Obstetrics and Gynecology/Dyspareunia in Females

Dyspareunia is pelvic pain during intercourse.

Etiology

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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

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

References

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  • 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