Skip Navigation LinksHome > May 2009 - Volume 113 - Issue 5 > Evaluation and Treatment of Dyspareunia
Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3181a1ba2a
Clinical Expert Series

Evaluation and Treatment of Dyspareunia

Steege, John F. MD; Zolnoun, Denniz A. MD, MPH

Supplemental Author Material
Continued Medical Education
Expert Discussion
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Abstract

Dyspareunia affects 8–22% of women at some point during their lives, making it one of the most common pain problems in gynecologic practice. A mixture of anatomic, endocrine, pathologic, and emotional factors combine to challenge the diagnostic, therapeutic, and empathetic skills of the physician. New understandings of pain in general require new interpretations concerning the origins of pain during intercourse, but also provide new avenues of treatment. The outcomes of medical and surgical treatments for common gynecologic problems should routinely go beyond measures of coital possibility, to include assessment of coital comfort, pleasure, and facilitation of intimacy. This review will discuss aspects of dyspareunia, including anatomy and neurophysiology, sexual physiology, functional changes, pain in response to disease states, and pain after gynecologic surgical procedures.

© 2009 by The American College of Obstetricians and Gynecologists.

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