Dyspareunia classification

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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

  • Based on 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 spasms 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.[1]

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