Dyspareunia: Causes & Reasons

Possible Causes for Dyspareunia

Dysuria or dyspareunia may occur. In atrophic vaginitis, discharge is scant, dyspareunia is common, and vaginal tissue appears thin and dry. [msdmanuals.com]

Desquamative vaginitis is characterised by: Persistent or intermittent, blood-stained or yellow, profuse or sticky vaginal discharge Painful intercourse ( dyspareunia ) Itch [dermnetnz.org]

Women with BV do not have dyspareunia, while some women with severe AV do. [ncbi.nlm.nih.gov]

Vulvitis

[…] during a period of 15 years, we report the clinical features and natural history of focal vulvitis, a unique syndrome characterized by severe and persistent superficial dyspareunia [ncbi.nlm.nih.gov]

Dyspareunia Dyspareunia is pain during or after sexual intercourse. Dyspareunia can affect men, but is more common in women. [evidence.nhs.uk]

A 50-year-old female with longstanding complaints of spotting, vulvar dryness, irritation, and dyspareunia presented with circumscribed, purpuric, erythematous vulvar patches [ncbi.nlm.nih.gov]

Vaginospasm

Another study of prevalence of dyspareunia suggests that of 313 respondents to a questionnaire on sexual experience and dyspareunia, 39% had never had dyspareunia, 27.5% had [glowm.com]

INTRODUCTION The difficulty of penetration experienced in vaginismus and dyspareunia may at least partly be due to a disgust… Expand The influence of cognitive and emotional [semanticscholar.org]

Online Information on Painful Sexual Dysfunction in Women: Quality Analysis of Websites in SPANISH about Dyspareunia, Vaginismus and Vulvodynia. [pubmed.ncbi.nlm.nih.gov]

Female Pelvic Inflammatory Disease

Even if they survive, as many as 15% to 20% of these women experience long-term sequelae of PID, such as ectopic pregnancy, tubo-ovarian abscess, infertility, dyspareunia, [ncbi.nlm.nih.gov]

PID is considered when irregular vaginal bleeding, dyspareunia, or dysuria is unexplained. [msdmanuals.com]

Women may experience dyspareunia, irregular bleeding, dysuria, or gastrointestinal symptoms, which they may not link to PID, and therefore, may not seek care. [www2a.cdc.gov]

Rectocele

None of the patients encountered de novo dyspareunia after the procedure. [ncbi.nlm.nih.gov]

[…] of dyspareunia (11%) reported mild dyspareunia following the repair. [ncbi.nlm.nih.gov]

De novo dyspareunia and cure rates for constipation and dyspareunia were not statistically different between the two groups. [ncbi.nlm.nih.gov]

Endometriosis

Decreasing dyspareunia and dysmenorrhea in women with endometriosis via a manual physical therapy: Results from two independent studies Journal of Endometriosis 2011; 3(4) [web.archive.org]

Even the common mild forms of endometriosis can strongly affect quality of life due to dysmenorrhea, dyspareunia, dyschezia, or subfertility. [ncbi.nlm.nih.gov]

Assessment of deep dyspareunia was not available or not reliable in 309 cases. [dx.doi.org]

Vaginal Prolapse

Dyspareunia was described in 70 studies for a rate of 9.1%, (95% CI, 8.2 - 10.0%; range, 0 - 66.7%; synthetic, 8.9%; biological, 9.6%). [ncbi.nlm.nih.gov]

General symptoms include pressure in the vagina or pelvis (usually decreases when lying down), painful intercourse (dyspareunia), and recurrent urinary tract infections (UTI [healthcommunities.com]

[…] year-old woman with a history of radical hysterectomy and pelvic radiation who developed a nonreducible high anterior vaginal wall bulge, postoperative pelvic pain, and dyspareunia [ncbi.nlm.nih.gov]

Third Degree Uterine Prolapse

Dyspareunia. Dragging or heavy feeling in the pelvis. Backache. Bowel or bladder problems if cystocele or rectocele. Stress incontinence. Kegel exercises. [quizlet.com]

Most cases are asymptomatic or present with vaginal discharge, intermenstrual bleeding, dyspareunia or postcoital bleeding. [liebertpub.com]

An ill-fitting pessary is ineffective and may cause dyspareunia and discomfort. [clinicalgate.com]

Pelvic Congestion Syndrome

Sometimes the pain is accompanied by dyspareunia, urinary urgency or constipation. [ncbi.nlm.nih.gov]

Venous angioplasty and stenting provide excellent short-term results for such patients, with resolution of chronic pelvic pain and dyspareunia. [ncbi.nlm.nih.gov]

[…] pain syndrome characterized by positional pelvic pain that is worse in the upright position and is associated with pelvic and vulvar varicosities as well as symptoms of dyspareunia [ncbi.nlm.nih.gov]

Endometrioma

These included assessing dysmenorrhea, dyspareunia, and nonmenstrual pelvic pain each on a scale from 0 to 3. [ncbi.nlm.nih.gov]

Oral contraceptive pills improve dysmenorrhea but not dyspareunia or noncyclic pelvic pain. [ncbi.nlm.nih.gov]

A 27-year-old, nulliparous woman presented with a painful suburethral mass, dyspareunia and voiding difficulty. [ncbi.nlm.nih.gov]

Vaginal Tissue Injury

Dyspareunia is painful sexual intercourse due to medical or psychological causes. [en.wikipedia.org]

Fast facts about exercise dyspareunia Here are some facts about dyspareunia. More detail is in the main article. Dyspareunia refers to pain during sexual intercourse. [medicalnewstoday.com]

There was no evidence of a difference between the groups for dyspareunia or quality of life outcomes (very low-quality evidence). [cochrane.org]

Lichen Sclerosus

Lichen sclerosus can be debilitating for some patients causing significant pruritus, pain, dysuria, and dyspareunia [4]. [ncbi.nlm.nih.gov]

The atrophy, strictures, and scarring of the affected genitalia secondary to vulvar lichen sclerosus often result in sexual dysfunction, specifically dyspareunia. 7 These [clinicaladvisor.com]

Education relating to sexual dysfunction and dyspareunia may be required. [ncbi.nlm.nih.gov]

Bartholinitis

Pain and dyspareunia may be experienced with an increased size of the cysts. [symptoma.com]

Symptoms of large cysts include vulvar irritation, dyspareunia, pain during walking, and vulvar asymmetry. [merckmanuals.com]

Most Bartholin's cysts do not cause any symptoms, although some may cause pain during walking, sitting, or sexual intercourse (dyspareunia). [en.wikipedia.org]

Vulvar Dystrophy

Deep Pelvic Pain and Deep Dyspareunia Patients with chronic level 3 dyspareunia (deep dyspareunia), usually exhibit pain during deep thrust vaginal intercourse. [pelvicurecenter.com]

Progesterone in oil hydrophilic Dyspareunia alleviated - ointment (as in Example I) marked decrease in whitish applied topicaly to the afflicted appearance of vulvar area [google.com]

Some women have always had pain with vaginal penetration (Primary Dyspareunia), while the majority experience pain at some later date (Secondary Dyspareunia). [pelvicurecenter.com]

Mucopurulent Cervicitis

Cervicitis causes a nondescript discharge with deep dyspareunia Chlamydia may cause a purulent vaginal discharge, post-coital spotting, and deep dyspareunia. [brooksidepress.org]

Copious purulent or mucopurulent in vaginal discharge (Fig. 86), pelvic pain, and dyspareunia may be present if cervicitis is severe. [encyclopedia.lubopitko-bg.com]

Some women have dyspareunia, vulvar and/or vaginal irritation, and/or dysuria. [merckmanuals.com]

Urethral Caruncle

Occasionally they may present with dyspareunia and/or vaginal bleeding. Treatment is generally with diathermy or surgical excision. [gpnotebook.co.uk]

They can bleed and occasionally cause dysuria and dyspareunia. The caruncles can be removed by surgery, electric cauterization and then with suture repair. [en.wikipedia.org]

Links: dyspareunia General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition [gpnotebook.co.uk]

Vaginal Adhesions

Intercourse Pain (Dyspareunia) Overview Click to watch video. [clearpassage.com]

Rates of prolapse recurrence, postoperative vaginal narrowing and dyspareunia were not significantly different between groups. [link.springer.com]

Here, we report a case of vaginal adhesions following a difficult labor that presented as dyspareunia for 5 months. [ncbi.nlm.nih.gov]

Candida Albicans Vaginitis

Inflammation leads to burning, itching, erythema, dysuria and dyspareunia. [stomponstep1.com]

[…] nonporous undergarments Immunocompromise Symptoms and Signs of Candidal Vaginitis Vaginal vulvar pruritus, burning, or irritation (which may be worse during intercourse) and dyspareunia [msdmanuals.com]

Symptoms and Signs Vaginal vulvar pruritus, burning, or irritation (which may be worse during intercourse) and dyspareunia are common, as is a thick, white, cottage cheese–like [merckmanuals.com]

Pelvic Adhesions

CERVICITIS—“BUMP” DYSPAREUNIA. [glowm.com]

You can expect a quicker, less painful recovery from: Endometriosis Uterine fibroids Interstitial cystitis Pelvic floor dysfunction Dyspareunia (pain with intimacy) Pelvic [maternalgynerations.net]

For example, adhesions involving the female reproductive organs (ovaries, Fallopian tubes) can and do cause infertility, dyspareunia (painful intercourse) and debilitating [edsinfo.wordpress.com]

Uterine Prolapse

Vaginal bleeding, abnormal discharge, dyspareunia, urinary retention, and pelvic pain are possible complications of therapy. [bestpractice.bmj.com]

This suggests that if 5% of women experienced dyspareunia after sacrospinous hysteropexy then between 1% to 20% would experience dyspareunia after vaginal hysterectomy. [doi.org]

Secondary outcomes were: operative time, blood loss, visceral injury, voiding dysfunction, duration of catheterization, length of hospital stay, mesh exposure, dyspareunia [ncbi.nlm.nih.gov]

Chlamydial Pelvic Inflammatory Disease

Retrospective analysis showed that 43 of the women were given outpatient treatment for acute pelvic inflammatory disease because they had low abdominal pain, deep dyspareunia [annals.org]

The affected women may also suffer from dyspareunia ( i.e. recurrent or persistent genital pain during or after sexual intercourse), backache and infertility. [news-medical.net]

More common presentations include acute pelvic pain (of variable intensity), cervical motion tenderness, vaginal discharge, fever, dyspareunia, and leukocytosis. [radiopaedia.org]

Retroverted Uterus

Differential diagnosis Causes of: – Mass in Douglas pouch – Deep Dyspareunia – Low back pain 9. [slideshare.net]

31 What causes pain associated with sexual intercourse (dyspareunia) 32 How can painful sexual intercourse (dyspareunia) be treated? 33 What is a pelvic mass? [2womenshealth.com]

Chronic uterine inversion • Symptoms: – Discharge – Vaginal bleeding – Pain: • Chronic pelvic pain • Dyspareunia – Infertility – Mass in vagina or protrude outside vulva 21 [slideshare.net]

Tubo-Ovarian Abscess

Presentation A 36 year old woman presented to the ER with sharp left sided pelvic pain and dyspareunia. [sonoworld.com]

Sequelae of PID * ectopic pregnancy * infertility * chronic pelvic pain * dyspareunia * pelvic adhesions * recurrent PID * tubo-ovarian abscess a patient has tubo-ovarian [medical-dictionary.thefreedictionary.com]

Other symptoms include vaginal discharge, vaginal bleeding, dyspareunia, urinary discomfort, fever, nausea, and vomiting. Peritoneal signs may be present. [accessemergencymedicine.mhmedical.com]

Chronic Pelvic Inflammatory Disease

PID is considered when irregular vaginal bleeding, dyspareunia, or dysuria is unexplained. [merckmanuals.com]

[…] infertility than women without such history; therefore caution should be used in dismissing mild symptoms (mild non-specific abdominal pain, vaginal discharge, bleeding or dyspareunia [pedsinreview.aappublications.org]

The woman usually presents with symptoms of pelvic pain, heavy and painful menstrual periods, pain with intercourse (dyspareunia) and/or infertility that triggers an evaluation [haveababy.com]

Acute Pelvic Inflammatory Disease

Retrospective analysis showed that 43 of the women were given outpatient treatment for acute pelvic inflammatory disease because they had low abdominal pain, deep dyspareunia [annals.org]

PID is considered when irregular vaginal bleeding, dyspareunia, or dysuria is unexplained. [merckmanuals.com]

[…] partner Symptoms: Lower abdominal and pelvic pain (dull) Fever and chills Nausea and vomiting (indicates peritonitis) Menstrual disturbances Purulent cervical discharge Dyspareunia [medchrome.com]

Ovarian Cyst

Problems associated with endometriosis include dysmenorrhoea, dyspareunia and infertility. [ncbi.nlm.nih.gov]

[…] intermittent- may range from a dull, heavy sensation to a sudden, severe and sharp pain; may start and stop; may occur after any strenuous activity Painful intercourse /sex – dyspareunia [beatsofhealth.com]

Dyspareunia: This is pelvic pain that occurs during sexual intercourse. Some women might experience pain and discomfort in the abdomen after sex. [medicalnewstoday.com]

Vaginal Atresia

The third patient (with dyspareunia) resorted to paraurethral coitus for more than 2 years before seeking advice. [ncbi.nlm.nih.gov]

The primary presenting signs and symptoms included primary amenorrhea (71.8%), periodic abdominalgia (41.0%), abdominal pain (36.0%), dyspareunia (10.3%), menstrual disorders [ncbi.nlm.nih.gov]

Abstract We report a case of 26-year-old primipara with last child birth 1.5 year back who presented with amenorrhoea, cyclical lower abdominal pain and dyspareunia for past [ncbi.nlm.nih.gov]

Vaginal Squamous Cell Carcinoma

[…] pain Reddish, blackish, and/or whitish patches of discoloration Lumps or growths of various shapes, often wart-like lesions or ulcers Vulvar bleeding or discharge Dysuria, dyspareunia [amboss.com]

[…] spindle-shaped tumor cells stain positive for desmin Presentation Symptoms abnormal vaginal bleeding may be postcoital, intermenstrual, or postmenopausal. watery vaginal discharge dyspareunia [medbullets.com]

Some also present with a watery vaginal discharge or dyspareunia. [merckmanuals.com]

Interstitial Cystitis

To evaluate whether ocular migraines can be related to sympathetic nervous system hypofunction, especially when associated with interstitial cystitis and dyspareunia. [ncbi.nlm.nih.gov]

Abstract Interstitial cystitis is a syndrome characterized by pelvic pain, urinary urgency/frequency, nocturia, and dyspareunia, with no other identifiable etiology. [ncbi.nlm.nih.gov]

Dyspareunia is common in as many as 50% of women. [web.archive.org]

Salpingitis

Symptoms of chronic salpingitis may include: Recurring severe period pain P ainful intercourse (dyspareunia) Vaginal discharge Poor general health Infertility Initially, treatment [netdoctor.co.uk]

Symptoms of chronic salpingitis may include: Recurring severe period pain Painful intercourse (dyspareunia) Vaginal discharge Poor general health Infertility Initially, treatment [netdoctor.co.uk]

Amenorrhea Positive pregnancy test Ultrasound shows echogenic mass Methotrexate or surgical removal PID Lower bilateral abdominal pain Fever Menorrhagia and metrorrhagia Dyspareunia [amboss.com]