Epistemis

Dyspareunia

Specialty: Nephrology and urology.

  • pain with relationships
  • painful intercourse

Why it occurs

  • Vaginal dryness / atrophy
  • Infection or vaginitis
  • Endometriosis
  • Vaginismus / psychogenic cause
  • Pelvic inflammatory disease

Initial workup

Anamnesis and gynecological examination; rule out infection, atrophy or endometriosis.

red flags

Dyspareunia with fever, purulent discharge and pelvic pain (PID).

Standard management

  • Lubricants/topical estrogen — in vaginal atrophy
  • Treat infection or endometriosis — according to cause

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousErectile dysfunction
Area
Nephrology and urology
Listed causes
5
Treatment options
2
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