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 after sexual intercourse?
- Pain in the area of the entirety of the external primary sex organs, vaginal entrance, and vagina?
- Pain during sexual intercourse deep inside the abdomen?
- When exactly does the discomfort occur:
- When inserting the member?
- Only during intercourse?
- After urination?
- How long does the pain last?
- How do you feel the pain in different situations: please indicate whether you have an increase, decrease or no change under
- Stress?
- Vacation?
- Alcohol consumption?
- Do the symptoms occur with every sexual intercourse?
- Does the discomfort also occur with oral stimulation or masturbation?
- Do you have lubrication disorders, that is, the vagina is not sufficiently moist during arousal?
- Do you feel sexual arousal during intercourse?
- How do you behave when you perceived the pain?
- Have you decreased the frequency of sexual intercourse because of the discomfort?
- Do you have partnership problems?
Vegetative anamnesis incl. nutritional anamnesis
Self anamnesis incl. medication anamnesis
- Previous diseases (gynecological diseases).
- Operations
- Allergies
- Pregnancies
- Medication history (anti-hormonal therapy?)
