Pelvic Floor Rehabilitation in Chronic Constipation Associated with Dyspareunia: A Case Report.

INTRODUCTION

Chronic constipation is a common gastrointestinal disorder that often presents with significant discomfort and can negatively impact the quality of life. In some cases, it is associated with dyspareunia (painful intercourse). Pelvic floor dysfunction is a key contributing factor to both chronic constipation and dyspareunia.

CASE: This case report explores the role of pelvic floor rehabilitation in managing chronic constipation with concomitant dyspareunia in a 33-year-old female patient. The patient presented with long-standing constipation, along with vaginal pain during intercourse, which had led to significant emotional and physical impairment. A comprehensive pelvic floor rehabilitation program, including pelvic muscle exercises, biofeedback, and manual therapy, was implemented. The outcomes demonstrated improvement in both constipation symptoms and dyspareunia, highlighting the effectiveness of targeted pelvic floor therapy.

CONCLUSION

This case suggests the potential of pelvic floor rehabilitation as a non-invasive, integrated treatment approach for individuals experiencing chronic constipation and dyspareunia, particularly when pelvic floor dysfunction is identified as a contributing factor.

KEYWORDS: Constipation, dyspareunia, pelvic floor, biofeedback, case report.