MAIN OUTCOME MEASURE: Deep dyspareunia and superficial dyspareunia (present/absent) were the main outcome measures. [ncbi.nlm.nih.gov]

• Nail Abnormality

  Nail abnormalities and dyspareunia are rarely reported in this syndrome. We describe a case of glucagonoma syndrome in which recurrent brittle nails and dyspareunia gave the patient the first clues of the recurrence of glucagonoma. [ncbi.nlm.nih.gov]

• Splenectomy

  She had undergone a splenectomy 15 years earlier after a car accident. A laparoscopic approach to a rectovaginal nodularity was performed. [ncbi.nlm.nih.gov]

• Hip Pain

  While the pain from mechanical irritation of the vagina was resolved, the patient continues to have difficulty with intercourse, which is related to hip pain as a result of her initial injury and complex pelvic surgery. [ncbi.nlm.nih.gov]

• Thin Skin

  skin, ulcerations or discharge associated with vulvovaginal infections or vaginal atrophy. [en.wikipedia.org]

• Necrolytic Migratory Erythema

  Abstract Glucagonoma syndrome is a paraneoplastic syndrome in which the occurrence and resolution of the characteristic necrolytic migratory erythema lesions parallel the course of the underlying glucagonoma. [ncbi.nlm.nih.gov]

• Monoplegia

  Repeat Chiari innominate osteotomy in a young woman with traumatic monoplegia and subsequent hypoplasia of the hemipelvis and leg resulted in rotation of the pubic ramus into the vagina, causing obstructive dyspareunia. [ncbi.nlm.nih.gov]

• Imperforate Hymen

  A problem present at birth, such as the absence of a fully-formed vagina (vaginal agenesis) or development of a membrane that blocks the vaginal opening (imperforate hymen), could be the underlying cause of dyspareunia. [vuvatech.com]

  A problem present at birth, such as the absence of a fully formed vagina (vaginal agenesis) or development of a membrane that blocks the vaginal opening (imperforate hymen), could cause dyspareunia. [mayoclinic.org]

  Dyspareunia may also result from: Malformation of the genitalia: narrowed vagina, labial adhesion, vaginal septa, imperforate hymen Injury during childbirth, genital mutilation, injury or surgery Any pain affecting the vestibule (if the cause is unknown [dermnetnz.org]

  Abnormalities at birth: Less common underlying causes of dyspareunia include vaginal agenesis, when the vagina does not develop fully, or imperforate hymen, in which the hymen blocks the vaginal opening. [medicalnewstoday.com]

• Enlarged Uterus

  The CT scan also revealed a lobulated and enlarged uterus consistent with uterine leiomyoma. [ncbi.nlm.nih.gov]

  Enlarged uterus from myoma. Fixed retroverted uterus. Scarring from surgery for genitourinary prolapse.[10] Inadequate sexual arousal (as with pain at the introitus). IBS. Inflammatory bowel disease (IBD) or chronic constipation. Pelvic mass. [patient.info]

  IM ergometrine if further bleeding uncontrolled Missed - Detected on USS or bleeding - O/E: Os closed, death in utero, small for dates - Rx: Surgical evacuation Molar pregnancy - Hyperemesis gravidarium OR no symptoms - O/E: Enlarged uterus for dates. [brainscape.com]

• Urethral Discharge

  There was no mention of dysuria, urethral discharge, testicular pain, history of pelvic surgery or prior similar complains in the past. [revistagastroenterologiamexico.org]

Figure 1: Diagnostic workup of dyspareunia. [symbiosisonlinepublishing.com]

• Pneumoperitoneum

  Pneumoperitoneum was achieved using a Veres needle placed at the umbilicus. [ncbi.nlm.nih.gov]

• Gastric Lesion

  The gastric lesion disappeared 6 months after imatinib treatment. Dyspareunia disappeared 1 month after operation. [ncbi.nlm.nih.gov]

A total of 51 patients chose repeat surgery and 103 progestin treatment. [ncbi.nlm.nih.gov]

Definition Description Causes and symptoms Demographics Diagnosis Treatments Prognosis Resources Definition Dyspareunia is painful sexual intercourse. The same term is used whether the pain results from a medical or a psychosocial problem. [encyclopedia.com]

Dyspareunia Prognosis The condition has a good prognosis as its outcome after medical treatment is generally found to be successful. [hxbenefit.com]

Prognosis Many causes of dyspareunia are rooted in a physical condition that can be cured or controlled with proper medical care. [womenshealthmag.com]

Alexithymia and fear were found to be important etiological factors in vaginismus. [ncbi.nlm.nih.gov]

American Journal of Epidemiology, 156, 254–261. CrossRef PubMed Google Scholar Burstein, R., Cutrer, M. F., & Yarnitsky, D. (2000). [doi.org]

Epidemiology The prevalence of dyspareunia varies widely depending on the population being sampled and how it is defined. Retrospective studies have cited a range from 1.5% to 70%. [1] Jamieson DJ, Steege JF. [bestpractice.bmj.com]

[…] vaginal barrel associated with penetration Deep: pain after penetration located at the cervix or lower abdominal area Complete: present under all circumstances Situational: occurring selectively with specific situations System(s) affected: reproductive Epidemiology [unboundmedicine.com]

Epidemiology of Dyspareunia Although dyspareunia may appear in both women and men, in the latter group it is relatively rare. [news-medical.net]

If we wish to treat or even prevent deep dyspareunia in women with gynecological cancer, we may use our knowledge of the pathophysiology of deep dyspareunia and increasingly provide dilators together with instructions on how to use them for stretching [ncbi.nlm.nih.gov]

The Pathophysiology of Pain CHRONIC PAIN E. Acknowledge that history-taking & physical exam results are subjective, AND that labs do not “prove” the existence or the severity of pain F. [slideshare.net]

Etiology and Pathophysiology Disorders of vaginal outlet Adhesions Condyloma Clitoral irritation Episiotomy scars Fissures Hymenal ring abnormalities Inadequate lubrication Infections Lichen planus Lichen sclerosus Postmenopausal atrophy Psoriasis Trauma [unboundmedicine.com]

This article provides a review of the terminology and definition of the condition, theories on the pathophysiology, diagnostic considerations, and recommendations on the management of female sexual pain. [doi.org]

Lifestyle Changes for Prevention Nutrition. [shecares.com]

Can dyspareunia be prevented? Preventing painful sex depends on what the cause is. [topdoctors.co.uk]

Symptoms For Women Pain during penetration, intercourse, especially deeper penetration For Men Pain upon ejaculation (urethra and head of penis) Pain immediately after ejaculation (testicular) Prevention Prevention methods depend upon cause of the symptoms [choicespc.net]

Can dyspareunia be prevented or avoided? Depending on the cause of your dyspareunia, it could be prevented through treatment. [familydoctor.org]

If we wish to treat or even prevent deep dyspareunia in women with gynecological cancer, we may use our knowledge of the pathophysiology of deep dyspareunia and increasingly provide dilators together with instructions on how to use them for stretching [ncbi.nlm.nih.gov]