3.13

Question 1

What are “general sexual problems” in women?

Answer 1

Lack of sexual desire, impaired arousal, inability to achieve orgasm or pain with sexual activity

Question 2

What are some anatomical sites in women that might result in sexual pain?

Answer 2

The vulvar vestibule, urethra and bladder have a common embryologic origin, which may explain the concurrence of pain at two or more of these sites

Question 3

What is Dyspareunia?

Answer 3

Recurrent or persistent genital pain associated with sexual intercourse

Question 4

What is Vaginismus?

Answer 4

Recurrent or persistent involuntary spasm of the musculature that interferes with vaginal penetration

Question 5

What is Noncoital sexual pain disorder?

Answer 5

recurrent or persistent genital pain induced by noncoital sexual stimulation

Question 6

What are the 2 largest risk factors for dyspareunia in women?

Answer 6

1. Hx of PID, 2. depression

Question 7

What is the most important factor in the H&P for an accurate Dx of female dyspareunia?

Answer 7

Complete sexual Hx