3.12 Flashcards
What is dyspareunia?
Pain associated with sexual intercourse.
How many men have dyspareunia?
5%
What is the etiology of male dyspareunia?
proinflammatory cytokines in the genital tract play a role in pain symptoms
What are some Sx of male painful ejaculation?
penile pain, perineal ache, or suprapubic discomfort occurring during or after the ejaculatory period
What condition is often associated with male dyspareunia?
Chronic prostatitis/Chronic Pelvic pain
What is Peyronie’s disease?
formation of an inelastic scar or plaque of the tunica albuginea that may cause a pathological curvature of the penis and painful erection
What is phimosis?
inability to retract the foreskin in the uncircumcised male and can cause discomfort with attempted intercourse
What is a fenulum breve?
shortened frenulum which may restrict the glans in the erect state, causing pain with erections and attempts at intercourse
What is the first step in the H&P exam for male dyspareunia?
detailed medical history, including medication, surgery history, trauma, is pain restricted to sexual activity
What should you focus on during the sexual Hx?
urinary flow characteristic, ejaculation history, nocturnal erections, congenital or acquired disorders and the psychosexual sphere
Where should the PE focus?
focus on genital and rectal area with attention given to the status of the prostate, bulbocavernosus reflex and anal sphincter tone
What is a good drug to give for male dyspareunia?
Alpha blocker (tamsulosin).
