Dyspareunia history and symptoms

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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

History and symptoms

History:

• Ask about Pain Characteristics:
  
  • Timing, duration, quality, location
    
• Ask about associated vulvovaginal symptoms:
  • Itching
  • Burning
  • Irritation
  • Abnormal discharge
• Take Musculoskeletal history:
  • Pelvic floor surgery, trauma, obstetrics
• Take bowel and bladder history:
  • Constipation, diarrhea, urgency, frequency
    
• Obtain sexual history:
  • Frequency, desire, arousal, satisfaction, relationship
• Obtain psychological history:
  • Mood disorder, anxiety, depression
    
• Inquire about any history of abuse:
  • Sexual, physical, neglect
    

More detail evaluations for systemic disorders such as diabetes, Sjogren's disease, Systemic sclerosis, dermatologic diseases such as lichen planus

Symptoms:
When pain occurs, the woman experiencing dyspareunia may be distracted from feeling pleasure and excitement. Based on the underlying cause, there are different associated symptoms. In male, continuous pain in the genital or pelvic region which occurs during or after sexual activity and is recurrently present for more than three months It may be associated with a burning sensation along with the pain or irritation of the skin on the penis with a rash formation or lack of sexual desire, inability to get aroused, inability to experience orgasm