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

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. Dyspareunia can have a negative impact on a patient'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

The prognosis may vary depending on the underlying cause of dyspareunia. After the treatment of medical causes, it may fully be resolved. or in vaginismus, poor prognostic factors are:

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