Dyspareunia

Dyspareunia, defined as persistent pain during or after sexual intercourse, is a multifactorial cpndition. The causes of dyspareunia can be broadly categorized into physical, psychological, and situational factors, each contributing to the patient's experience of pain.

Category	Cause	Description
Physical Causes	Endometriosis Growth of endometrial tissue outside the uterus	Growth of endometrial tissue outside the uterus causing pelvic pain, dysmenorrhea, and deep dyspareunia.
	Vulvodynia and Vestibulodynia Chronic pain conditions affecting the vulvar area	Chronic pain or discomfort of the vulvar area leading to superficial dyspareunia.
	Vaginal Atrophy Thinning of the vaginal walls due to decreased estrogen levels	Thinning and drying of the vaginal walls due to decreased estrogen levels, common in postmenopausal women, causing pain during intercourse.
	Infections	Includes vaginitis, urinary tract infections, yeast infections, and STIs like herpes, causing inflammation and pain during intercourse.
	Pelvic Floor Dysfunction	Hypertonic pelvic floor muscles leading to pain during penetration due to muscle spasms or tightness.
	Skin Disorders	Conditions such as lichen planus, lichen sclerosus, and psoriasis causing vulvar inflammation and discomfort during sex.
	Pelvic Inflammatory Disease	Infection of the upper genital tract causing deep pelvic pain and dyspareunia.
Psychological Factors	Emotional Distress	Stress, anxiety, and depression increasing muscle tension and pain perception...

Try our Free Plan to get the full article.