ClinicalTrials.gg
Not yet recruitingNCT07921381Updated Nov 10, 2026

Radiofrequency and Pelvic Floor Exercise for Primary Dysmenorrhea

An interventional study of Capacitive radiofrequency and Pelvic floor and core exercise programme in Primary Dysmenorrhea, sponsored by SERGIO MONTERO NAVARRO. Not yet recruiting. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by SERGIO MONTERO NAVARRO · Not applicable, Interventional, and Treatment

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to learn whether radiofrequency (a heat-producing electrotherapy applied through an intravaginal electrode and over the abdomen), a supervised pelvic floor and core exercise programme, or both together reduce menstrual pain in women aged 18 to 35 years with primary dysmenorrhea. The main question it aims to answer is: do the three treatments differ in menstrual pain intensity (0-10 visual analogue scale)? Researchers will also compare pain quality, use of painkillers, quality of life, sexual function, premenstrual symptoms, pelvic floor muscle function and satisfaction with treatment, up to 1 year after treatment.

One hundred and twenty women will be randomly assigned to one of three groups:

  • Radiofrequency: eight weekly sessions of about 30 minutes.
  • Exercise: 16 supervised group sessions of 45 minutes (twice a week for 8 weeks).
  • Combined: both treatments. Participants will complete questionnaires, a pain-medication diary and a pelvic floor examination before treatment and 1 week, 6 months and 1 year after treatment.
Read the detailed description

Background. Primary dysmenorrhea affects more than 60% of women under 25 years and is a leading cause of school and work absenteeism. First-line treatment with non-steroidal anti-inflammatory drugs or oral contraceptives fails in 20-25% of women and causes side effects. Heat therapy reduces menstrual pain, and capacitive-resistive radiofrequency (RF) has reduced pain in chronic pelvic pain. Exercise is the reference conservative treatment for primary dysmenorrhea, but no trial has compared intravaginal RF, exercise and their combination.

Design. Randomised clinical trial with three parallel arms and 1:1:1 allocation, conducted at a gynaecology clinic in Elche, Spain (NG Clínicas - Juana Lafaja Mazuecos) in collaboration with Universidad CEU Cardenal Herrera. At baseline, a gynaecologist performs a transvaginal ultrasound in the proliferative phase to exclude secondary dysmenorrhea and to record uterine position. An investigator blinded to the baseline assessments generates the allocation sequence with SAS 9.4; allocation is kept in sealed, opaque, numbered envelopes. The statistician is blinded to allocation. Participants and therapists cannot be blinded.

Interventions. RF (Capenergy C500 Urogyne, capacitive transfer): eight weekly sessions. Each session starts with an athermic application for 10 minutes, with the active plate on the abdomen and the passive plate on the lumbar region. This is followed by an intravaginal application with a covered, lubricated MJS electrode for 20 minutes at a high thermal sensation (up to 43-44 °C), sweeping from 3 to 9 o'clock towards the vaginal fornix according to uterine position. Exercise: 16 group sessions (up to 8 participants) of 45 minutes, twice a week for 8 weeks, led by a physiotherapist. The programme combines pelvic floor and core activation, strength, aerobic and relaxation exercises, with progression after week 4. The combined group receives both.

Outcomes. The primary outcome is menstrual pain intensity on a visual analogue scale. Secondary outcomes are the McGill Pain Questionnaire, analgesic consumption (diary), EQ-5D, Female Sexual Function Index, Premenstrual Symptoms Screening Tool, pelvic floor muscle function (PERFECT scheme, modified Oxford scale and Phenix manometry) and treatment satisfaction. Assessments take place at baseline, 1 week, 6 months and 1 year after the end of treatment.

Sample size and analysis. A total of 120 women (40 per arm), assuming 25% attrition, α = 0.05 and 80% power. Intention-to-treat analysis using repeated-measures ANOVA (group × time) in SPSS 29.

Ethics. Approved by the Biomedical Research Ethics Committee of Universidad CEU Cardenal Herrera (CEEI25/670, 7 April 2025).

02

Conditions studied

  • Primary Dysmenorrhea

Browse trials for

Keywords

  • Radiofrequency
  • Capacitive-resistive electric transfer
  • Pelvic floor muscle training
  • Therapeutic exercise
  • Menstrual pain
  • Women's health
  • Physiotherapy
03

In context

Dysmenorrhea

430 studies on the registry are indexed under Dysmenorrhea; 107 are open to participants now.

This study's planned enrollment of 120 is above the median of 62 across 363 interventional studies indexed under Dysmenorrhea.

Browse Dysmenorrhea studies →

Lead sponsor

SERGIO MONTERO NAVARRO is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
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

  • Women aged 18 to 35 years with a regular menstrual cycle (24 to 35 days).
  • Normal genital ultrasound without clinical signs of organic disease.
  • Primary dysmenorrhea present in all menstrual cycles since menarche.
  • Menstrual pain of 5 or more on a 0-10 visual analogue scale.
  • between 20 and 30 kg/m².

Exclusion criteria

Exclusion Criteria:

  • Gynaecological findings consistent with secondary dysmenorrhea (pelvic inflammatory disease, uterine fibroids, polyps, endometriosis, adenomyosis, cervicitis).
  • Pregnancy, or breastfeeding at the time of the study.
  • Use of an intrauterine device.
  • Physiotherapist-supervised pelvic floor muscle training, or radiofrequency to the pelvic region, in the previous 12 months.
  • Inability to understand study information (cognitive impairment).
  • Peripheral or central neurological disorders.
  • Previous pelvic surgery.
  • Skin disease or wounds in the treatment area.
  • Active urinary tract or vaginal infection.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Radiofrequency

    Eight weekly sessions of capacitive radiofrequency: athermic abdominal-lumbar application (10 min) followed by intravaginal application (20 min).

    Device: Capacitive radiofrequency

  • Active comparator
    Therapeutic exercise

    Supervised pelvic floor and core exercise programme in groups of up to 8: 45-minute sessions twice a week for 8 weeks (16 sessions).

    Behavioral: Pelvic floor and core exercise programme

  • Experimental
    Radiofrequency + therapeutic exercise

    Both interventions over the same 8-week period.

    Device: Capacitive radiofrequency · Behavioral: Pelvic floor and core exercise programme

Interventions

  • DeviceCapacitive radiofrequency

    Capenergy C500 Urogyne (capacitive transfer; 0.8, 1 and 1.2 MHz; temperature sensor). (1) Athermic application for 10 min with the active plate on the abdomen and the passive plate on the lumbar region. (2) Intravaginal application with a covered, lubricated MJS electrode for 20 min at a high thermal sensation (up to 43-44 °C), sweeping from 3 to 9 o'clock; the electrode orientation and passive plate position (lumbosacral or abdominal) depend on uterine position on ultrasound. Eight sessions at 7-day intervals. Temperature reached and delivered energy (kJ) are recorded each session.

  • BehavioralPelvic floor and core exercise programme

    First session individual, with anatomy, breathing and technique checked by digital testing. The following sessions are group-based: pelvic floor and transversus activation, glute bridge variations, resisted expiration and apnoea exercises, balance and motor control, squats and lunges, planks, and kettlebell work from week 4. Each session ends with active stretching and relaxation. Two different sessions per week for 8 weeks, 45 min each.

06

What researchers measure

Primary outcomes

  1. Menstrual pain intensity (Visual Analogue Scale)

    Menstrual pain on a 0-10 cm visual analogue scale (0 = no pain, 10 = worst pain). Higher scores indicate worse pain

    Time frame: Baseline and 1 week after the end of the 8-week intervention

Secondary outcomes

  1. Menstrual pain intensity during follow-up (VAS)

    Menstrual pain intensity measured with a 10-cm Visual Analogue Scale (VAS), from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate worse pain.

    Time frame: 6 months and 1 year after the end of the intervention

  2. Pain quality (McGill Pain Questionnaire)

    McGill Pain Questionnaire (MPQ). Participants select one descriptor from each of 20 subclasses that applies to their menstrual pain; each descriptor has a rank value. The total Pain Rating Index ranges from 0 to 78, with higher scores indicating greater pain.

    Time frame: Baseline, and 1 week, 6 months and 1 year after the end of the 8-week intervention.

  3. Analgesic consumption

    Number of analgesic doses taken for menstrual pain per cycle, recorded in a diary (date, time, drug and amount).

    Time frame: Each menstrual cycle during the 8-week intervention

  4. Health-related quality of life (EQ-5D)

    EuroQol-5D, five dimensions scored at 3 levels, plus a 0-100 visual analogue scale of health status. Higher VAS scores indicate better health.

    Time frame: Baseline, and 1 week, 6 months and 1 year after the end of the 8-week intervention.

  5. Sexual function (FSFI)

    Female Sexual Function Index, total score (range 2-36) over the previous 4 weeks. Scores of 26.55 or lower indicate sexual dysfunction; higher scores indicate better function.

    Time frame: Baseline, and 1 week, 6 months and 1 year after the end of the 8-week intervention.

  6. Premenstrual symptoms (PSST)

    Premenstrual Symptoms Screening Tool: 14 symptom items (total 0-42; higher scores indicate more severe symptoms) and 5 items on functional impact.

    Time frame: Baseline, and 1 week, 6 months and 1 year after the end of the 8-week intervention.

  7. Pelvic floor muscle function (PERFECT scheme and modified Oxford scale)

    Digital vaginal assessment: power (modified Oxford 0-5), endurance (s), repetitions and fast contractions (number per 10 s).

    Time frame: Baseline, and 1 week, 6 months and 1 year after the end of the 8-week intervention.

  8. Intravaginal pressure (manometry)

    Phenix Liberty manometer with an air-filled probe: resting tone and mean of three maximal contractions held for 10 sec.

    Time frame: Baseline, and 1 week, 6 months and 1 year after the end of the 8-week intervention.

  9. Treatment satisfaction

    Five-point Likert scale (1 = very dissatisfied, 5 = very satisfied).

    Time frame: 1 week after the end of the intervention

Other outcomes

  1. Adverse events

    Number of participants with adverse events (e.g. burns, marked irritation or persistent pain), by group.

    Time frame: From the first session to 1 year after the intervention

07

Study locations

No study locations are listed for this record.

08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

2 registry updates since Sep 25, 2026
Secondary outcomes
2 description edited
What changed in the outcomes
  • DescriptionMenstrual pain intensity during follow-up (VAS): how it is measured was reworded
  • DescriptionPain quality (McGill Pain Questionnaire): how it is measured was reworded
Nov 10, 2026
Registered
First appeared on the registry
Nov 6, 2026
Show all 2 updates
  1. Nov 10, 2026
    Secondary outcomes 2 description edited
    What changed in the outcomes
    • DescriptionMenstrual pain intensity during follow-up (VAS): how it is measured was reworded
    • DescriptionPain quality (McGill Pain Questionnaire): how it is measured was reworded
  2. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07921381
Lead sponsor
SERGIO MONTERO NAVARRO
Collaborators
CAPENERGY MEDICAL, SL, NG Clínicas - Clínica Ginecológica Juana Lafaja Mazuecos, Cardenal Herrera University
Responsible party
SERGIO MONTERO NAVARRO (PhD, Lecturer in Physiotherapy, Cardenal Herrera University) — Sponsor-investigator
First posted
Nov 6, 2026
Start date
Jan 30, 2027 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Aug 1, 2027 (estimated)
Last update
Nov 10, 2026

Study contacts

SERGIO MONTERO NAVARRO, PhD
Contact
sergio.montero@uchceu.es
+34 965 42 64 86 ext. 67604
Cristina Orts-Ruiz, PhD
Contact
cristina.orts@uchceu.es
Cristina Orts-Ruiz, PhD
principal investigator · CEU Cardenal Herrera University

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 not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion