Dyspareunia history and symptoms: Difference between revisions

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Latest revision as of 21:24, 22 September 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2] Roghayeh Marandi

Overview

The hallmark of dyspareunia is pain before, during, or after sexual activity. Symptoms such as :itching, burning, irritation, abnormal discharge can be associated with it.

History and symptoms

The hallmark of dyspareunia is pain before, during, or after sexual activity. Symptoms such as :itching, burning, irritation, abnormal discharge can be associated with it.

History

Patients with dyspareunia may have a positive history of:^[1]

Pelvic floor surgery, trauma, obstetrics
Constipation, diarrhea, urgency, frequency
Mood disorder, anxiety, depression
Systemic diseases such as Diabetes, Sjogren's disease, Systemic sclerosis
Dermatologic diseases such as lichen planus,Lichen sclerosis

Common Symptoms

Common symptoms of dyspareunia include:

pain
pelvic floor muscles spasms

References

↑ Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED, Rellini AH, Segraves T (April 2010). "Definitions/epidemiology/risk factors for sexual dysfunction". J Sex Med. 7 (4 Pt 2): 1598–607. doi:10.1111/j.1743-6109.2010.01778.x. PMID 20388160.

[pmid20388160-1] Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED, Rellini AH, Segraves T (April 2010). "Definitions/epidemiology/risk factors for sexual dysfunction". J Sex Med. 7 (4 Pt 2): 1598–607. doi:10.1111/j.1743-6109.2010.01778.x. PMID 20388160.

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
-Please help WikiDoc by adding more content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
+{{Dyspareunia}}
-==History==
+{{CMG}} {{AE}} {{VVS}} [[Roghayeh Marandi]]
-History and physical exam:
+==Overview==
-*Ask about[[Pain]] Characteristics''':<br>
+The hallmark of [[dyspareunia]] is [[pain]] before, during, or after [[sexual activity]]. Symptoms such as :[[itching]], burning, [[irritation]], abnormal [[discharge]] can be associated with it.
-**Timing, duration, quality, location<br>
-*Ask about associated vulvovaginal symptoms:
-**[[Itching]]
-**Burning
-**[[Irritation]]
-**Abnormal discharge
-*Musculoskeletal history:
-**[[Pelvic floor]] surgery, trauma, obstetrics
-*[[bowel]] and [[bladder]] history:
-**Constipation, diarrhea, urgency, frequency<br>
-*Obtain sexual history:
-**Frequency, desire, [[arousal]], satisfaction, relationship
-*Obtain psychological history:
-**[[Mood disorder]], [[anxiety]], [[depression]]<br>
-*Inquire about any history of abuse:
-**Sexual, physical, neglect<br>
-*'''Physical exam:'''
-**Look for any abnormal areas of [[erythema]] or [[edema]], white patches,vulvular scarring,[[ulcers]] on [[external genitalia]]
-*'''[[Vagina]] and [[cervix]] examination'''
-**Look for any [[erythema]], erosions,[[atrophy]],[[discharge]]<br>
-*'''Evaluation of external musculoskeletal:'''
-**complete [[lower back]], [[abdomen]], and pelvic examination<br>
-*'''external visual and sensory examination'''<br>
-**'''internal single digit palpation of the pelvic floor'''<br>
-**'''bimanual examination for evaluation of:''' <br>
-*** ❑ [[uterus]], cul-de-sac, and [[adnexal]] regions
-**the internal [[vaginal]] tissue, cervix
-*''' Work up:'''<br>
-**Vaginal secretions:
-***vaginal pH and saline wet mount and 10% KOH microscopy
-*'''If history is suggestive, perform''':
-**NAAT test for [[gonorrhea]], [[chlamidia]],[[trichomonas]]
-**[[herpes simplex virus]] (HSV) culture, [[HSV-1]] and [[HSV-2]] type specific [[IgG]] antibodies
-**[[rapid plasma reagent]] (RPR)
-*vulvar or vaginal biopsy for dermatological problems, malignancy
-*[[Urine test|Urine analysis]],culture for urological problems
-*blood count
-*[[Glucose]]
-*Hormones:<br>❑[[prolactin]], [[TSH]], [[FSH]],[[LH]], [[Testosterone]]
-*Ultrasound of plevis
-*Laprascopy
-'''More detail evaluations for systemic disorders'''
-{{Dyspareunia}}
+==History and symptoms==
-{{CMG}} {{AE}} {{VVS}}
+*The hallmark of dyspareunia is pain before, during, or after sexual activity. Symptoms such as :[[itching]], burning, [[irritation]], abnormal discharge can be associated with it.
-==Symptoms==
+===History===
-When pain occurs, the woman experiencing dyspareunia may be distracted from feeling pleasure and excitement. Both vaginal lubrication and vaginal dilation decrease. When the vagina is dry and undilated, thrusting of the phallus is painful. Even after the original source of pain (a healing [[episiotomy]], for example) has disappeared, a woman may feel pain simply because she expects pain. In brief, dyspareunia can be classified by the time elapsed since the woman first felt it:
+Patients with [[dyspareunia]] may have a positive history of:<ref name="pmid20388160">{{cite journal |vauthors=Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED, Rellini AH, Segraves T |title=Definitions/epidemiology/risk factors for sexual dysfunction |journal=J Sex Med |volume=7 |issue=4 Pt 2 |pages=1598–607 |date=April 2010 |pmid=20388160 |doi=10.1111/j.1743-6109.2010.01778.x |url=}}</ref>
-*  During the first 2 weeks or so, dyspareunia caused by phallus insertion or movement of the phallus in the vagina or by deep penetration is often due to disease or injury deep within the pelvis.
+*[[Pelvic floor]] surgery, trauma, obstetrics
-* After the first 2 weeks or so, the original cause of dyspareunia may still exist with the woman still experiencing the resultant pain. Or it may have disappeared, but the woman has anticipatory pain associated with a dry, tight vagina.
+*Constipation, diarrhea, urgency, frequency<br>
+*[[Mood disorder]], [[anxiety]], [[depression]]<br>
+*Systemic diseases such as Diabetes, [[Sjogren's]] disease, [[Systemic sclerosis]]
+*Dermatologic diseases such as  [[lichen planus]],[[Lichen sclerosus|Lichen sclerosis]]
+===Common Symptoms===
+Common symptoms of dyspareunia include:
+*pain
+*pelvic floor muscles spasms
 ==References==
 {{reflist|2}}
-{{WH}}
-{{WS}}
-[[Category:Needs overview]]
-[[Category:Needs content]]
 [[Category:Gynecology]]
 [[Category:Psychiatry]]
 [[Category:Sexual and gender identity disorders]]