Effect of Radiofrequency in the Treatment of de Novo Dyspareunia at 4 to 16 Months Postpartum.

NCT ID: NCT05417334

Last Updated: 2025-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-18

Study Completion Date

2026-01-31

Brief Summary

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This study evaluates if the application of resistive capacitive monopolar radiofrequency therapy associated with Thiele massage is effective when treating de novo dyspareunia at 4 to 9 months postpartum.

Detailed Description

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Dyspareunia is a type of genito-pelvic pain (GPP) that takes place during vaginal penetration at some point in sexual intercourse. It greatly affects quality of life as well as psychological and sexual wellbeing. A delivery with episiotomy, perineal tearing or labor dystocia using forceps or vacuum, are risk factors that contribute to the appearance of de novo dyspareunia with a prevalence of 17-45% at 6 months postpartum.

There is no evidence in the scientific literature of the effect of radiofrequency is this group of patients, however there is a clinical trial that describes the effect in scar tissue although not in the perineum. It is for all of the above that the following project is proposed, to evaluate the effect of RF in perineal healing and vaginal trigger points caused as a consequence of GPP.

The main objective of this study is to evaluate the role that radiofrequency (RF) plays in reducing the level of pain in de novo dyspareunia in postpartum women that persists from 4 to 9 months.

Conditions

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Dyspareunia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sham Radiofrequency treatment

Application of the technique in the intervention group (inactive resistive capacitive monopolar radiofrequency therapy): the intervention group will receive treatment with inactive RF, with the electrode at a medium intensity for 20 minutes per session during a total of 5 sessions, the 3 first ones held weekly and the 2 last ones every other week.

Group Type SHAM_COMPARATOR

Resistive Capicitive Monopolar Radiofrequency

Intervention Type DEVICE

5 Radiofrequency sessions including the abdominal region, the vulva and pelvic floor tissue and Thiele massage done daily by the patient at home

ON Radiofrequency treatment

Application of the technique in the intervention group (activated resistive capacitive monopolar radiofrequency therapy): the intervention group will receive treatment with activated RF, with the electrode at a medium intensity for 20 minutes per session during a total of 5 sessions, the 3 first ones held weekly and the 2 last ones every other week.

Group Type ACTIVE_COMPARATOR

Resistive Capicitive Monopolar Radiofrequency

Intervention Type DEVICE

5 Radiofrequency sessions including the abdominal region, the vulva and pelvic floor tissue and Thiele massage done daily by the patient at home

Interventions

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Resistive Capicitive Monopolar Radiofrequency

5 Radiofrequency sessions including the abdominal region, the vulva and pelvic floor tissue and Thiele massage done daily by the patient at home

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 4-9 postpartum
* de novo dyspareunia after delivery
* obstetric injury
* Grant informed consent

Exclusion Criteria

* radiofrequency contraindications (pacemaker, active infection or pregnancy)
* cesarean section
* dyspareunia previous to labour
* previous vulvo-vaginal pathology
* patients with postpartum depression
* patients with a pelvic region oncological history
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hospital Clinic of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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Carla Box

Physical Therapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Clinic Barcelona

Barcelona, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Carla E Box, PT, Msc

Role: CONTACT

+34 699782115

Facility Contacts

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Carla E Box, PT, Msc

Role: primary

+34699782115

Other Identifiers

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HCB/2020/0484

Identifier Type: -

Identifier Source: org_study_id

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