Dyspareunia: Difference between revisions
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'''Physiotherapy''' | '''Physiotherapy''' | ||
If this has become a chronic issue, addressing principles of centralized pain and explaining this to the patient can be helpful and informative. | If this has become a chronic issue, addressing principles of centralized pain and explaining this to the patient can be helpful and informative. | ||
Using a multidisciplinary approach, which could include a physician along with a counselling therapist. | |||
== Differential Diagnosis == | == Differential Diagnosis == | ||
Revision as of 05:07, 16 February 2019
Dyspareunia[edit | edit source]
*Page currently undergoing editing, please check back soon.
Definition[edit | edit source]
Dyspareunia is defined as persistent genital pain that occurs during sexual intercourse.[1]
Clinically Relevant Anatomy[edit | edit source]
Clinical Presentation[edit | edit source]
Subjective History
Symptoms
Individuals may present with the following symptoms:
- pain that occurs at entry during penetration
- pain during deep penetration
- pain lasting post-penetration
- pain with insertion of a tampon
- words used to describe pain may be (but are not limited to): "throbbing" "burning" or "aching"
Casuses
Pain that occurs at entry during penetration can be due to:
- vestibulodynia
- skin irritation (ie. eczema or other skin problems in the genital region)[1]
Pain during deep penetration can be due to:
- endometriosis
-
Objective Assessment
A pelvic assessment, including an internal exam, performed by a trained medical professional with the informed consent of the patient.
Management / Interventions[edit | edit source]
Medical management
Ensure that the patient has been screened by a physician to rule out any differential diagnoses.
Physiotherapy
If this has become a chronic issue, addressing principles of centralized pain and explaining this to the patient can be helpful and informative.
Using a multidisciplinary approach, which could include a physician along with a counselling therapist.
Differential Diagnosis[edit | edit source]
Resources[edit | edit source]
References[edit | edit source]
https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967
