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Dyspareunia not Due to a Substance or Known Physiological Condition: Everything You Need To Know

About

This condition of Dyspareunia has the ICD-CM code F52.6. Dyspareunia refers to pain occurring during or after sexual intercourse.

Dyspareunia usually affects both men and women; more prevalent in women. Studies by American Academy of Family Physicians show that around 20% American women go through the pain.(1)

Common causes for dyspareunia be classified as follows:
- Entry pain: Vaginal dryness, injury, infection, and skin disorder
- Deep pain: Pelvic inflammatory disease, irritable bowel syndrome, ovarian cysts, surgeries, and chemotherapy.
- Emotional factors: Stress, depression, fear of intimacy, and history of sexual abuse

Symptoms

Symptoms of dyspareunia include the following:
- Severe pain in the vaginal opening or deep in the pelvis during penetration.
- Lack of sexual desire.
- Inability to achieve orgasm.
- Throbbing/burning sensation after sexual intercourse.
The diagnosis of dyspareunia is done by visualization, examining medical history, pelvic exam, and pelvic ultrasound.

Treatment

Treatment options of dyspareunia includes medications and certain lifestyle changes.
Self-care:
- Apply ointment for moderate pain.
- Use oil-based and water-based lubricants.
- Pelvic muscle relaxation exercises.
- Change of sex positions.
- Communicate with your partner.

Medications:
- Estrogen therapy
- Topical estrogen
- Counseling
- Ospemifene (on recommendation of doctor)
- Sex therapy

Specialists: At mfine, we aim at providing best treatment facilities to our patients and rightfully gain their trust and confidence in the process.

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Dr. K Swarajya Lakshmi

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Dr. Gohar Shahean

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