{"paper_id":"f41f2c27-1420-437e-b963-9f5624eb79d6","body_text":"To assess the efficacy of a non-invasive, site-specific manual physiotherapeutic\ntechnique in ameliorating dyspareunia and dysmenorrhea, commonly associated with\nendometriosis, by performing a retrospective and prospective analysis,\nrespectively.\n\nHuman female subjects, all surgically diagnosed with endometriosis, were enrolled in\neach of the studies post informed consent. Each subject underwent 20 hours of\nsite-specific manual physical therapy (Wurn Technique) designed to address adhesions\nand restrictions in soft tissue mobility in the abdomen and the pelvic floor.\nPost-test was completed 6 weeks after treatment. Evaluation incorporated outcome\nprediction based on Female Sexual Function Index (FSFI) for analyzing the effect on\ndyspareunia and sexual function (n=14) and quantitative differences in ratings of\naverage pain during menstrual cycle and intercourse based on the Mankoski Pain Scale\nfor analyzing the effect on dysmenorrhea and dyspareunia (n=18), respectively. Data\nwas analyzed by the Wilcoxon signed-rank test (two-sided).\n\nFSFI Full Scale score showed overall statistically significant improvements (P=.001)\nfor all domains of sexual function, inclusive of dyspareunia (P<.001) in the\nretrospective analyses. Mankoski Pain Scale exhibited statistically significant\nimprovements in menstrual cycle (P<.014), dysmenorrhea (P=.008) and dyspareunia\n(P=.001) in the prospective analyses.\n\nSite-specific manual physiotherapy might offer a non-pharmacologic and non-surgical\nalternative in the treatment of dyspareunia and dysmenorrhea in endometriosis\npatients. Further randomized, blinded, and multi-center assessment of the technique\nis warranted to validate the results and gauge any potential pitfalls.","source_license":"CC0","license_restricted":false}