Biofeedback is a good conservative first choice in treatment. Two independent studies demonstrated the effectiveness of electromyographic biofeedback of the pelvic floor musculature in VVS patients with severe, chronic, introital dyspareunia (57,58). The therapy involves a program of in-home, biofeedback-assisted, pelvic floor muscle rehabilitation exercises using portable equipment. Using resumption of intercourse as a measure of treatment efficacy, success rates in the two studies were 78% and 89%, respectively.
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