Eficácia do treinamento dos músculos do assoalho pélvico na redução da dor em mulheres com dispareunia: revisão sistemática integrativa.

Dyspareunia, characterized as recurrent or persistent genital pain associated with sexual intercourse, constitutes a condition of significant impact on women's physical, psychological health, and quality of life, with Pelvic Floor Muscle Training (PFMT) standing out as a first-line conservative physical therapy intervention. This study aimed to identify and synthesize scientific evidence on the efficacy of pelvic floor muscle training in reducing pain in women with dyspareunia through an integrative literature review. This is a qualitative, bibliographic research grounded in a six-step methodology and guided by the PICO strategy, whose data search was conducted in the PubMed/MEDLINE database for publications between 2022 and 2025 in Portuguese, English, and Spanish, culminating in the inclusion and thematic analysis of 20 empirical articles. The results demonstrated that PFMT, whether applied alone or integrated with multimodal strategies such as progressive vaginal dilators, biofeedback, transcutaneous electrical nerve stimulation (TENS), vibrating cones, local estrogen therapy, and digital telerehabilitation resources, promoted statistically and clinically significant reductions in sexual pain scores and dyspareunia in pelvic cancer survivors, women with deep endometriosis, provoked vestibulodynia, postpartum, and postmenopausal women, mechanically acting through trigger point deactivation, reduction of resting hypertonia, gain in vaginal compliance, and nociceptive desensitization. It is concluded that PFMT constitutes a highly effective, safe, and indispensable non-pharmacological management approach in genito-pelvic pain rehabilitation, requiring individualized evaluation and protocols tailored to symptom etiology for the comprehensive restoration of female sexual function and quality of life.