Obstetrics and Gynecology/Dyspareunia in Females

Dyspareunia is pelvic pain during intercourse.

Etiology

The etiology can be classified according to the anatomy of the area.

Superficial dyspareunia:

• Vuval disorders
  • Neoplasm
  • Dystrophy
  • Vulvitis
  • Bartholinitis

• Vaginal disorders
  • Neoplasm
  • Vaginitis
  • Estrogen deficiency
  • Congenital malformations of the vagina

• Urethral disorders
  • Urethritis

Deep dysparuenia

• Cervical disorders
  • Carcinoma
  • Cervicitis

• Uterus
  • Endometriosis
  • Retroversion
  • Prolapse

• Fallopian Tube disorders
  • Salpingitis
  • Ectopic pregnancy

• Ovarian disorders
  • Neoplasm

• GI disorders
  • Rectal neoplasm

Diagnosis

The diagnosis of dyspareunia is made using the following clinical skills:

• Gynecological History Taking
• Gynecological Examination
• Gynecological Investigations

References

• O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.
• McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder
• www.gpnotebook.co.uk