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IRCT20241107063631N1 IRCT 2024-12-03 Shahid Beheshti University of Medical Sciences The effect of pelvic physiotherapy in reducing pain in patients with endometriosis Investigating the effect of Dienogest with and without pelvic floor physiotherapy on the pain level of endometriosis sufferers. 2024-11-17 anticipated 60 Complete https://irct.ir/trial/80214 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random Sequence Generation will be done by simple randomization and by shuffling the cards. A number of cards will be prepared as the first group and the same number of cards for the next groups. Then, by shuffling them, one card will be removed and its assignment will be recorded, and that card will be returned to the other cards. Then, the cards will be shuffled again and another card will be removed. This process will continue until a random sequence is reached according to the sample size. 3 Endometriosis. Intervention 1: Intervention group: Dienogest treatment with pelvic physiotherapy - Pelvic floor physiotherapy will be performed for 12 sessions of fifty minutes, repeated three times a week. It includes thirty minutes of visceral manipulation (internal vaginal and external (abdomen) and twenty minutes of pelvic floor muscle exercises. The patient is placed in a supine position with bent knees. Pelvic floor exercises are divided into four phases. The proprioceptive phase in the first week includes proprioceptive exercises for adequate understanding of the exercises and performing fast and slow contractions. The simple phase is performed in the second week with the aim of improving the control of fast and slow contractions during simple functional activities. The advanced phase is performed in the third week in which functional exercises with a greater amplitude are performed. The strength phase is performed in the last week to increase the strength of contraction. In all sessions, contractions will be performed for slow and fast fibers. Intervention 2: Control group: Dienogest treatment and sham maneuver (a dummy intervention is used as an intervention in the control group, and the practical methods are applied in a fake manner in the control group). Dienogest was also prescribed from Ati Pharmed Pharmaceutical Company at a dose of 2 mg daily. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is we haven't decided yet.
public Maral Hosseinzadeh
No:33,darya staion , farahzadi blvd, Qods Town
Tehran Iran (Islamic Republic of) 146974541 +98 21 8807 9143 maral.hosseinzadeh65@gmail.com Shahid Beheshti University of Medical Sciences scientific Maral Hosseinzadeh
No:33,darya staion , farahzadi blvd, Qods Town
Tehran Iran (Islamic Republic of) 146974541 +98 21 8807 9143 maral.hosseinzadeh65@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Women aged 20-45 with endometriosis. All of them have been using dinogest for at least 3 months All of them reported symptoms of pelvic pain (CPP or dyspareunia and dysmenorrhea). 20 years 45 years Female pregnancy Pace maker Reduced skin sensitivity, , acute , cognitive impairment, and Epilepsy, Cardiac arrhythmia Cancer Acute pelvic inflammatory disease Gel or electrode sensitivity, difficulty understanding instructions N80.3 Endometriosis of pelvic peritoneum Treatment - Other Treatment - Other Intervention group: Dienogest treatment with pelvic physiotherapy - Pelvic floor physiotherapy will be performed for 12 sessions of fifty minutes, repeated three times a week. It includes thirty minutes of visceral manipulation (internal vaginal and external (abdomen) and twenty minutes of pelvic floor muscle exercises. The patient is placed in a supine position with bent knees. Pelvic floor exercises are divided into four phases. The proprioceptive phase in the first week includes proprioceptive exercises for adequate understanding of the exercises and performing fast and slow contractions. The simple phase is performed in the second week with the aim of improving the control of fast and slow contractions during simple functional activities. The advanced phase is performed in the third week in which functional exercises with a greater amplitude are performed. The strength phase is performed in the last week to increase the strength of contraction. In all sessions, contractions will be performed for slow and fast fibers. Control group: Dienogest treatment and sham maneuver (a dummy intervention is used as an intervention in the control group, and the practical methods are applied in a fake manner in the control group). Dienogest was also prescribed from Ati Pharmed Pharmaceutical Company at a dose of 2 mg daily. Pain score in the questionnaire. Timepoint: Before the start of the intervention - one month after the start of physiotherapy. Method of measurement: mode Questionnaire. Shahid Beheshti University of Medical Sciences Approved 2024-11-10 Ethics committee of shahid beheshti University of Medical Sciences taleghani hospital . Arabi street . daneshjoo street tehran Tehran Iran (Islamic Republic of)