Pelvi-perineal Re-education (Dyspareunia – ONLINE version)

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 The Physiotherapy Approach for Dyspareunia (live-online version)

 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 two and a half-day online course will provide you with the knowledge and skills necessary to help this (relatively silent!) population, and includes theoretical online sessions, videos, assignments and vignettes.  It concentrates specifically on the management of women with vestibulodynia, the most common form of dyspareunia in pre-menopausal women. 

For the dyspareunia course, switching to the online format has changed some of our objectives.  Instead of practising the techniques,you will be learning and reviewing them in detail. The format of the course has been adjusted to include a follow-up session, in order to help with the practical application of the techniques that are learned and reviewed in the course.  Videos and vignettes will be added, along with quizzes and readings to supplement your learning.

Some testimonials from past participants (of the in person course):

‘’I enjoyed the whole course, very informative. I feel I learned a lot and now much better prepared to help my patients’’

‘’Highly recommended for those who have done the intro pelvic health course. Best course I’ve ever taken.’’

‘’Marie Jose never disappoints. Her dedication to research based practice, her caring personality and her ability to throw in an occasional worthy fun story made for a great weekend. Thank you!’’

‘’The entire course was interesting and so clinically relevant! I particularly loved getting to practice insertion techniques in this course, otherwise I wouldn’t have felt comfortable trying on my patients. I also really liked the portion on skin pathologies, which gave me a much better idea of which are normal anatomical variations and which are pathological.’’

‘’Over all claudia was amazing. I would definitely recommend my friends to take course with uro sante. Very friendly instructors and well planned and amazing set up.’’

‘’Had a great time at the course. MJ is very helpful. Her enthusiasm is inspiring. Course was very well organized and materials were presented so well. Thank you!’’

‘’Great course, can’t say enough about how great Marie Josée is!’’

‘’This whole course was so well organized and packed with clinically relevant information. There was also a great and dynamic learning ambiance, where everyone was encouraged to participate and all questions were welcomed. I now feel so well prepared to work with pain patients, and feel that I got a very helpful refresher on treating incontinence patients as well. As always, Claudia Brown is amazing, and has an answer for every possible PF question we could have. Her decades of experience in the field really shine through. I would recommend this course to any PF physios, and would definitely take further PF courses with uro-sante.’’

‘’I feel much more confident assessing and developing a treatment plan for these women now’’

‘’I found the course extremely interesting overall, but I did highly enjoy hearing about the instructor’s clinical experiences, and I really liked how she would tell us how she phrases things to patients.’’

‘’Lots of details and picture regarding Lichen ect. Several labs to practice!’’

‘’Very detailed and practical treatment protocol’’

‘’I found the whole thing interesting, but I suppose the information about vulvar care was the most interesting to me.’’

‘’Very interesting and well-run course, would recommend to my colleagues.’’

‘’I really appreciated how the instructor went through all components of the internal exam for both theoretical and practical review. In pelvic floor we don’t get that feedback often as we would in ortho, where it’s easier to practice on colleagues.’’


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
  • Review the pelvic floor evaluation in detail
  • Understand the clinical reasoning for the treatment of dyspareunia
  • Be able to establish a treatment plan and progression for the patient suffering vestibulodynia
  • Understand the implications of the psychological aspect
  • Understand the importance of the multi-disciplinary approach to treatment
  • Review in detail the manual treatment techniques specific to the patient with vestibulodynia
  • Learn about lubricants, insertion devices, sexual practises and techniques
  • Learn how to perform insertion techniques
  • Understand indications for the use of telerehabilitation in the approach for vestibulodynia

Course schedule

Day 1, 8:30 am – 4:30 pm (EST)

  • – 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 (EST)                              

  • – Specifics for physical evaluation of patient with dyspareunia
  • – Problem list, treatment plan, treatment approach
  • – Psychological approach
  • – Manual techniques
  • – Education, exercise, biofeedback, electrical stimulation
  • – Insertion techniques
  • – Treatment progression, control

Day 3, 1:00 pm – 5:00 pm (EST)       

(6 to 10 weeks later)

  • case history discussions
  • pelvic floor evaluation and treatment review
  • trouble-shooting
  • discussion


Course calendar