Neural Therapy in the Treatment of Chronic Pelvic Pain Syndrome and Dyspareunia

In some patients with dyspareunia (painful sexual intercourse) and chronic pelvic pain syndrome, all gynecological and urological examinations may appear completely normal. This indicates that the pain originates from hypersensitivity in neural conduction pathways or irregularities in the autonomic nervous system. In such resistant pain cases, the neural therapy method is successfully utilized.

What is Neural Therapy and How is It Applied?

Neural therapy is the injection of very low concentrations of local anesthetic agents (usually procaine or lidocaine) into specific trigger points in the body, scar tissues, and near nerve ganglia to regulate the autonomic nervous system. It shares a similar rationale to acupuncture but is a pharmacological regulation therapy.

Effect of Neural Therapy in Dyspareunia

Thanks to neural therapy sessions applied to the pelvic region:

• Blood circulation and tissue nourishment (perfusion) in the pelvic area are increased.
• The stimulation threshold of nerve endings (nociceptors) sensitized due to chronic inflammation is restored to normal.
• Interference fields in past episiotomy (birth stitch) or cesarean section scar tissues are blocked, eliminating referred pain during intercourse.

Applied in 1 or 2 sessions per week, neural therapy is a comfortable treatment option without side effects.