Pain During Intercourse

Pain during Sexual Intercourse (Dyspareunia): Medical History

Medical history (history of the patient) is an important component in the diagnosis of dyspareunia (pain during sexual intercourse). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you noticed any burning, pulling, or pain during or … Pain during Sexual Intercourse (Dyspareunia): Medical History

Pain during Sexual Intercourse (Dyspareunia): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Gartner cysts (synonym: Gartner duct cyst; cysts of the vaginal wall (vaginal wall) that form from the tissue of Gartner’s duct, a relic of the ductus mesonephricus) – Location: usually in the anterolateral (“front and side”) region of the upper 2/3 of the vagina (vagina); Symptomatology: usually nonspecific … Pain during Sexual Intercourse (Dyspareunia): Or something else? Differential Diagnosis

Pain during Sexual Intercourse (Dyspareunia): Complications

The following are the most important diseases or complications that may be contributed to by dyspareunia (pain during sexual intercourse): Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99). Vaginismus – spastic closure of the vagina (vaginal), usually due to psychological problems. Further Refusal of sexual intercourse Fear of sexual intercourse

Pain during Sexual Intercourse (Dyspareunia): Examination

A comprehensive clinical examination (to rule out, for example, cervical cancer (cancer of the uterine cervix), fibroids, endometriosis, cysts, vaginal infections) is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological … Pain during Sexual Intercourse (Dyspareunia): Examination

Pain during Sexual Intercourse (Dyspareunia): Test and Diagnosis

The diagnosis of dyspareunia is usually made on the basis of the medical history and physical examination. Laboratory parameters of the 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status … Pain during Sexual Intercourse (Dyspareunia): Test and Diagnosis

Pain during Sexual Intercourse (Dyspareunia): Drug Therapy

Therapeutic target Avoidance of painful cohabitation Therapy recommendations Many causes are known for dyspareunia. For this reason, drug therapy can also be very diverse: Ovulation inhibitors Estrogens (e.g., for local therapy in “dry vagina” due to postmenopause): local estriol therapy (estrogen vaginal cream: see below Colpitis/drug therapy/atrophic colpitisNote: In breast carcinoma patients with vaginal atrophy … Pain during Sexual Intercourse (Dyspareunia): Drug Therapy

Pain during Sexual Intercourse (Dyspareunia): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Abdominal sonography (ultrasound examination of abdominal organs) – for basic diagnostics. Vaginal sonography (ultrasound examination using an ultrasound probe inserted into the vagina (vagina)). Computed tomography (CT) of the … Pain during Sexual Intercourse (Dyspareunia): Diagnostic Tests

Pain during Sexual Intercourse (Dyspareunia): Surgical Therapy

Diagnostic laparoscopy (laparoscopy) for: Suspected endometriosis – presence of endometrium (lining of the uterus) outside the uterus, for example, in or on the ovaries (ovaries), tubes (fallopian tubes), urinary bladder, or bowel Suspected adhesions (adhesions) after abdominal surgery (abdominal surgery). To clarify recurrent (recurring) or chronic lower abdominal complaints, the diagnosis of which cannot be … Pain during Sexual Intercourse (Dyspareunia): Surgical Therapy

Pain during Sexual Intercourse (Dyspareunia): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate dyspareunia (pain during intercourse): Pain, burning, or pulling: When inserting the penis into the vagina (pain at the introitus/entrance). During coitus (sexual intercourse) or (pain in the depth of the vagina/vagina). After coitus Note: Multiple types of pain such as burning, pressure, stinging, and irritation are indicated. The … Pain during Sexual Intercourse (Dyspareunia): Symptoms, Complaints, Signs

Pain during Sexual Intercourse (Dyspareunia): Causes

Pathogenesis (development of disease) Dyspareunia occurs relatively frequently. The underlying cause may be somatic (physical) or psychological. The sensitivity of the urinary bladder, pelvic floor, cervix (neck of the uterus), and uterus (womb) also plays a role in pain intensity. According to the localization, an “external” dyspareunia is distinguished from an “internal” dyspareunia. Pain physiologically, … Pain during Sexual Intercourse (Dyspareunia): Causes

Pain during Sexual Intercourse (Dyspareunia): Therapy

General measures Avoidance of psychosocial stress: Mental conflicts Stress Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and … Pain during Sexual Intercourse (Dyspareunia): Therapy