Dyspareunia physical examination

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Physical examination

Genitourinary

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

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

In women:

• Look for any abnormal areas of erythema or edema, white patches,vulvular scarring,ulcers on external genitalia
• Vagina and cervix examination
  • Look for any erythema, erosions,atrophy,discharge
    
• Evaluation of external musculoskeletal:
  • complete lower back, abdomen, and pelvic examination
    
• external visual and sensory examination
  
  • internal single digit palpation of the pelvic floor
    
  • bimanual examination for evaluation of:
    
    • uterus, cul-de-sac, and adnexal regions
  • the internal vaginal tissue, cervix
• External Genitalia examination:

Look for any abnormal areas of erythema or edema, white patches, valvular Scarring or penile deformity, ulcers on external genitalia

• Vagina and cervix examination

Look for any erythema, erosions, atrophy, discharge

• Evaluation of external musculoskeletal:
  • complete lower back, abdomen, and pelvic examination
• external visual and sensory examination
• Internal single-digit palpation of the pelvic floor
• Bimanual examination for evaluation of:
  • uterus, cul-de-sac, and adnexal regions
  • the internal vaginal tissue, cervix
    

In men:

• Examining the patient’s genital area to check for infections (STD and UTI), abnormal shape of penis, etc
• Taking a swab from the tip of the penis to test for and rule out the possibility of infection