Dyspareunia history and symptoms: Difference between revisions
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==Overview== | |||
==History== | ==History and symptoms== | ||
History and physical exam: | History and physical exam: | ||
*Ask about[[Pain]] Characteristics''':<br> | *Ask about[[Pain]] Characteristics''':<br> | ||
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{{CMG}} {{AE}} {{VVS}} | {{CMG}} {{AE}} {{VVS}} | ||
'''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, 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. Both vaginal lubrication and vaginal dilation decrease. When the vagina is dry and undilated, 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: | ||
* 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. | * 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. | ||
Revision as of 22:10, 18 September 2020
Overview
History and symptoms
History and physical exam:
- Ask aboutPain Characteristics:
- Timing, duration, quality, location
- Timing, duration, quality, location
- Ask about associated vulvovaginal symptoms:
- Itching
- Burning
- Irritation
- Abnormal discharge
- Musculoskeletal history:
- Pelvic floor surgery, trauma, obstetrics
- bowel and bladder history:
- Constipation, diarrhea, urgency, frequency
- Constipation, diarrhea, urgency, frequency
- Obtain sexual history:
- Frequency, desire, arousal, satisfaction, relationship
- Obtain psychological history:
- Inquire about any history of abuse:
- Sexual, physical, neglect
- Sexual, physical, neglect
- Physical exam:
- Look for any abnormal areas of erythema or edema, white patches,vulvular scarring,ulcers on external genitalia
- Vagina and cervix examination
- Evaluation of external musculoskeletal:
- complete lower back, abdomen, and pelvic examination
- complete lower back, abdomen, and pelvic examination
- external visual and sensory examination
More detail evaluations for systemic disorders
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Dyspareunia history and symptoms On the Web |
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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]
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, 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:
- 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.