Dyspareunia natural history, complications and prognosis: Difference between revisions

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Latest revision as of 02:25, 22 September 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]; Jesus Rosario Hernandez, M.D. [3]

Overview

The symptom of dyspareunia is pain during intercourse/penetration, which could be either introital (at the vaginal entrance), deep (in the vagina or pelvis), or both. Dyspareunia can have a negative impact on a patient's mental and physical health, body image, relationships with partners, and efforts to conceive. It can affect the quality of life. It can lead to, or be associated with other female sexual dysfunction disorders, such as decreased libido, decreased arousal, and anorgasmia. Prognosis may vary based on the cause of dyspareunia.

Natural history, complications and prognosis

Natural History

The symptom of dyspareunia is pain during intercourse/penetration which could be either introital (at the vaginal entrance), deep (in the vagina or pelvis), or both.

Complications

Common complications of dyspareunia include:
Negative impact on a patient's mental and physical health, body image, relationships with partners, and efforts to a conceive in women.
Decreased libido
Decreased arousal
Anorgasmia

Prognosis

The prognosis may vary depending on the underlying cause of dyspareunia. After the treatment of medical causes, it may fully be resolved. or in vaginismus, poor prognostic factors are:^[1]

History of physical abuse
History of sexual abuse
Inability to insert tampons
Pain during tampon insertion

References

↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

[DSMV-1] Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

[1]

@@ Line 1: / Line 1: @@
- __NOTOC__
+__NOTOC__
+{{Dyspareunia}}
+{{CMG}} {{AE}} {{VVS}}; {{JH}}
+==Overview==
+The symptom of [[dyspareunia]] is pain during intercourse/penetration, which could be either introital (at the vaginal entrance), deep (in the [[vagina]] or [[pelvis]]), or both. [[Dyspareunia]] can have a negative impact on a patient's mental and [[physical]] health, body image, relationships with partners, and efforts to conceive. It can affect the quality of life. It can lead to, or be associated with other female sexual dysfunction disorders, such as [[decreased libido]], [[arousal|decreased arousal]], and [[anorgasmia]]. Prognosis may vary based on the cause of [[dyspareunia]].
-{{Dyspareunia}}
+==Natural history, complications and prognosis==
-{{CMG}} {{AE}} {{VVS}}
+===Natural History===
-==Natural History==
+*The symptom of dyspareunia is pain during intercourse/penetration which could be either introital  (at the vaginal entrance), deep (in the vagina or pelvis), or both.
-According to DSM-IV (American Psychiatric Association 1994), the diagnosis of dyspareunia is made when the patient complains of recurrent or persistent genital pain before, during, or after sexual intercourse that is not caused exclusively by lack of lubrication or by vaginismus. Clinically, it is often difficult to separate dyspareunia from vaginismus, since vaginismus may occur secondary to a history of dyspareunia and even mild vaginismus is often accompanied by dyspareunia. It is important to establish whether the dyspareunia is acquired or lifelong and whether it is generalized (complete) or situational. Further inquiry should determine whether the pain is superficial or deep - whether it occurs primarily at the vaginal outlet or vaginal barrel or upon deep thrusting against the cervix. Even when the pain can be reproduced during a physical examination, the possible role of psychological factors in either causing or maintaining the pain must be acknowledged and dealt with in treatment.
+===Complications===
+*Common complications of [[dyspareunia]] include:
+*Negative impact on a patient's [[mental]] and [[physical]] health, [[body image]], relationships with partners, and efforts to a [[Conceive a child|conceive]] in women.
+*[[Decreased libido]]
+*[[Decreased arousal]]
+*[[Anorgasmia]]
-==Prognosis==
+===Prognosis===
-Poor prognostic factors include:
+The prognosis may vary depending on the underlying cause of dyspareunia. After the treatment of medical causes, it may fully be resolved. or in vaginismus, poor prognostic factors  are:<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
 *History of [[physical abuse]]
 *History of [[sexual abuse]]
 *Inability to insert tampons
-*Pain during tampon insertion<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
+*Pain during tampon insertion
 ==References==
 {{reflist|2}}
-{{WH}}
-{{WS}}
-[[Category:Needs content]]
-[[Category:Symptoms]]
 [[Category:Gynecology]]
 [[Category:Psychiatry]]
 [[Category:Sexual and gender identity disorders]]
-[[Category:Signs and symptoms]]
-[[Category:primary care]]