Dyspareunia Flashcards Preview

Obstetrics and Gynaecology > Dyspareunia > Flashcards

Flashcards in Dyspareunia Deck (5)
1

Etiology of superficial

1. Inflammatory:
Atopic/contact dermatitis
Other dermatological
2. Infections
Vulvovaginitis
HSV
Interstitial vaginitis
UTI
3. Mucosal dysfunction
Irradiation
Medications reducing lubrication->COCP, antiD
Primary inadequate lubrication
4. Structural
Imperforate
Bartholins mass/abscess
Vulvar dystrophies
Perineal injury
5. Musculoskeletal
Vagnismus
6. Other
Psychosexual

2

Etiology of deep

1. Infectiuos/inflammatory
Endometriosis
Pelvic infection
2. Structural
Ovarian cysts or other ovarian lesions
Adenomyosis
Fibroids
3. MSK
Levator ani sasm

3

Define primary dyspareunia

Pain associated with intercourse since onset of sexual activity

4

Secondary

Acquired over sexual lifetime

5

Investigations

Depending on history
1. Vaginal sample for pH and "whiff" test->bacterial vaginosis, trichomonas, candida
2. Gonorrhea and chlamydia
3. HSV PCR
4. Urinalysis
5. Pelvic USS
6 Diagnostic laparoscopy
7. Cystoscopy->interstitial cystitis
8, Vulvovaginal biopsy for suspicious lesions