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Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
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Dyspareunia in women
Dean A Seehusen1, Drew C Baird2, David V Bode1
1Eisenhower Army Medical Center, Fort Gordon, GA, USA.
American Family Physician
|November 5, 2014
Summary
Dyspareunia, or painful sex, affects 10-20% of U.S. women, impacting health and relationships. Diagnosis relies on nonjudgmental history and pelvic exams, with treatments targeting specific causes.
Area of Science:
- Women's Health
- Sexual Medicine
- Gynecology
Background:
- Dyspareunia is recurrent pain during sexual activity, causing distress and interpersonal conflict.
- Affects 10-20% of U.S. women, significantly impacting mental health, body image, relationships, and fertility.
- Requires a sensitive, nonjudgmental approach to patient history and examination.
Purpose of the Study:
- To outline the diagnostic approach to dyspareunia.
- To identify common causes and contributing factors of dyspareunia.
- To describe treatment strategies based on diagnosis.
Main Methods:
- Comprehensive patient history, progressing from general medical to focused sexual history.
- Educational pelvic examination with patient participation using a mirror.
- Physical examination to identify specific causes and contributing factors.
Main Results:
- History and physical examination are typically sufficient for diagnosis.
- Common diagnoses include provoked vulvodynia, inadequate lubrication, postpartum dyspareunia, and vaginal atrophy.
- Vaginismus may be a contributing factor.
Conclusions:
- Treatment is tailored to the underlying cause of dyspareunia.
- Therapeutic options may include pelvic floor physical therapy, lubricants, or surgical intervention.
- Patient-centered examination enhances understanding and self-perception.
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