Dyspareunia Montreal

Dyspareunia is a condition in women characterized by recurrent genital pain with sexual activity. Pain usually occurs with penetration but can occur during nonpenetrative genital stimulation as well. The pain can be superficial (at the vaginal opening) or deep inside the vagina. Repeated pain can create a negative cycle, leading to avoidance of sexual activity, lack of arousal, anorgasmia, and inhibited sexual desire. Symptoms may include burning, itching, stinging, or inflammation in any area of the perineum.

Causes of dyspareunia

• The main causes are vulvovaginitis, genital herpes, atrophic vulvitis, urethral problems, episiotomy, radiation vaginitis, and sexual trauma, as well as inadequate lubrication or topical irritants such as spermicides or latex.
• Deep pelvic pain is often associated with thrusting by the partner that hits an ovary during sexual intercourse, pelvic inflammatory disease (PID), pelvic or abdominal surgery, postoperative adhesions, endometriosis, genital or pelvic tumors, irritable bowel syndrome, urinary tract infection, and ovarian cysts. Dyspareunia can also have psychological causes.

Treatment of dyspareunia

• Considerations involve identifying and treating any physical causes for pain. If the dyspareunia is of a psychological nature the psychotherapy is indicated.


Topics related

      Sexual Dysfunction Therapy
      Inhibited sexual desire
      Female sexual arousal disorder
      Anorgasmia
      Dyspareunia
      Vaginismus
      Premature ejaculation
      Male orgasmic disorder
      Erectile dysfunction

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