Mieux comprendre et traiter les douleurs gynécologiques

Chercheurs boursiers - Junior 1 | Concours 2012-2013

Mélanie Morin

Centre de recherche clinique Étienne-Le Bel du CHUS


Domaine : Santé différentielle des sexes

Chronic gynaecological pain is a major medical problem that affects 20-30% of women at different moments of their life. This largely neglected issue has a significant impact on the sexual and conjugal life of women suffering from it as well as on their psychological health. Furthermore, this kind of pain is not well understood, often badly diagnosed or even totally ignored. Also, treatment is limited and not extensively studied. My program aims at better understanding and treating gynaecological pain. The most important, most frequent female pain problems, will be described. The focus of the first study will be provoked vestibulodynia, pain at the entry of the vagina. The efficacy of specialized physiotherapy will be compared to a topical cream (lidocaine) applied to the vulva (part 1). Additionally, gynaecological pain after childbirth will be investigated (part 2). It was suggested that the severity of the pelvic floor lesions caused by delivery is linked to the intensity of post-partum pain. We want to verify the efficiency of physiotherapy treatments on pain and other symptoms (incontinence, prolapses) in women suffering from major lesions to the pelvic floor after childbirth. Finally, gynaecological pain in post-menopausal women will be evaluated (part 3). We will try to better understand the causes of this pain by investigating peripheral blood circulation. The efficacy of pelvic floor muscle exercises for vaginal symptoms will be assessed. My multidisciplinary training (physiotherapist specialized in urogynaecology, with a master¿s degree and Ph.D. in evaluation of the pelvic floor muscles and postdoctoral fellow in sexual function and gynaecological pain) combined with an optimal research environment, as well as complete financing for these studies, give me a strong advantage to successfully run these important and innovative projects.