Dyspareunia history and symptoms: Difference between revisions

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'''Symptoms'''
'''Symptoms'''
When pain occurs, the woman experiencing dyspareunia may be distracted from feeling pleasure and excitement. Both vaginal lubrication and vaginal dilation decrease. When the vagina is dry and undilated, the thrusting of the phallus is painful. Even after the original source of pain (a healing [[episiotomy]], for example) has disappeared, a woman may feel pain simply because she expects pain. In brief, dyspareunia can be classified by the time elapsed since the woman first felt it:
When pain occurs, the woman experiencing dyspareunia may be distracted from feeling pleasure and excitement. Based on the underlying cause, there are different associated symptoms.
*  During the first 2 weeks or so, dyspareunia caused by phallus insertion or movement of the phallus in the vagina or by deep penetration is often due to disease or injury deep within the pelvis.
* After the first 2 weeks or so, the original cause of dyspareunia may still exist with the woman still experiencing the resultant pain. Or it may have disappeared, but the woman has anticipatory pain associated with a dry, tight vagina.


==References==
==References==

Revision as of 22:14, 18 September 2020

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

History and symptoms

History:

  • Ask aboutPain Characteristics:
    • Timing, duration, quality, location
  • Ask about associated vulvovaginal symptoms:
  • Musculoskeletal history:
  • bowel and bladder history:
    • Constipation, diarrhea, urgency, frequency
  • Obtain sexual history:
    • Frequency, desire, arousal, satisfaction, relationship
  • Obtain psychological history:
  • Inquire about any history of abuse:
    • Sexual, physical, neglect
  • Physical exam:
  • Vagina and cervix examination
  • Evaluation of external musculoskeletal:
  • external visual and sensory examination
    • internal single digit palpation of the pelvic floor
    • bimanual examination for evaluation of:
    • the internal vaginal tissue, cervix

More detail evaluations for systemic disorders such as diabetes, Sjogren's disease, Systemic sclerosis, dermatologic diseases such as lichen planus

Symptoms When pain occurs, the woman experiencing dyspareunia may be distracted from feeling pleasure and excitement. Based on the underlying cause, there are different associated symptoms.

References

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