Effect of shockwave or electromagnetic therapy with pelvic floor training on female sexual dysfunction

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized study compares three approaches for female sexual dysfunction: shockwave therapy plus pelvic floor muscle training, pulsed electromagnetic field therapy plus pelvic floor training, and pelvic floor training alone. Ninety premenopausal women with FSFI scores below 26.55 are enrolled and randomly assigned to one of the three groups for 8 weeks of treatment with an 8-week follow-up. Assessors are blinded to treatment allocation to reduce bias. The goal is to determine which combination best improves sexual function and related symptoms. The study is conducted at Benha University with collaboration from Beni-Suef University and uses standard, supervised pelvic floor training across all arms.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Female participants aged 20-50 years diagnosed with female sexual dysfunction (FSFI score \<26.55), reporting symptoms of reduced sexual desire, arousal dysfunction, orgasmic dysfunction, or dyspareunia.
2. Premenopausal women in a stable sexual relationship for at least 6 months and sexually active during the previous month.
3. Symptoms persisting for at least 3 months before enrollment.
4. Ability to understand study procedures and provide written informed consent.
5. Willingness to refrain from initiating any additional treatment for sexual dysfunction during the study period

Exclusion Criteria:

1. Pregnancy or planned pregnancy during the study period.
2. Pelvic surgery within the previous 6 months.
3. Active pelvic inflammatory disease, genital infection, or unexplained vaginal bleeding.
4. Neurological disorders affecting pelvic floor or sexual function.
5. Severe pelvic organ prolapse, severe urinary incontinence, or significant pelvic anatomical abnormalities.
6. Current hormonal therapy or use of medications known to affect sexual function, including antidepressants or antipsychotics.
7. Severe psychiatric disorders or cognitive impairment limiting participation.
8. Menopause or perimenopausal status.
9. Uncontrolled systemic diseases such as diabetes mellitus, hypertension, cardiovascular disease, or thyroid disorders.
10. Presence of malignancy, pelvic radiation history, or severe chronic pelvic pain disorders.
11. Contraindications to ESWT or PEMF including cardiac pacemakers or implanted electronic devices, coagulation disorders, anticoagulant therapy, epilepsy, or metal implants in the pelvic region.
12. Current participation in another clinical trial or receipt of physiotherapy for sexual dysfunction within the previous 3 months.

Where it's running

• Outpatient clinic, faculty of Physical Therapy, Beni Suef University
  Banī Suwayf, Egypt Recruiting

Study contacts

• Study coordinator: Mahmoud Hamada Mohamed Associate Professor, Ph.D
• Email: mahmoud.mohamed@fpt.bu.edu.eg
• Phone: 01096968910

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.