21. THE MERCK MANUAL, Sec. 18, Ch. 243, Sexual Dysfunction In Women dyspareunia is usually introital but may also occur before, during, or after intercourse Acquired dyspareunia is unrelated to first coitus and often develops years later http://www.merck.com/pubs/mmanual/section18/chapter243/243d.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 18. Gynecology And Obstetrics Chapter 243. Sexual Dysfunction In Women Topics [General] Sexual Arousal Disorder Female Orgasmic Disorder Dyspareunia ... Vaginismus Dyspareunia Painful coitus or attempted coitus. Etiology Dyspareunia is usually introital but may also occur before, during, or after intercourse. The cause may be psychologic factors or local trauma (eg, hymenal tears, laceration of the fourchette, bruising of the urethral meatus). After an injury, painful superficial ulcerations may develop. Other causes include inadequate lubrication, usually secondary to improper or insufficient foreplay; forceful pressure against a sensitive urethra during coitus; improper intromission; introital lesions due to inflammatory conditions (eg, vestibulitis); infections (eg, abscesses of Bartholin's glands or ducts); inflammation of labial sweat glands; irritation due to the use of improperly fitted or inadequately lubricated condoms; allergic reactions to the contents of contraceptive foams and jellies and condoms; abnormalities of the female genital tract (eg, congenital septum, a rigid hymen); and dermatologic disorders (eg, lichen sclerosis). The most common psychologic cause is vaginismus (see below). Acquired dyspareunia is unrelated to first coitus and often develops years later. Causes include menopausal involution with dryness and thinning of the mucosa, tight introitus secondary to perineorrhaphy after an episiotomy or plastic repair of the vagina, marked retroflexion of the uterus with ovaries prolapsed into the cul-de-sac, endometriosis, vaginitis, suburethral diverticulum, and pelvic inflammatory disease. Radiation therapy for malignancy may result in dyspareunia. Psychologic and related factors are similar to those involved in female orgasmic disorder (see above). Inadequate stimulation or psychologic inhibition of arousal may result in inadequate vaginal lubrication and cause coital pain.

22. Infertility - Dyspareunia home reproductive health sexual dysfunctions dyspareunia dyspareunia. Information • Diagnosis • Treatment • Prevention. http://www.healthcyclopedia.com/reproductive-health/sexual-dysfunctions/dyspareu

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... sexual dysfunctions > dyspareunia Infertility - Dyspareunia Health Information External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Health Portals Health News Web Directory: Related Topics: Women's Health/Conditions and Diseases/Vagina/Vaginismus Health Portals: FamilyDoctor.org Information Sheets : Dyspareunia: What It Is and Common Causes Health News: Search millions of published articles for news on Infertility - Dyspareunia Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Dyspareunia An explanation of the condition, its symptoms, diagnosis, prevention, and treatment. Information provided in cooperation with the Harvard Medical School. Dyspareunia - Pain During Intercourse A web site for women experiencing pain during intercourse or during menstruation as a result of a tilted or retroverted uterus.

23. THE MERCK MANUAL, Sec. 18, Ch. 243, Sexual Dysfunction In Women dyspareunia. Painful coitus or attempted coitus. Etiology. dyspareunia is usually introital but may also occur before, during, or after intercourse. http://www.merck.com/mrkshared/mmanual/section18/chapter243/243d.jsp

24. THE MERCK MANUALSECOND HOME EDITION, Dyspareunia In Ch. 250 dyspareunia. dyspareunia is pain during sexual intercourse. The pain of dyspareunia may be superficial, occurring in the genital http://www.merck.com/mrkshared/mmanual_home2/sec22/ch250/ch250b.jsp

25. Dysfunctions: Sexual Pain: Dyspareunia Arts Sensuality, Impotence/Erectile Dysfunction, dyspareunia. Commercial Sex, Causes of dyspareunia. Contraception, INHIBITED ORGASM, Causes of dyspareunia. http://www.bigeye.com/sexeducation/dyspareunia.html

News Alphabetical Index of Topics Home AROUSAL DYSFUNCTIONS DYSFUNCTIONS Female Arousal Disorder SEXUAL PAIN Impotence/Erectile Dysfunction Dyspareunia Commercial Sex Causes of Dyspareunia Contraception INHIBITED ORGASM Causes of Dyspareunia Disabilities/Illnesses Anorgasmia Causes of Intercourse Pain Dysfunctions Anejaculation Common Sexual Dysfunctions Human Body Ejaculatory Incompetence ... Dyspareunia Clinical Resources INHIBITED SEXUAL DESIRE Dyspareunia in Women: Postgraduate Medicine Paraphilias Hypoactive Sexual Desire Dyspareunia Links: OBGYN.Net ... Dyspareunia.Org SEXUAL PAIN Evaluation and Differential Diagnosis of Dyspareunia Research Dyspareunia Female Sexual Dysfunction STDs Priapism Societies ... Violence OTHER DYSFUNCTIONS Painful Intercourse Premature Ejaculation Painful Intercourse: Dyspareunia: Sexual Health Retrograde Ejaculation ... Sex Education Links Have a website to list? Add Link . Have a question? Contact

26. Painful Intercourse (dyspareunia) Painful intercourse (dyspareunia). Written problem. You see, if you are experiencing dyspareunia, it s almost certain to be distressing for you. http://www.netdoctor.co.uk/sex_relationships/facts/painfulintercourse.htm

NetDoctor.co.uk Home News and features News Newsletter Features Encyclopaedia Diseases Examinations Medicines Premium services SMS services StayQuit thediet Health centres Allergy and asthma Children's health Depression Eczema ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital Search Medline Test yourself Information About NetDoctor Commercial opportunities NetDoctor.com Painful intercourse (dyspareunia) Dr David Delvin , GP and family planning specialist Christine Webber , psychotherapist Not much fun is it? Are you experiencing pain during intercourse? If so, then the odds are that you're a woman - though at the end of this feature, you'll find advice for the small number of men who get intercourse pain. It's not much fun having pain during sex, is it? After all, sexual intercourse is meant to be great fun, and a really happy experience. And if you get pain, then it isn't. Fortunately, the trouble will often resolve if the man takes more time and trouble with love play, and if the couple use a sex lubricant.

27. WOMEN'S THERAPY CENTER - Sexual Health Devoted To Women s Physical and Emotional Health Vaginismus, Sexual Dysfunctions, Pelvic Pain, Vulvodynia, dyspareunia, Radiation and Vaginal Health, Clinical http://www.womentc.com/dyspareunia.htm

WOMEN'S THERAPY CENTER Devoted To Women's Physical and Emotional Health Ditza Katz, PT, Ph.D. Ross Lynn Tabisel, CSW, Ph.D. 54-A Sunnyside Blvd., Plainview, NY 11803 Phone (516) 576-1118 Fax (516) 576-8876 Email: womentc@aol.com Katz D, Tabisel RL. (Name of the article). Available at www.womentc.com. Last accessed (today's date). Dyspareunia Dyspareunia (dys*pa*reu*nia) means difficult or painful sexual intercourse. Although the condition is present in both sexes, it is far more common in women, where it is being described as pain with initial penetration, during thrusting, or after intercourse. I never understood why tampons were so painful when everyone can use them just fine . . . Intercourse? I expected pain the first time, but it keeps being painful every time, from the moment he begins to penetrate until he is done. Although we have two kids, I am reluctant to engage in intercourse and still cannot use tampons. Gynecologic exams are also painful, and the doctor does not know what is the problem. Vaginismus and Dyspareunia Book Dyspareunia may develop because of: Medical causes , such as vaginal infections, sexually transmitted diseases, skin conditions, hormonal problems, conditions of the intestines or genitals or urinary system, etc.

28. Causes Of Dyspareunia - Pain During Sexual Intercourse What is dyspareunia? dyspareunia (dispa-roon-ia) is the medical term for pain during intercourse. This condition is known as collision dyspareunia. http://www.inletmedical.org/html/dyspareunia_causes.htm

Send this link to a friend Search this site What is Dyspareunia? Dyspareunia (dis-pa-roon-ia) is the medical term for pain during intercourse. You may hear your doctor use this word or see it in other written material. Pain during intercourse can be caused by a wide variety of reasons. Examples include an allergic reaction to a personal hygiene product or hormonal changes related to aging. Sometimes, emotional issues may also play a role. Find out more in our brochure When Making Love Hurts The Causes of Pain During Intercourse Include: Tipped or retroverted uterus - Some women with a tipped uterus experience pain during intercourse. This happens when the penis hits the cervix or uterus during sex. This condition is known as collision dyspareunia Endometriosis – The tissue lining the uterus – the endometrium - may grow outside the uterus causing deep pain during sex. Infection – Bacterial or yeast infections are among the most common causes of pain during intercourse.

29. Dyspareunia Painful Sex For Women Familydoctor.org dyspareunia Painful Sex for Women. What is dyspareunia? dyspareunia Return to top. What are some of the causes of dyspareunia? Any http://familydoctor.org/x2230.xml

Advanced Search familydoctor.org Home Women Reproductive Health Dyspareunia What is dyspareunia? What are some of the causes of dyspareunia? How can my doctor tell what is causing my pain? What will the exam be like? ... Where can I turn for help? Dyspareunia: Painful Sex for Women Printer-friendly version Email this article What is dyspareunia? Return to top What are some of the causes of dyspareunia? Any of the genital parts can cause pain during sex. Some conditions affect the skin around the vagina. Some women have a viral infection or vaginal yeast infections, but sometimes the cause is unknown. The pain from these conditions is usually felt when a tampon or penis is inserted into the vagina. Sometimes, even sitting or wearing pants can cause discomfort. We know that the mind and the body work together. This is seen with sexual problems. Often the problem that first caused the pain may go away, but you may have learned to expect the pain. This can lead to further problems because you may be tense or you may be unable to become aroused. The problem can then become a cycle and you are caught in the middle. Return to top How can my doctor tell what is causing my pain?

30. Familydoctor.org/669.xml dyspareuniadyspareunia. DESCRIPTION Recurrent and persistent the male or female. dyspareunia may be due to organic, emotional or psychogenic causes. http://familydoctor.org/669.xml

Advanced Search familydoctor.org Home Women Reproductive Health Dyspareunia What is dyspareunia? What are some of the causes of dyspareunia? How can my doctor tell what is causing my pain? What will the exam be like? ... Where can I turn for help? Dyspareunia: Painful Sex for Women Printer-friendly version Email this article What is dyspareunia? Return to top What are some of the causes of dyspareunia? Any of the genital parts can cause pain during sex. Some conditions affect the skin around the vagina. Some women have a viral infection or vaginal yeast infections, but sometimes the cause is unknown. The pain from these conditions is usually felt when a tampon or penis is inserted into the vagina. Sometimes, even sitting or wearing pants can cause discomfort. We know that the mind and the body work together. This is seen with sexual problems. Often the problem that first caused the pain may go away, but you may have learned to expect the pain. This can lead to further problems because you may be tense or you may be unable to become aroused. The problem can then become a cycle and you are caught in the middle. Return to top How can my doctor tell what is causing my pain?

31. Dyspareunia (Painful Intercourse) Women s Health dyspareunia (Painful Intercourse) dyspareunia and vaginismus (spasm of the pubic muscles of the lower vagina) are often linked. http://www.wramc.amedd.army.mil/education/pat_edu/womenhlth/Sexuality/dyspareuni

Women's Health Dyspareunia (Painful Intercourse) Basic Information Description Recurrent and persistent genital pain associated with sexual intercourse. Dyspareunia and vaginismus (spasm of the pubic muscles of the lower vagina) are often linked. Frequent Signs and Symptoms Pain in the genital area during sexual activity, including foreplay, intercourse or attempted intercourse. Pain may be mild or severe, and it may very with different intercourse positions. Causes Physical causes include: Infection of the genitals, including herpes and others involving the vagina, cervix, fallopian tubes or ovaries. Pressure against the vaginal wall caused by scarring from operations or radiation treatment. Tight episiotomy scar from vaginal repair after childbirth. A fibroid or other uterine tumor. Endometriosis. A hymen that is imperforate (not opened), torn or thicker than normal. A bruised opening to the urethra Inadequate vaginal or condom lubrication. Allergic reactions to diaphragms, condoms or contraceptive foams and jellies. Dryness and thinness of the vaginal wall after menopause due to estrogen deficiency.

32. Painful Intercourse (dyspareunia) This can be felt as external or deep or both. The causes and solutions depend on the exact details. EXTERNAL (OR SUPERFICIAL) dyspareunia. DEEP dyspareunia. http://rickmd.com/probdysp.htm

PAINFUL INTERCOURSE (DYSPAREUNIA) Many women have had the experience of discomfort or pain with sexual intercourse. This can be felt as external or deep or both. The causes and solutions depend on the exact details. EXTERNAL (OR SUPERFICIAL) DYSPAREUNIA This type of discomfort usually feels like a burning sensation or a sensation of dryness, with too much friction. This most commonly occurs as a result of inadequate lubrication. The solution is more foreplay to increase arousal and natural lubrication and/or assisting nature by adding some lubrication. External dyspareunia can also be a sign of infection, most commonly a yeast infection. Persistence of this problem requires an evaluation by a gynecologist. When you go to the doctor, make sure you tell him or her exactly what's wrong. If you just go in for a regular check-up, you may not have the problem solved. DEEP DYSPAREUNIA Many women sometimes feel discomfort or pain with deep penetration. This may be a normal response to the pressure on sensitive internal parts. The obvious solution is to avoid deep penetration. Some common solutions include: Woman on top, controlling the depth of penetration

33. Painful Intercourse And Dyspareunia - Online Diagnosis. New Treatments, March 2, Online diagnosis of painful intercourse and dyspareunia based on the patient s symptoms. dyspareunia and Painful Intercourse Online Diagnosis. http://www.medical-library.org/journals/mddx/dysparunia/1a_recurrent_pain.htm

Online Medical Diagnosis The National Medical Society Dyspareunia and Painful Intercourse - Online Diagnosis Online diagnosis of painful intercourse and dyspareunia based on the patient's symptoms. New Treatments, March 2, 2004. For how many months has the pain with intercourse been occurring? Has the patient ever delivered a baby vaginally? Yes No Does the patient need to urinate in the middle of the night? Yes No Does the patient have bleeding after intercourse? Yes No Don't know Does the patient have pain during intercourse? Yes No Judith Harper, MD back to the library Online Diagnosis of Symptoms and Medical Diseases Online Diagnosis of Psychiatric Disorders Online Treatment Advisor and New Treatments ... Diagnosis by Disease This interactive medical program finds a diagnosis for dyspareunia, painful intercourse and pain with sex.

34. Painful Intercourse And Dyspareunia - Online Treatment Advisor. New Treatments, Find the best and newest treatment for painful intercourse and dyspareunia based on the patient s symptoms. New Treatments, March 2, 2004. http://www.medical-library.org/journals/treatment/dysparunia/1a_pain_during_sex.

Dyspareunia and Painful Intercourse - Online Treatment Advisor Find the best and newest treatment for painful intercourse and dyspareunia based on the patient's symptoms. New Treatments, March 2, 2004. For how many months has the pain with intercourse been occurring? Has the patient ever delivered a baby vaginally? Yes No Does the pain occur on initial insertion? Yes No Does the pain occur only with deep insertion? Yes No Does the patient have pain during intercourse? Yes No Sarah J. Thompson, MD Online Diagnosis of Symptoms and Medical Diseases Online Diagnosis of Psychiatric Disorders New Treatments This interactive medical program will find the best treatment for dyspareunia, painful intercourse and pain with sex

35. Dyspareunia In Sexual Disorders And Dysfunctions At ALLPSYCH Psychiatric Disorders. dyspareunia. Category. Sexual Disorders and Dysfunctions. Etiology. There is a relationship of this disorder with http://allpsych.com/disorders/sexual/dyspareunia.html

36. Dyspareunia . dyspareunia is pain that occurs only (or primarily) during sexual intercourse. It is not...... dyspareunia, sexual arousal. http://www.kron.com/Global/story.asp?S=1230434

37. Dyspareunia dyspareunia. dyspareunia (painful sexual intercourse) often can be resolved, even when longstanding, self-perpetuating pain is a factor. http://www.fact-index.com/d/dy/dyspareunia.html

Main Page See live article Alphabetical index Dyspareunia Dyspareunia (painful sexual intercourse ) often can be resolved, even when long-standing, self-perpetuating pain is a factor. This article is about dyspareunia in women. Clinicians should consider dyspareunia to be primarily a physical, rather than an emotional, problem until proven otherwise. In most instances of dyspareunia, there is an original physical cause. Among many African women, dyspareunia results from the damage caused by female genital mutilation When pain occurs, the woman may be distracted from feeling pleasure and excitement. Both vaginal lubrication and vaginal dilation decrease. When the vagina is dry and undilated, penile thrusting is painful. Even after the original source of pain (a healing episiotomy, for example) has disappeared, a woman may feel pain simply because she expects pain. In brief, dyspareunia can be classified by the time elapsed since the woman first felt it: During the first 2 weeks or so, dyspareunia caused by penile insertion or movement of the penis in the vagina or by deep penetration is often due to disease or injury deep within the pelvis. After the first 2 weeks or so, the original cause of dyspareunia may still exist with the woman still experiencing the resultant pain. Or it may have disappeared, but the woman has anticipatory pain associated with a dry, tight vagina.

38. Women's Health: What Causes Pain With Sexual Intercourse?> and dyspareunia (pain with sexual intercourse) pelvic congestion. Q 23. Q 23. 31 What causes pain associated with sexual intercourse (dyspareunia)? Q 23. http://www.2womenshealth.co.uk/23-31.htm

Chapter 23: Pelvic pain, Dysmenorrhoea (painful periods) and Dyspareunia (pain with sexual intercourse) - pelvic congestion Q 23. What causes pain associated with sexual intercourse (dyspareunia)? Dyspareunia is a very distressing problem, which may have dire effects on a relationship. Two types of dyspareunia relating to their site are recognised. Superficial dyspareunia is pain around the entrance to the vagina. Superficial dyspareunia may be due to vulval problems ( Q 31.1 ), vestibulitis ( Q 31.13 ) or vaginal problems such as vaginitis ( Q 22.6 ). Another possible cause is vaginismus where there is tension or spasm of the muscles around the vaginal entrance. The spasm may be such that the couple believe that there is an obstruction requiring surgical correction. Sometimes there is deeper pain and vaginismus is a protective mechanism. More frequently there is no disease but a functional problem due to an earlier sexual encounter, fear of pregnancy or inadequate arousal. Deep dyspareunia is pain deep inside the vagina and pelvis. Endometriosis ( Q 23.18

39. Women's Health: How Can Pain With Intercourse Be Treated? and dyspareunia (pain associated with sexual intercourse). Q 23. Q 23. 31 What causes pain associated with sexual intercourse (dyspareunia)? Q 23. http://www.2womenshealth.co.uk/23-32.htm

Chapter 23: Pelvic pain, Dysmenorrhoea (painful periods) and Dyspareunia (pain associated with sexual intercourse). Q 23. 32 How can dyspareunia be treated? Dyspareunia may result in apareunia (love-making has stopped – or never commenced) and relationships may be put in jeopardy. Dyspareunia and reduced libido are about the most sensitive of symptoms that a woman may experience and support and understanding are essential. If a psychological or marital problem is suspected an appropriate counsellor or psychiatrist may be required to provide support. The story, examination findings and appropriate investigations will indicate the underlying cause of the problem. When a specific cause is found appropriate treatment can be instituted. Sometimes pelvic congestion may occur if there has been a high degree of arousal but not orgasm. Lubricants, such as KY jelly may help when natural lubrication is inadequate. Local trauma (physical damage) either arising childbirth or from injudicious sexual activity will usually heal with time. Sometimes healing tissue (granulation) may require cauterisation with a silver nitrate stick in the clinic (this is not painful). Infections such as a folliculitis (“a boil”), candida ( Q 22. 6

40. Dyspareunia dyspareunia. What are the signs and symptoms of the condition? dyspareunia may be divided into two categories, superficial and deep. http://atoz.iqhealth.com/HealthAnswers/encyclopedia/HTMLfiles/2010.html

dyspareunia Alternative Names painful sexual intercourse, pain with intercourse Definition Dyspareunia is pain in the vagina when the penis is inserted during sexual intercourse. What is going on in the body? Pain during sexual intercourse can be upsetting. The cause of the pain may be hard to find. There might be physical and psychological causes. Physical causes may be within the female reproductive tract, including the vulva, vagina, cervix, uterus, Fallopian tubes, ovaries and abdominal cavity. Some women may assume that sex will be painful. Or they might associate menstruation and childbirth with pain. Even when no physical causes are found and the pain is gone, the memory of the pain may persist. This can interfere with pleasure. The range of physical and psychological factors that prevent a woman from enjoying a sexual relationship should be considered. What are the signs and symptoms of the condition? Dyspareunia may be divided into two categories, superficial and deep. Superficial means that there is immediate pain at the opening of the vagina when a man attempts to insert the penis. The most likely reasons for this are tears, infections or structural defects of the vulva or vagina. Deep dyspareunia means that there is pelvic pain or discomfort after penetration of the penis. This is usually associated with deep thrusting. The likely causes are abnormalities of the deeper structures of the vagina. Typical symptoms include:

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