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==Overview==
==Overview==
Dyspareunia may be classified into different types based on its location, onset, and frequency in women. Male [[dyspareunia]] is divided into broad categories of underlying causes ranging from [[anatomic]] anomalies to [[psychosocial]] problems.
==Dyspareunia classifctaion==
===Dyspareunia in female===
*Based on [[DSM|Diagnosis Statistical Manual of Mental Disorders]] (DSM-5; American Psychiatric Association, 2013),[[dyspareunia]] and [[vaginismus]] were typically classified as distinct [[sexual pain disorders]]. This new classification unifies [[vaginismus]] and [[dyspareunia]] into one category called “genito-pelvic pain/penetration disorder” due to the clinical difficulties in distinguishing these conditions because, in practice, it is difficult to differentiate these two from each other. Sometimes the pain may cause [[pelvic]] [[muscle spasms]] or [[involuntary]] [[pelvic]] [[muscle spasm]]s in [[vaginismus]] to cause pain. GPPPD is an umbrella term for two sexual pain disorders:[[dyspareunia]] and [[vaginismus]]. However, possible medical causes of [[dyspareunia]] should be ruled out or treated before considering a [[diagnosis]] of Genito-Pelvic Pain/Penetration Disorder (GPPPD). If a medical cause is successfully treated and pain has not been resolved yet, a diagnosis of vulvodynia or genito-pelvic/penetration disorder is appropriate.<ref>https://doi.org/10.18192/uojm.v7i2.2198</ref>
[[Dyspareunia]] may be classified into 2 type: [[superficial]] and deep  based on its location:
*[[Superficial]], which occurs in or around the [[vaginal]] entrance, and is characterized by initial discomfort in initial or attempted [[penetration]] of the [[vaginal]] introitus. Commonly found in:
*Deep [[dyspareunia]] is a [[pain]] that occurs with deep [[vaginal]] penetration, which results from pelvic thrusting during [[intercourse]]. Conditions are associated with deep dyspareunia are:
**[[Chronic pelvic pain]]
**[[Endometriosis]]
**[[Chronic PID]]
It may be classified into 2 type: primary and secondary based on its onset:
*Primary (onset with first [[sexual]] experience) Often has [[psychological]] causes, such as [[Sexual assault|sexual abuse]] in childhood, feeling of guilt or [[shame]] toward sex or fear of [[intercourse]] or [[painful]] first [[intercourse]].
*Secondary [[dyspareunia]] that its beginning is after a previous [[sexual]] activity that was not [[painful]].<br>
[[Dyspareunia]] can be classified into 2 types: [[persistent]] or [[conditional]], based on its frequency:
*Persistent which occurs in all situations, possibly due to [[physica]]l or [[psychological]] factors.
*Conditional [[dyspareunia]] that occurs in certain situations.Abdomino-pelvic disorders such as [[endometriosis]], [[imperforate hymen]], [[vaginal septum]], or organic [[vulvodynia]] due to infection, [[Lichen sclerosus|lichen sclerosis]], or vestibulitis, vaginal infections, [[prolapse]], [[trauma]], or vaginal dryness can cause [[dyspareunia]]. It can also be due to [[gastrointestinal disorders]] such as [[chronic constipation]], diverticular diseases, [[inflammatory bowel disease]]/[[proctitis]]. Scarring due to previous pelvic surgery, [[episiotomy]], and perineorraphy, or urological causes such as [[cystitis]], [[interstitial cystitis]], or [[urethritis]] can cause [[dyspareunia]] as well. Male [[dyspareunia]] is divided into broad categories of underlying causes ranging from [[anatomic]] anomalies to [[psychosocial]] problems. Male dyspareunia is related to the following anatomical structures: 1) [[prepuce]], 2) [[glans penis]], 3) penile shaft, 4) [[testicles]], and 5) [[urethra]] and [[prostate gland]]. Another classification system defines four broad categories: Isolated painful [[ejaculation]], [[Chronic prostatitis/chronic pelvic pain syndrome|Chronic prostatitis/chronic pelvic pain]], [[Medical]] causes, [[psychological]] causes.
===Dyspareunia in male===
Male dyspareunia may be classified into broad categories. It may be classified into 5 subtypes based on [[anatomic]] anomalies:<br>
(1) [[prepuce]]<br>
(2) [[glans penis]]<br>
(3) penile shaft<br>
(4) [[testicles]]<br>
(5) [[urethra]] and [[prostate gland]]<br>
Another classification system defines four broad categories for male dyspareunia:
*Isolated painful [[ejaculation]]
*[[Chronic prostatitis/chronic pelvic pain syndrome|Chronic prostatitis/chronic pelvic pain]]
*Medical causes
*psychological causes.
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}
[[Category:Needs content]]
[[Category:Symptoms]]
[[Category:Gynecology]]
[[Category:Psychiatry]]
[[Category:Sexual and gender identity disorders]]
[[Category:Signs and symptoms]]
[[Category:primary care]]

Latest revision as of 00:29, 10 October 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Dyspareunia may be classified into different types based on its location, onset, and frequency in women. Male dyspareunia is divided into broad categories of underlying causes ranging from anatomic anomalies to psychosocial problems.

Dyspareunia classifctaion

Dyspareunia in female

Dyspareunia may be classified into 2 type: superficial and deep based on its location:

It may be classified into 2 type: primary and secondary based on its onset:

Dyspareunia can be classified into 2 types: persistent or conditional, based on its frequency:

Dyspareunia in male

Male dyspareunia may be classified into broad categories. It may be classified into 5 subtypes based on anatomic anomalies:
(1) prepuce
(2) glans penis
(3) penile shaft
(4) testicles
(5) urethra and prostate gland
Another classification system defines four broad categories for male dyspareunia:

References