Dyspareunia physical examination

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Overview

The presence of erythema, discharge, atrophy or ulceration, growth, deformity, or warts on external genitalia or lesions on the cervix and internal genitalia can be suggestive of dyspareunia. The presence of pain on the cotton-swab test is diagnostic of localized provoked vulvodynia.

Physical examination

The presence of erythema, discharge, atrophy or ulceration, growth, deformity, or warts on external genitalia or lesions on the cervix and internal genitalia can be suggestive of dyspareunia. The presence of pain on the cotton-swab test is diagnostic of localized provoked vulvodynia.

Appearance of the Patient

• Patients with dyspareunia usually appear normal.

Vital Signs

• Vital signs usually normal

Skin

• Skin examination of patients with dyspareunia is usually normal.

HEENT

• HEENT examination of patients with dyspareunia is usually normal.

Neck

• Neck examination of patients with dyspareunia is usually normal.

Lungs

• Pulmonary examination of patients with dyspareunia is usually normal.

Heart

• Cardiovascular examination of patients with dyspareunia is usually normal.

Abdomen

• Abdominal examination of patients with dyspareunia is usually normal unless the cause of dyspareunia is adenexal mass, uterine fibroids, pelvic tumors.

Back

• Back examination of patients with normal is usually normal, but 22% of patients with chronic pelvic pain has musculoskeletal causes.

Neuromuscular

• Neuromuscular examination of patients with dyspareunia is usually normal, 22% of patients with chronic pelvic pain has musculoskeletal causes.

Extremities

• Extremities examination of patients with dyspareunia is usually normal.

Genitourinary

Different findings can be found based on the underlying cause of dyspareunia.

• Inflamed mucosa or Clear/(color), foul-smelling/odorless penile/vaginal discharge, atrophy
• A pelvic/adnexal mass may be palpated in pelvic tumors.
• enlarged prostate in the rectal exam