The following symptoms and complaints may indicate dyspareunia (pain during intercourse):
- Pain, burning, or pulling:
Note: Multiple types of pain such as burning, pressure, stinging, and irritation are indicated.
The localization of pain is important:
- Pain in the vulva (set of external primary sexual organs), introitus vaginae (vaginal entrance) and vagina (vagina) → “external” dyspareunia.
- Pain during sexual intercourse deep inside the abdomen (abdominal cavity)? → “internal” dyspareunia
Warning signs (red flags)
- Pain at the introitus → think of: Vaginitis/colpitis (vaginitis), vaginismus )spastic closure of the vagina (vagina), usually due to psychological problems) or atrophic colpitis (colpitis senilis; estrogen deficiency colpitis; vaginal dryness; vaginitis in menopausal and postmenopausal women).
- Pain deep in the vagina → think of: Pelvic disease (e.g., ovarian cyst/ovarian cyst, chronic adnexitis/ovarian inflammation, pelvic vein syndrome (PCS) – chronic abdominal pain in women)).