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Pain during intercourse

Also known as Dyspareunia and Painful intercourse

Dyspareunia (from Greek meaning "badly mated") is painful sexual intercourse, due to medical or psychological causes. The symptom is significantly more common in women than in men, affecting up to one-fifth of women at some point in their lives. The causes are often reversible, even when long-standing, but self-perpetuating pain is a factor after the original cause has been removed.

Source: Wikipedia

What causes it?

The most common causes of pain during intercourse are vaginismus, vaginitis, and vulvodynia. Other possible causes, such as ovarian cyst, are more rare.


What might my doctor prescribe?

Common Tests and Procedures

Patients with pain during intercourse often receive pelvis exam, urinalysis, examination of breast, rectal examination, ultrasonography, complete physical skin exam performed (ml), chlamydia test and standard pregnancy test .

Common Medications

The most commonly prescribed drugs for patients with pain during intercourse include fluconazole (diflucan), estradiol, metronidazole, terconazole topical, drospirenone / ethinyl estradiol, sildenafil (viagra), nonoxynol 9 topical, vardenafil (levitra), tadalafil (cialis), clobetasol topical, phentolamine, papaverine and tolnaftate topical .

Who is at risk?

Groups of people at highest risk for pain during intercourse include age 30-44 years race/ethnicity = hispanic. On the other hand, age 75+ years, age 5-14 years, age 1-4 years, and age < 1 years almost never get pain during intercourse.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
1.4x
30-44 years
1.9x
45-59 years
1.3x
60-74 years
0.7x
75+ years
0.0x

Sex

Male
0.4x
Female
1.5x

Race/Ethnicity

Black
0.8x
Hispanic
1.7x
White
1.0x
Other
0.4x
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