< Obstetrics and Gynecology
Dyspareunia is pelvic pain during intercourse.
Etiology
The etiology can be classified according to the anatomy of the area.
Superficial dyspareunia:
- Vuval disorders
- Neoplasm
- Dystrophy
- Vulvitis
- Bartholinitis
- Vaginal disorders
- Neoplasm
- Vaginitis
- Estrogen deficiency
- Congenital malformations of the vagina
- Urethral disorders
- Urethritis
Deep dysparuenia
- Cervical disorders
- Carcinoma
- Cervicitis
- Uterus
- Endometriosis
- Retroversion
- Prolapse
- Fallopian Tube disorders
- Salpingitis
- Ectopic pregnancy
- Ovarian disorders
- Neoplasm
- GI disorders
- Rectal neoplasm
Diagnosis
The diagnosis of dyspareunia is made using the following clinical skills:
- Gynecological History Taking
- Gynecological Examination
- Gynecological Investigations
References
O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.
McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder
www.gpnotebook.co.uk
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