Increasing Orgasm and Decreasing Dyspareunia by a Manual Physical Therapy Technique

Lawrence J. Wurn, LMT; Belinda F. Wurn, PT; C. Richard King, MD; Amanda S. Roscow, MPT; Eugenia S. Scharf, PhD; Jonathan J. Shuster, PhD

Disclosures

Conclusion

The results of the present study suggest that many cases of orgasm dysfunction and dyspareunia are treatable by a distinctive site-specific protocol of manual soft-tissue therapy. The treatment also seems to improve other aspects of sexual dysfunction, including desire, arousal, lubrication, and satisfaction. The therapy, designed to maximize function by restoring visceral, osseous, and soft-tissue mobility, is a nonsurgical, noninvasive technique with no risks and few, if any, adverse effects. As such, it should be considered a new adjunct to existing gynecologic and medical treatments of sexual pain and dysfunction.

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Acknowledgments

We would like to thank Emily F. Hoon, PhD, and Marvin H. Heuer, MD, for encouraging us in this endeavor. We also thank Cynthia Hodgson, PT, PhD; Kimberley Hornberger, PTA; and Amy B. Hough for their many valuable contributions.

Reprint Address

Corresponding Author: L.J. Wurn, Clear Passage Therapies, 3600 NW 43rd Street, Suite A-1, Gainesville, FL 32606. https://www.clearpassage.com. Email: cptherapy@aol.com.

Cite this: Increasing Orgasm and Decreasing Dyspareunia by a Manual Physical Therapy Technique - Medscape - Dec 14, 2004.

Table 1. FSFI Full and Domain Scores (N = 23)
Domain	Pretreatment Median (Quartiles)	Post-treatment Median (Quartiles)	Difference (Post-Pre) Median (Quartiles)	P Value
Full Score*	19.5 (15.5; 26.7)	29.1 (23.2; 32.1)	5.2 (3.1; 12.3)	< .001
Orgasm*	4.4(2.0; 5.6)	5.6 (3.2; 6.0)	0.4 (0.0; 1.2)	< .001
Pain*	2.4(1.2; 4.0)	5.2 (4.8; 6.0)	2.0 (1.6; 4.0)	< .001
Desire	2.4 (2.4; 3.6)	3.6 (3.0; 4.2)	0.6 (0.6; 1.2)	< .001
Arousal	3.6 (2.4; 4.8)	4.5 (3.6; 5.4)	0.6 (0.0; 2.1)	.003
Lubrication	4.2 (3.0; 5.4)	5.7 (4.8; 6.0)	0.9 (0.0; 1.8)	< .001
Satisfaction	3.2 (2.4; 4.8)	5.2 (4.0; 6.0)	1.2 (0.0; 2.0)	< .001

Table 2. 10-point Pain Scale Scores* (N = 17)
Pain Scale	Pretreatment Median (Quartiles)	Post-treatment Median (Quartiles)	Difference (Pre-Post) Median (Quartiles)	P Value
Worst	8 (6; 9)	3 (1; 5)	4 (2; 5)	< .001
Best	2 (1; 4)	1 (1; 2)	1 (0; 2)	.002
Average	5 (3; 6)	1 (1; 3)	3 (1; 4)	< .001

FSFI Full and Domain Scores (N = 23)
Domain	Pretreatment Median (Quartiles)	Post-treatment Median (Quartiles)	Difference (Post-Pre) Median (Quartiles)	P Value
Full Score*	19.5 (15.5; 26.7)	29.1 (23.2; 32.1)	5.2 (3.1; 12.3)	< .001
Orgasm*	4.4(2.0; 5.6)	5.6 (3.2; 6.0)	0.4 (0.0; 1.2)	< .001
Pain*	2.4(1.2; 4.0)	5.2 (4.8; 6.0)	2.0 (1.6; 4.0)	< .001
Desire	2.4 (2.4; 3.6)	3.6 (3.0; 4.2)	0.6 (0.6; 1.2)	< .001
Arousal	3.6 (2.4; 4.8)	4.5 (3.6; 5.4)	0.6 (0.0; 2.1)	.003
Lubrication	4.2 (3.0; 5.4)	5.7 (4.8; 6.0)	0.9 (0.0; 1.8)	< .001
Satisfaction	3.2 (2.4; 4.8)	5.2 (4.0; 6.0)	1.2 (0.0; 2.0)	< .001

Table 2. 10-point Pain Scale Scores* (N = 17)
Pain Scale	Pretreatment Median (Quartiles)	Post-treatment Median (Quartiles)	Difference (Pre-Post) Median (Quartiles)	P Value
Worst	8 (6; 9)	3 (1; 5)	4 (2; 5)	< .001
Best	2 (1; 4)	1 (1; 2)	1 (0; 2)	.002
Average	5 (3; 6)	1 (1; 3)	3 (1; 4)	< .001

Table 1. FSFI Full and Domain Scores (N = 23)
Domain	Pretreatment Median (Quartiles)	Post-treatment Median (Quartiles)	Difference (Post-Pre) Median (Quartiles)	P Value
Full Score*	19.5 (15.5; 26.7)	29.1 (23.2; 32.1)	5.2 (3.1; 12.3)	< .001
Orgasm*	4.4(2.0; 5.6)	5.6 (3.2; 6.0)	0.4 (0.0; 1.2)	< .001
Pain*	2.4(1.2; 4.0)	5.2 (4.8; 6.0)	2.0 (1.6; 4.0)	< .001
Desire	2.4 (2.4; 3.6)	3.6 (3.0; 4.2)	0.6 (0.6; 1.2)	< .001
Arousal	3.6 (2.4; 4.8)	4.5 (3.6; 5.4)	0.6 (0.0; 2.1)	.003
Lubrication	4.2 (3.0; 5.4)	5.7 (4.8; 6.0)	0.9 (0.0; 1.8)	< .001
Satisfaction	3.2 (2.4; 4.8)	5.2 (4.0; 6.0)	1.2 (0.0; 2.0)	< .001

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Increasing Orgasm and Decreasing Dyspareunia by a Manual Physical Therapy Technique

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