27th June 2023

Dyspareunia

Dyspareunia is pain during or after activity over a period of at least six months; it is more common in women. Pain may be superficial – felt in the vulva or around the entrance to the vagina or deeper where it is felt on deeper penetration. Primary dyspareunia has been present since first intercourse, while secondary dyspareunia develops later. Risk factors include younger age, operative (as opposed to vaginal) delivery, stress, and pelvic infections. Pain should be investigated, including ruling out infection and malignant causes, and a detailed history should be taken. Once physical causes have been fully treated, it is appropriate for the management to involve both partners and should take a multidisciplinary approach.