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Dyspareunia: three case reports

K D Jones1, S T Lehr, S W Hewell

  • 1Oregon Health Sciences University, Portland, USA.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|January 1, 1997
PubMed
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Dyspareunia, or painful intercourse, is a symptom with many causes. This article guides clinicians in taking sexual histories and outlines treatments for conditions like vulvar vestibulitis and vaginismus.

Area of Science:

  • Women's Health
  • Sexual Medicine
  • Gynecology

Background:

  • Dyspareunia is a prevalent symptom, not a distinct diagnosis, characterized by pain during sexual intercourse.
  • Accurate diagnosis requires a thorough sexual history to identify underlying causes.
  • Understanding the etiology is crucial for effective patient management.

Observation:

  • This article reviews 12 common causes of dyspareunia.
  • It emphasizes the importance of eliciting a detailed sexual history.
  • Case reports illustrate the diagnosis and treatment of specific conditions.

Findings:

  • Common causes of dyspareunia include vulvar vestibulitis, hymenal abnormalities, and vaginismus.
  • Effective management involves identifying the specific etiology through careful history taking and examination.

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  • Treatment strategies vary depending on the underlying cause.
  • Implications:

    • Improved diagnostic approaches for dyspareunia can enhance patient care and quality of life.
    • Clinicians can better manage patients experiencing painful intercourse by understanding common causes and treatments.
    • Further research into the pathophysiology and treatment of dyspareunia is warranted.