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Dyspareunia (/ d ɪ s p ə r ˈ u n i ə / dis-pər-OO-nee-ə) is painful sexual intercourse due to somatic or psychological causes. [1] The term dyspareunia covers both female dyspareunia and male dyspareunia, but many discussions that use the term without further specification concern the female type, which is more common than the male type.
Perineoplasty is generally considered effective for treatment of dyspareunia, [6] including that caused by lichen sclerosus, [7] and vaginismus. [6] It is also considered an effective treatment for vulvar vestibulitis, although it is generally recommended following the failure of nonsurgical methods.
Ospemifene is used to treat dyspareunia. In the US it is indicated for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy (VVA), due to menopause. In the EU it is indicated for the treatment of moderate to severe symptomatic VVA in post-menopausal women who are not candidates for local vaginal oestrogen ...
Pelvic floor physical therapy (PFPT) is a specialty area within physical therapy focusing on the rehabilitation of muscles in the pelvic floor after injury or dysfunction. It can be used to address issues such as muscle weakness or tightness post childbirth, dyspareunia, vaginismus, vulvodynia, constipation, fecal or urinary incontinence, pelvic organ prolapse, and sexual dysfunction.
Vaginal stenosis is an abnormal condition in which the vagina becomes narrower and shorter due to the formation of fibrous tissue. [1] [2] Vaginal stenosis can contribute to sexual dysfunction, dyspareunia and make pelvic exams difficult and painful. [1]
About 11 percent of women will undergo surgery for urinary incontinence or pelvic organ prolapse by age 80. [11] Women who experience pelvic floor dysfunction are more likely to report issues with arousal combined with dyspareunia. For women, there is a 20.5% risk for having a surgical intervention related to stress urinary incontinence. The ...
They are used when the vagina has become narrowed (vaginal stenosis), such as after brachytherapy for gynecologic cancers, [2] and as therapy for vaginismus and other forms of dyspareunia. [ 3 ] There is evidence for dilator use [ 4 ] across many different diagnoses with fair to good results.
The mainstay of treatment is surgery to remove the residual ovarian tissue. Women with ORS with a pelvic mass should have appropriate evaluation for malignancy . Hormonal therapy to suppress ovarian function is an alternative treatment for those who refuse surgery, or those who are not candidates for surgery. [3]