Dyspareunia natural history, complications and prognosis

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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]; Jesus Rosario Hernandez, M.D. [3]

Overview

It is more common in women. Dyspareunia can have a negative impact on a woman'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 Depending on the cause of dyspareunia, the prognosis may vary.

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

• Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [--]%.
• Depending on the extent of the [tumor/disease progression] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
• The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
• [Subtype of disease/malignancy] is associated with the most favorable prognosis.
• The prognosis varies with the [characteristic] of the tumor; [subtype of disease/malignancy] has the most favorable prognosis.

Depending on the cause of dyspareunia, the prognosis may vary. for example, poor prognostic factors of Vaginismus are:

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