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CompletedNCT03935698Updated Jan 27, 2022

Physiotherapy Treatment in Women With Dyspareunia Following Gynecological Cancer: a Pilot Study

An interventional study of Physiotherapy in Gynecological Cancer and Dyspareunia, sponsored by Université de Sherbrooke. Completed at 1 site in Canada. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-01-27.

Sponsored by Université de Sherbrooke · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 7 months after the study started (first participant enrolled Sep 2016, registered Apr 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
31
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

Gynecological cancers represent more than half of female cancers. It has been clearly established that cancer survivors suffer from important health issues such as pain during sexual intercourse (dyspareunia) and sexual dysfunctions which sorely impact their quality of life. Although it affects more than 63% of cancer survivors, the available treatments remain limited and poorly studied. Cancer survivors are thus confronted with these health issues as well as relationship difficulties and psychological consequences, with limited treatment avenues. Addressing pelvic floor muscle dysfunctions and loss of vaginal elasticity, pelvic floor physiotherapy was shown to be effective in reducing or even alleviating dyspareunia and improving sexual function. Until now, no study investigated this treatment in gynecological cancer survivors with dyspareunia. Therefore, there is a need to examine pelvic floor physiotherapy to determine whether or not gynecological cancer survivors with dyspareunia could benefit from this treatment. The objectives of this single-arm mixed-method study are to evaluate the acceptability and feasibility of a physiotherapy treatment in gynecological cancer survivors suffering from dyspareunia and to explore treatment effects. This single-arm study using mixed methods will involve three data collections (pre- and post-treatment assessments). These assessments will be carried out by physiotherapists. Participants will receive physiotherapy treatment weekly in individual 60-minute sessions for 12 weeks. Thirty-one gynecological cancer survivors with vulvovaginal pain during sexual intercourse for at least 3 months will be recruited. The results of this study will bring new information regarding physiotherapy treatment for this population in preparation for a definitive randomized controlled trial.

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Conditions studied

  • Gynecological Cancer
  • Dyspareunia

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Keywords

  • Pilot study
  • Feasibility study
  • Dyspareunia
  • Gynecological cancer survivors
  • Physiotherapy
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In context

Dyspareunia

114 studies on the registry are indexed under Dyspareunia; 32 are open to participants now.

This study's enrollment of 31 is below the median of 57 across 92 interventional studies indexed under Dyspareunia.

Browse Dyspareunia studies →

Lead sponsor

Université de Sherbrooke is the lead sponsor of 296 studies on the registry; 67 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • History of gynecological cancer (endometrial, cervical, vaginal or other parts of the uterus)
  • Scheduled oncological treatments completed with no signs of cancer for at least 3 months
  • Vulvovaginal pain during sexual intercourse for at least 3 months

Exclusion criteria

Exclusion Criteria:

  • Vulvovaginal pain before cancer and not related to sexual intercourse
  • Medication recognized to affect pain
  • Refuse to stop other treatments until post-treatment assessment
  • Other conditions interfering with assessment
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Physiotherapy

    12 weekly 60-minute individual sessions of multimodal physiotherapy including education, stretching techniques, pelvic floor muscle biofeedback as well as home exercises.

    Other: Physiotherapy

Interventions

  • OtherPhysiotherapy

    Also known as: Pelvic floor rehabilitation

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What researchers measure

Primary outcomes

  1. Adherence rates

    To determine acceptability.

    Time frame: Pre- to 2-week post-treatment assessment

  2. Retention rate

    To determine feasibility.

    Time frame: Pre- to 2-week post-treatment assessment

Secondary outcomes

  1. Change from baseline in pain

    To explore changes in pain during sexual intercourse (Numerical Rating Scale, ranging from 0 to 10, where 0 is no pain at all, and 10 is the worst pain ever).

    Time frame: Pre- to 2-week post-treatment assessment

  2. Change from baseline in sexual function

    To explore changes in sexual function (Female Sexual Function Index).

    Time frame: Pre- to 2-week post-treatment assessment

  3. Change from baseline in pelvic floor muscle function

    To explore changes in pelvic floor muscle function at rest and during contraction (dynamometry and ultrasound).

    Time frame: Pre- to 2-week post-treatment assessment

  4. Change from baseline in quality of life

    To explore changes in quality of life (questionnaire).

    Time frame: Pre- to 2-week post-treatment assessment

  5. Patient's global impression of change

    To determine patient self-reported improvement (Patient's Global Impression of Change).

    Time frame: 2-week post-treatment assessment

  6. Adverse events

    To document any adverse events.

    Time frame: Pre- to 2-week post-treatment assessment

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Study locations

1 site
  • Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke
    Sherbrooke, Quebec J1H 5N4, Canada
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References and documents

Publications

  • Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, Mayrand MH, Morin M. Changes in pelvic floor morphometry and muscle function after multimodal physiotherapy for gynaecological cancer survivors suffering from dyspareunia: a prospective interventional study. Physiotherapy. 2022 Mar;114:54-62. doi: 10.1016/j.physio.2021.09.003. Epub 2021 Sep 30. PubMed 35093737 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 27, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03935698
Collaborators
Centre de recherche du Centre hospitalier universitaire de Sherbrooke, Institut Universitaire de Gériatrie de Montréal, Jewish General Hospital, Centre hospitalier de l'Université de Montréal (CHUM)
Responsible party
Mélanie Morin (Researcher and Associate Professor, Université de Sherbrooke) — Principal investigator
First posted
May 2, 2019
Start date
Sep 8, 2016
Primary completion
Dec 31, 2020
Completion
Jan 25, 2022
Last update
Jan 27, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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