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Dyspareunia

Dyspareunia is difficult or painful sexual intercourse, due to physical or psychological causes.


Presentation

  • Most patients with bladder leiomyoma may present with urinary frequency or obstructive urinary symptoms. However, there are a few cases of bladder leiomyoma coexisting with uterine leiomyoma presenting as dyspareunia.[ncbi.nlm.nih.gov]
  • MAIN OUTCOME MEASURE: Deep dyspareunia and superficial dyspareunia (present/absent) were the main outcome measures.[ncbi.nlm.nih.gov]
  • CASE: A woman with defecatory dysfunction and dyspareunia presented with stage 2 prolapse. She underwent laparoscopic and vaginal pelvic floor reconstruction with excision of endometriosis.[ncbi.nlm.nih.gov]
  • PATIENT(S): Seventy-five infertile female subjects presenting to the infertility clinic and 210 women presenting to the generalist clinic for their annual exam.[ncbi.nlm.nih.gov]
  • In all but one woman dyspareunia presented before ocular or oral symptoms, often by many years.[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]
Raynaud Phenomenon
  • PARTICIPANTS: Women with chronic dyspareunia who had musculoskeletal symptoms, Raynaud's phenomenon or symptoms of ocular or oral dryness.[ncbi.nlm.nih.gov]
Turkish
  • PURPOSE OF INVESTIGATION: The authors aimed to determine the prevalence of female sexual dysfunction (FSD) among Turkish dyspareunic women and to establish the associated factors with FSD.[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]
Weight Gain
  • This is partly expected, as women may easily decide to interrupt drug use even for minor problems (e.g. erratic bleeding or weight gain), whereas withdrawal from the surgery arm is usually dictated only by important reasons (e.g. development of an ovarian[doi.org]
Abdominal Wall Pain
  • Pelvic floor tenderness was also associated with abdominal wall pain and bladder base tenderness, suggesting that nervous system sensitization is involved in the etiology of pelvic floor tenderness.[ncbi.nlm.nih.gov]
Dyspepsia
  • Definitions of dyspepsia. Scandinavian Journal of Gastroenterology , 182 (Suppl.), 1–6. Google Scholar Heiman, J. R., & Meston, C. M. (1997). Empirically validated treatment for sexual dysfunction. Annual Review of Sex Research , 8 , 148–194.[doi.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]
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]
  • Congenital abnormality, such as vaginal agenesis, which is absence of a fully-formed vagina or another condition, such as imperforate hymen where there is development of a membrane which blocks the opening of the vagina; all these factors can cause dyspareunia[epainassist.com]

Workup

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]

Treatment

  • A total of 51 patients chose repeat surgery and 103 progestin treatment.[ncbi.nlm.nih.gov]
  • BACKGROUND: There are few published data about the incidence of diagnoses or treatment outcomes, for chronic vulval pain. AIMS: To document diagnoses and treatment outcomes in a cohort of chronic vulval pain presentations.[ncbi.nlm.nih.gov]
  • RESULTS: Six months after laparoscopic treatment, a significant reduction of dyspareunia was recorded, per VAS scores.[ncbi.nlm.nih.gov]
  • Treatment satisfaction was significantly higher in the GCBT group, as were self-reported improvements in pain and sexuality.[ncbi.nlm.nih.gov]

Prognosis

  • 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]

Etiology

  • Alexithymia and fear were found to be important etiological factors in vaginismus.[ncbi.nlm.nih.gov]
  • Abstract Dyspareunia in a woman often lacks a well-defined cause with complex etiology. Similarly wide-mouthed nonobstructive bladder diverticula are mostly managed conservatively with no single etiology.[ncbi.nlm.nih.gov]
  • This study provides evidence that neurogenesis in the cul-de-sac/uterosacrals may be an etiological factor for deep dyspareunia in endometriosis. The Author(s) 2015.[ncbi.nlm.nih.gov]
  • There are many possible etiologies for dyspareunia, including a history of childhood sexual abuse, and approaching assessment in a holistic manner is necessary to identify the etiology.[ncbi.nlm.nih.gov]
  • BACKGROUND: The onset of unexplained dyspareunia with a normal pelvic examination requires a careful evaluation to search for an etiology.[ncbi.nlm.nih.gov]

Epidemiology

  • 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]
  • In addition, these basic epidemiological data are necessary to monitor trends of the disease burden as well as to inform design of other research in this condition, like genetic and environmental epidemiology to assess aetiology, qualitative studies to[doi.org]
  • Endometriosis and pelvic pain: Epidemiological evidence of the relationship and implications. Human Reproduction Update , 11, 595–606. PubMed CrossRef Google Scholar Ferrero, S., Esposito, F., Abbamonte, L.[doi.org]
Sex distribution
Age distribution

Pathophysiology

  • A possible explanation of the pathophysiology is suggested. Recommendations for prevention, diagnosis, and treatment of these late complications are offered.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
  • 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]
  • One possible pathophysiological mechanism of Vestibulodynia is neuroproliferation.[cme.dannemiller.com]

Prevention

  • Recommendations for prevention, diagnosis, and treatment of these late complications are offered.[ncbi.nlm.nih.gov]
  • Our findings suggest that women should be asked about symptoms of dyspareunia related to pregnancy, and that future research should aim for preventative and therapeutic strategies.[ncbi.nlm.nih.gov]
  • Greater recognition and increased understanding of the roles of mode of delivery and perineal trauma in contributing to postpartum maternal morbidities, and ways to prevent postpartum dyspareunia where possible, are warranted.[ncbi.nlm.nih.gov]
  • 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]
  • 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]

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Last updated: 2014-05-06 22:04