Pelvi-perineal Re-education (Dyspareunia)

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 The Physiotherapy Approach for Dyspareunia

 Pre-requisite: (entry level) course in uro-gynecology,  The Physical therapy approach to female urinary incontinence (or equivalent)

Did you know that up to 20% of women experience pain during sexual intercourse?  Imagine the impact on physical and mental health, body image, relationships and attempts for conception.   This three-day course will provide you with the knowledge and skills necessary to help this (relatively silent!) population, and includes both theoretical and practical sessions.  It concentrates specifically on the management of women with vestibulodynia, the most common form of dyspareunia in pre-menopausal women.  The entry-level course on female urinary incontinence is a pre-requisite.


Claudia Brown

Claudia Brown M. Sc. (P.T.) Marie-Josée Lord B. Sc. (P.T.)

About Us

Claudia Brown and Marie-Josée Lord have been successfully treating patients affected with pelvic floor dysfunction for more than 30 years. Having studied and worked with kinesitherapists in Europe, they started Physiotherapie Uro-Sante more than 25 years ago, a teaching company, and have trained physiotherapists across Canada in the field of pelvi-perineal re-education.

Course Objectives

  • – Understand the common causes of dyspareunia
  • – Learn about the typical medical approach for dyspareunia
  • – Learn how to adapt the physiotherapy evaluation and examination for the patient with dyspareunia
  • – Review the pelvic floor anatomy
  • – Practice the pelvic floor evaluation
  • – Understand the clinical reasoning for the treatment of dyspareunia
  • – Be able to establish a treatment plan and progression for the patient suffering dyspareunia
  • – Understand the implications of the psychological aspect
  • – Understand the importance of the multi-disciplinary approach to treatment
  • – Become more proficient in manual treatment techniques for the pelvic floor and related structures
  • – Learn about lubricants, insertion devices, sexual practises and techniques
  • – Practice insertion techniques


Course schedule

Day 1, 8:30 am – 4:30 pm

  • – Registration
  • – Introduction
  • – Dyspareunia: vestibulodynia, vaginismus, fissure, lichen sclerosis
  • – Medical evaluation and treatment approach
  • – Physiotherapy evaluation (history)         
  • – Review of anatomy and biomechanics of pelvic floor
  • – Physiotherapy evaluation (physical)

Day 2, 8:30 am – 4:30 pm                                 

  • – Practical review of pelvic floor evaluation (vaginal, anal)
  • – Specifics for physical evaluation of patient with dyspareunia
  • – Problem list, treatment plan, treatment approach
  • – Psychological approach
  • – Manual techniques: theoretical and practical session


Day 3, 8:30 am – 4:30 pm

  • – Education, exercise, biofeedback, electrical stimulation
  • – Insertion techniques: practical session
  • – Treatment progression, control




Course calendar