Abstract

SCHUROFF, Ademir et al. Pubalgia como uma das causas de dispareunia. Rev. Port. Ortop. Traum. [online]. 2012, vol.20, n.1, pp.57-64. ISSN 1646-2122.

Objetive: To report a case series of women with dyspareunia who had no gynecological or emotional causes and had pubalgia as differential diagnosis. Methods: 15 women were evaluated with ages between 20 and 64 years, mean 33,1 years, that presented as main complain dyspareunia. Historic and physical examination were conducted, radiographs of the pelvis and magnetic resonance imaging in the cases with normal radiographs . After diagnosis, treatment given was with anti-inflammatory (cox 2), physiotherapy and corticosteroid infiltration in refractory cases. After 60 days, pacients were evaluated for treatment adherence and clinical results. Results: At baseline was found that 66,7% of the patients were sedentary, 26,6% presented previous gynecological surgery, 46,7% had previous pregnancy history and 66,7% presented radiographic changes pubic symphysis. After 60 days it was founded that 73,3% underwent the treatment, from which 36,3% required infiltration with corticosteroid. As for the evaluation of the dyspareunia, 80% reported to be cured or had a partial improvement.When comparing the results obtained after 60 days and the variables in question on Fisher's study, it appears that the only variable that is significantly associated to the result after 60 days is: Physiotherapy. For this variable it is observed that all cured patients (100%) had physiotherapy and those who remained the same, all (100%) did not undergo physiotherapy. (p=0,009). Conclusion: Pubalgia must be considered by the health professional as one of the dyspareunia's causes, avoiding lack of diagnosis and delay on treatment. Conservative treatment, dispite of the reduced sample, shows satisfatory results when there is adherence to treatment.

Keywords : Pubalgia; dyspareunia; women; osteitis pubis.

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