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Dyspareunia: a complex problem requiring a selective approach

Mohammad Sami Walid A and Richard L. Heaton B C

A Medical Center of Central Georgia, 840 Pine Street, Suite 880, Macon, GA 31201, USA.

B Heart of Georgia Women’s Center, 209 Green Street, Warner Robins, GA 31099, USA.

C Corresponding author. Email:

Sexual Health 6(3) 250-253
Submitted: 19 March 2009  Accepted: 12 June 2009   Published: 3 August 2009


Dyspareunia frequently has a multifactorial aetiology. The problem with the term is that it is not specific enough and does not allow for proper discussion of the very important problem of pain with sexual intercourse, a problem that can be very disturbing to a couple’s relationship. We present two cases of patients who had multiple potential anatomic reasons for dyspareunia. The clinical picture, treatment strategy and the complex nature of deep penetration pain was discussed. We also proposed a new way of defining dyspareunia to allow a more adequate way of studying and discussing the problem.

Additional keywords: adhesions, deep penetration, retroversion, scarring, sigmoid, vesicouterine reflection.


[1]  Paavonen J 1995 Vulvodynia – a complex syndrome of vulvar pain. Acta Obstet Gynecol Scand 74 243 7 doi:10.3109/00016349509024442

[2]  Walton B Thorton T 2003 Female sexual dysfunction. Curr Womens Health Rep 3 319 26

[3]  Morris H 1995 Surgical pathology of the lower uterine segment Caesarean section scar: is the scar a source of clinical symptoms? Int J Gynecol Pathol 14 16 20

[4]  Fauconnier A Dubuisson JB Foulot H Deyrolles C Sarrot F Laveyssière MN et al 2006 Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in an unselected population of women. Eur J Obstet Gynecol Reprod Biol 127 252 6

[5]  Whitmore K Siegel JF Kellogg-Spadt S 2007 Interstitial cystitis/painful bladder syndrome as a cause of sexual pain in women: a diagnosis to consider. J Sex Med 4 720 7 doi:10.1111/j.1743-6109.2007.00497.x

[6]  Fauconnier A Fritel X Chapron C 2009 Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Gynecol Obstet Fertil 37 57 69 doi:10.1016/j.gyobfe.2008.08.016

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