(090) PATIENT BELIEFS AND EXPERIENCES RELATED TO VIBRATION THERAPY AS A MODALITY TO ADDRESS GENITAL PAIN: A DESCRIPTIVE CASE-SERIES
Authors: Barnhart K , Mckenzie N 
Published: June 2024

Abstract

Introduction
Sexual devices, including vibrators, are commonly used to enhance and aid in individual and partnered sexual experiences. Previous studies show that the use of vibratory stimulation can be an effective treatment of issues related to pelvic health and sexual function, but additional research is needed to further explore patient-related factors that may be taken into consideration when discussing this treatment modality.

Objective
The purpose of this pilot study was to explore patient beliefs and experiences related to vibrator use as a treatment option for genital pain.

Methods
This study was conducted in collaboration with a local sexual health practitioner who includes vibrators, or they refer to it in office as “vibe therapy,” as part of their regular practice. Participants, women recommended vibe therapy for genital pain within the past 24 months, were recruited though the sexual health provider. Those who consented accessed an anonymous electronic questionnaire covering vibrator use and beliefs prior to recommended vibe therapy and specific to vibe therapy, as well as demographics and the Female Sexual Function Index (FSFI). The survey was conducted twice in a six month span and the current analysis included three cases who completed the survey during both rounds of data collection. Unique identifiers were created based on participant responses and utilized for the current analysis. Descriptive analysis was completed using SPSS and a comparison of vibe therapy beliefs and experiences were examined within and between cases.

Results
The three current cases reported that their most recent visit to the medical clinic was due to various reasons including: dyspareunia, overactive pelvic floor, and/or vaginismus. While two participants reported previous masturbation behaviors, none of the participants reported vibrator use prior to their clinician including it as a treatment option. Responses varied for each of the participants between the initial and secondary survey. Two participants reported use of medication and/or pelvic rehab in combination with vibe therapy. For all cases, duration and frequency of vibe therapy increased between the two time points. Additionally, positive beliefs related to comfort of use, desire to engage in sexual behaviors, and reduced pain during sex were reported. Two participants who initially experienced pain during vibration reported that it was no longer painful by the second time point. Sexual partner communication and inclusion in vibrator use varied between participants. All participants reported increased sexual enjoyment, reduced sexual pain, and intentions to continue vibe therapy.

Conclusions
While the use of genital vibrators for pain has been shown to be effective, patient experiences and beliefs related to this treatment option differ based on their individual situations. For all cases, responses remained consistent or became more favorable with continued use of vibe therapy. This information may be helpful for providers to consider when thinking about how they counsel patients who choose to use a vibrator as a form of treatment for sexual pain and other issues. Future studies may further explore how medical practitioner comfort and approach towards this treatment option may influence patient experiences.

Disclosure
No.