Depression Treatment
Alcoholism
Anorexia Nervosa
Alzheimer's
Attention Deficit Hyperactivity Disorder
Autistic Disorder
Bulimia Nervosa
Conversion Disorder
Delusional Disorders
Depersonalization Disorder
Dissociative Amnesia
Dissociative Fugue
Dissociative Identity Disorder
Down Syndrome
Dyspareunia
Female Arousal and Orgasmic Disorder
Gender Identity Disorders
Generalized Anxiety Disorder
Hypochondriasis
Male Erectile Disorder
Mental Retardation
Obsessive Compulsive
Pain Disorder
Panic Disorder
Paraphilias
Personality Disorders
Phobias
Posttraumatic Stress Disorder
Premature Ejaculation
Psychoactive Drug Abuse
Schizophrenia
Somatization Disorder
Tic Disorders
Vaginismus

Dyspareunia

Dyspareunia (say: "dis-par-oon-ya") is painful sexual intercourse for women. It may be mild or severe enough to restrict the enjoyment of intercourse. Dyspareunia may be associated with physical disorders or, less commonly, with psychologically based sexual dysfunctions.

Occurring almost exclusively in women, this disorder typically occurs in the late 20s and early 30s, a few years after the establishment of a sustained sexual relationship. The prognosis is good if the underlying disorder can be treated successfully.

Causes

Physical causes of dyspareunia include an intact hymen; deformities or lesions of the introitus or vagina; retroversion of the uterus; genital, rectal, or pelvic scar tissue; acute or chronic infections of the genitourinary tract; and disorders of the surrounding viscera (including residual effects of pelvic inflammatory disease or disease of the adnexal and broad ligaments).

Among the many other possible physical causes are:

  • endometriosis
  • benign and malignant growths and tumors
  • insufficient lubrication, often due to use of drugs, such as antihistamines, decongestants, and nonsteroidal anti-inflammatory drugs, or to estrogen loss
    associated with menopause
  • radiation to the genital area

Acute onset of dyspareunia is a classic sign of pelvic inflammatory disease caused by Neisseria gonorrhoeae or Chlamydia trachoma tis.

Psychological causes include fear of pain or injury during intercourse, recollection of a previous painful experience, guilty feelings about sex, fear of pregnancy or of injury to the fetus during pregnancy, anxiety caused by a new sexual partner or technique, and mental or physical fatigue.

Symptoms

Women with dyspareunia may feel superficial pain at the entrance of the vagina, or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.

Treatment

The treatment of physical causes of dyspareunia may include creams and water-soluble jellies for inadequate lubrication, appropriate medications for infections, excision of hymenal scars, and gentle stretching of painful scars at the vaginal opening with a mediumsized Graves speculum. The patient may be advised to change her coital position to reduce pain on deep penetration.

Methods for treating psychologically based dyspareunia vary. Psychotherapy may uncover hidden conflicts that are creating fears concerning intercourse. Sensate focus exercises de-emphasize intercourse itself and teach appropriate foreplay techniques. Information about appropriate methods of contraception can reduce fear of pregnancy; education concerning sexual activity during pregnancy can relieve fears of harming the fetus.

Prevention
  • Good hygiene and routine medical care will help to some degree.
  • To prevent vaginal dryness, use a lubricant, or seek treatment if the dryness is due to atrophic vaginitis.
  • Practicing safe sex can help prevent sexually transmitted diseases.
  • To avoid bladder infections, wipe from front to back after using the toilet, and urinate after sexual intercourse.

 

Home || Contact Us ||

(c)Copyright thedepressiontreatment.com All rights reserved.

Disclaimer: thedepressiontreatment.com is designed to help and support for people who have depression or are depressed. It is not intended to treat, diagnose, cure, or prevent any psychiatric, psychological or mental diseases. Always take the advice of professional health care for specific medical advice, diagnoses, and treatment. We will not be liable for any complications, or other medical accidents arising from the use of any information on this web site.