Abstract
The human sexual response is a highly rational and orderly succession of physiological events, whose transformations are not limited only to the genital area, but cause also neurologic, vascular, muscular and hormonal reactions affecting the functioning of the whole body. To woman, the orgasm is a psychophysiological experience obtained through a psychosocial context. Physiologically, a vasocongestive and myotonic discharge. The orgasmic dysfunction may be classified in chronological or causal. Chronological primary time, when there was never a orgasmic perception, or chronological second when it was the occurrence of orgasm. Causal general, always occurs or circunstantial, depending on the circunstances like partner, stimulus, location, etc. The exercises are designed to more perineal strengthening the muscles of the pelvic floor, physiologically explained that the increase of muscular strength comes from the repetition of voluntary movements. The perineal muscle training also provides a neural adaptation during treatment, in addition to several other benefits such as improved blood circulation, fatigue resistance, improved mobility, flexibility and muscular coordination, assisting in the treatment of sexual dysfunctions in order that such changes may be linked to compromised muscle. The aim of this study is to compare the perineal exercises and sexual exercises as a method of physiotherapeutic treatment in female orgasmic dysfunction. It will be a study with 40 women seen in the Menopausal Transition and Postmenopausal Discipline of Gynecologic Endocrinology, Department of Gynecology, UNIFESP-EPM. Women will be assessed through an evaluation, with items such as personal data of the patient personal background and then pass the assessment of pelvic floor and is collected in the questionnaire "Sexual Ratio - Women's version for evaluation of sexual function. After being informed sign the end of free and informed consent. The randomized treatments previously, will be divided into Group A (sexual exercises) and Group B (sexual and perineal exercises). Then the findings will be forwarded to a statistical analysis of results.
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