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 and dependent on the size of the cyst; Incidence: 1-2% of all women.

Skin and subcutaneous (L00-L99).

Cardiovascular system (I00-I99).

  • Pelvic congestion syndrome (PCS) – chronic abdominal pain in women.
  • Thrombosed hemorrhoid

Infectious and parasitic diseases (A00-B99).

  • Gonorrhea (gonorrhea) – sexually transmitted infectious disease.
  • Trichomonad colpitis – vaginitis caused by trichomonads (protozoa – single-celled organisms).

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

Neoplasms – tumor diseases (C00-D48)

Psyche – Nervous System (F00-F99; G00-G99).

  • Neuromas following episiotomy (nerve tangle formations at the end of an injured nerve; in this case, following episiotomy (perineal incision)).

Pregnancy, childbirth, and puerperium (O00-O99).

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

  • Adenomyosis (adenomyosis uteri) – endometrial islets (endometrial islets) within the myometrium/uterine muscles (endometriosis uteri).
  • Adnexitis (ovarian inflammation), chronic.
  • Atrophic colpitis (colpitis senilis; estrogen deficiency colpitis; vaginal dryness) – vaginitis in menopausal and postmenopausal women.
  • Bartholinitis – inflammation of the excretory ducts of the Bartholinian gland.
  • Cervicitis (inflammation of the cervix).
  • Endometriosis – appearance of endometrium (endometrium) outside the uterine cavity (cavum uteri).
  • Genital prolapse – partial or complete prolapse of the vagina (descensus vaginae) and / or uterus (descensus uteri) from the pubic cleft (rima pudendi).
  • Interstitial cystitis (interstitial cystitis, IC; synonym: Hunner’s cystitis) – cystitis (bladder inflammation) of unclear genesis occurring predominantly in women with fibrosis of the bladder muscles, urge incontinence (irritable bladder or overactive (hyperactive) bladder) and development of a shrinking bladder; confirm diagnosis by: Urethrocystoscopy (urethral and bladder endoscopy) and biopsy (tissue sampling) for histology (fine tissue examination) and molecular diagnostics of specific cell proteins.
  • Pelvipathy – lower abdominal pain in women due to very different causes, which can be somatic (physical) as well as psychological nature.
  • Premenstrual syndrome (PMS) – occurs in women about four to fourteen days before the next period and involves a complex picture of different symptoms and complaints.
  • Overactive bladder (OAB symptoms).
  • Uterine fibroids – benign growths of the uterus.
  • Urethritis (inflammation of the urethra)
  • Urethral caruncle – mucosal protrusion of the female urethra.
  • Vaginal mycoses (fungal infections of the vagina).
  • Vaginismus – repeated or constant spastic (involuntary) closure of the vagina (vagina), which prevents penetration of the penis against the wishes of the woman; possible causes: anti-sexual upbringing / taboo sexuality, negative sexual experience, sexual abuse.
  • Vaginitis/colpitis (vaginitis; bacterial, mycosis, trichomonads).
  • Vulvar vestibulitis (vestibulitis vulvae syndrome; localized vulvar dysesthesia) – the most common form of superficial (introital) dyspareunia.
  • Vulvitis – inflammation of the external genital organs.
  • Cystitis (inflammation of the bladder)

Further

  • Adhesions (adhesions) after abdominal surgery.
  • Intact hymen
  • Climacteric/menopause (menopause)
  • Operations on the rectum (rectum)
  • Female Genital Mutilation (FGM): Clitoridectomy; circumcision of the labia majora (excision); circumcision of the labia majora and removal of the externally visible part of the clitoris (infibulation).