Dyspareunia classification
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Dyspareunia in females may be classified into two types according to the location:
- Superficial, which occurs in or around the vaginal entrance, and is characterized by initial discomfort in initial or attempted penetration of the vaginal introitus.
- Deep dyspareunia is a pain that occurs with deep vaginal penetration, which results from pelvic thrusting during intercourse.
It is divided into three groups according to Onset, Frequency as well. Based on the onset, dyspareunia can be divided into two groups:
- Primary (onset with first sexual experience) Often has psychological causes, such as sexual abuse in childhood, feeling of guilt or shame toward sex or fear of intercourse or painful first intercourse
- secondary dyspareunia that its beginning is after a previous sexual activity that was not painful.
Dyspareunia can be divided into Persistent or conditional, based on frequency.
- persistent which occurs in all situations, possibly due to physical or psychological factors
- conditional dyspareunia that occurs in certain situations.
Male dyspareunia is divided into broad categories of underlying causes ranging from anatomic anomalies to psychosocial problems. Male dyspareunia is related to the following anatomical structures: 1) prepuce, 2) glans penis, 3) penile shaft, 4) testicles, and 5) urethra and prostate gland. Another classification system defines four broad categories for male dyspareunia:
- Isolated painful ejaculation
- Chronic prostatitis/chronic pelvic pain
- Medical causes
- psychological causes.