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| Effect of the electrical stimulation for treating patients with vaginal dryness and its influence on their pelvic floor function |
| 1. Linhai Maternal and Child Health Care Hospital, Linhai, Zhejiang Province, 317000; 2.Hangzhou Obstetrics and Gynecology Hospital, Hangzhou, Zhejiang Province |
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Abstract To explore the effect of the electrical stimulation for treating patients with vaginal dryness, and to study its influence on the pelvic floor function of the patients. Methods: A retrospective analysis on the data of the patients with vaginal dryness who received treatment from June 2022 to June 2023 was conducted. Among them, 70 patients who received conventional drug treatment were included in group A, and 70 patients who received electrical stimulation combined with conventional treatment were included in group B. After treatment, the changes of the scores evaluated by vaginal health index score (VHIS) and sexual function index (FSFI), and the values of the pelvic floor muscle surface electromyography indexes and pelvic floor muscle strength indexes of the patients were compared between the two groups. Results: After treatment, the scores of the VHIS subitems, such as vaginal mucosa elasticity, the secretion type and viscosity, the vaginal mucosal epithelial integrity and the vaginal wetness, of the patients in the two groups had increased, and which (4.15±0.42 points, 4.31±0.49 points, 4.52±0.39 points and 4.49±0.41 points) of the patients in group B were significantly higher than those (3.26±0.36 points, 3.82±0.46 points, 3.91±0.41 points and 3.73±0.39 points) of the patients in group A. The scores of FSFI sub-items, such as the sexual desire, subjective sex arousal, the vaginal lubrication situation during sexual activity, the satisfaction with orgasm sexual life, the dyspareunia and the total score, of the patients in both groups had increased significantly, and which of the patients in group B were significantly higher than those of the patients in group A. The scores of the subitems and the total score of FSFI of the patients in both groups had decreased significantly in the pre-resting phase, in the type Ⅱ muscle testing phase and in the postresting phase, but which of the patients in both groups had increased significantly in the type Ⅰ muscle testing phase and in the endurance test phase, and the changes of the scores of the subitems and the total score of FSFI of the patients in group B were significantly greater than those of the patients in group A. The sustained systolic pressure and the contractile maintenance time of type Ⅰ and type Ⅱ muscle of the patients in the two groups had increased significantly, and which of the patients in group B were significantly higher than those of the patients in group A (all P<0.05). There was no significant difference in the adverse reactions rate (17.1% vs. 8.6%) of the patients between the two groups (P>0.05). Conclusion: Electric stimulation for treating the patients with vaginal dryness can further improve their clinical indicators, alleviate their clinical symptoms and enhance their pelvic floor function.
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