Dyspareunia history and symptoms

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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:
  • Itching
  • Burning
  • Irritation
  • Abnormal discharge
• Musculoskeletal history:
  • Pelvic floor surgery, trauma, obstetrics
• bowel and bladder history:
  • Constipation, diarrhea, urgency, frequency
    
• Obtain sexual history:
  • Frequency, desire, arousal, satisfaction, relationship
• Obtain psychological history:
  • Mood disorder, anxiety, depression
    
• Inquire about any history of abuse:
  • 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
  • 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

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.