dysfunction: the important points to 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