ISSN 0300-9092 (Print)
ISSN 2412-5679 (Online)

New insights into TECAR therapy in gynecological practice

Teterina T.A., Ardzinba M.S., Apolikhina I.A.

1) Academician V.I. Kulakov National MedicalResearch Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Moscow, Russia; 2) I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), Moscow, Russia

Modern aesthetic gynecology aims to implement gentle and effective techniques that can correct age-related and postpartum changes, improve the quality of life for patients, and raise their comfort level. In this context, TECAR therapy is of particular interest, since it is a physiotherapy technique based on radiofrequency energy that contributes to active tissue regeneration, improves microcirculation, and restores the functional state of the intimate area.
The article discusses the mechanisms of TECAR therapy, its indications and contraindications, as well as the results of clinical studies. The physiological effect of this type of therapy is caused by the electromagnetic field with a frequency of approximately 0.5 MHz. The effects of this technique include increased deep and superficial blood flow, vasodilation, increased temperature, removal of excess fluid, and increased cell proliferation.
The ability to induce a thermotherapy effect in deep target tissues (deep muscle layers, joints, and tendons) without excessive increase in surface (skin) temperature makes TECAR therapy well tolerated by patients and suitable for the treatment of various diseases in urogynecology. Therefore, the use of TECAR therapy may be an option for treatment, especially in disorders where blood flow dysfunction plays an important role in the onset and persistence of pain and dysfunction (e.g., chronic pelvic pain syndrome, vulvodynia, and myofascial pain syndrome).
Conclusion. The results of the analysis demonstrate the high potential of TECAR therapy in gynecology. However, in order to develop protocols for the use of this technique, it is necessary to conduct further research focusing on long-term effects of therapy and the optimal parameters for its effect. 

Authors’ contributions: Teterina T.A. – collecting publications, processing and analysis of materials, writing the text, translation of the articles; Apolikhina I.A. – editing the material of the article; Ardzinba M.S. – collecting publications, writing the text, translation of the articles.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The study was conducted without sponsorship.
For citation: Teterina T.A., Ardzinba M.S., Apolikhina I.A. New insights into TECAR therapy in gynecological practice. 
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (11): 172-180 (in Russian)
https://dx.doi.org/10.18565/aig.2025.281

Keywords

TECAR therapy
thermotherapy
diathermy
monopolar radiofrequency
alternating electromagnetic field
resistive and capacitive modes
chronic pelvic pain

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Received 10.09.2025

Accepted 07.10.2025

About the Authors

Tatiana A. Teterina, PhD, obstetrician-gynecologist, ultrasound specialist, Department of Aesthetic Gynecology and Rehabilitation, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 4, Ac. Oparin str., Moscow, Russia, 117997, +7(495)735-10-55, t_teterina@oparina4.ru, https://orcid.org/0000-0003-0990-2302
Milada S. Ardzinba, resident, obstetrician-gynecologist, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health
of Russia, 4, Ac. Oparin str., Moscow, Russia, 117997, +7(985)005-12-60, ardzinba.milada@mail.ru, https://orcid.org/0000-0002-8371-3617
Inna A. Apolikhina, Dr. Med. Sci., Professor, Head of the Department of Aesthetic gynecology and Rehabilitation, V.I. Kulakov National Medical Research Center f
or Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 4, Ac. Oparin str., Moscow, Russia, 117997; Professor at the Department of Obstetrics, Gynecology, Perinatology, and Reproductology, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), +7(495)735-10-55, apolikhina@inbox.ru, https://orcid.org/0000-0002-4581-6295

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