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Painful Intercourse or Dyspareunia: Seeking Solutions.

A recent Swedish survey suggested that dyspareunia occurs in 9.3 per cent of females, with the incidence being higher among the young and inexperienced and relatively low among the over-50s.

In order to provide adequate treatment for painful intercourse or dyspareunia, identification of the initiating and promulgating factors is essential. The differential diagnoses include vaginismus, inadequate lubrication, atrophy and vulvodynia. Less common etiologies are endometriosis, pelvic congestion, adhesions or infections, and adnexal pathology. Urethral disorders, cystitis and interstitial cystitis may also cause painful intercourse. The location of the pain may be described as entry or deep. Vulvodynia , atrophy, inadequate lubrication and vaginismus are associated with painful entry. Your medical and sexual history and your physical examination will help your doctor to determine the cause of your symptoms.

Treatment & Management

In order to assess appropriate treatment response, it is useful to determine the duration of the problem and if it is present with other sexual partners. It is unwise to assume that the patient is in a monogamous relationship or is heterosexual. The possible treatment options depending on the cause of dyspareunia, could include:

Hygiene and personal care should be a top priority to avoid infection.

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