Dyspareunia

Question 1

What is a type of sexual pain disorder with recurrent or persistent genital pain associated with sexual intercourse that is not associated with lack of lubrication or vaginismus?

Answer 1

Dyspareunia

Question 2

What is the most common cause of dyspareunia in pre menopausal women?

Answer 2

Vulvodynia

Question 3

Patient presents with sensation of burning, pain, itching, stinging, irritation, rawness with some mild erythema of the vestibule, what condition might they have?

Answer 3

Vulvodynia

Question 4

What is a type of sexual pain disorder with recurrent or persistent involuntary spasm of musculature of the outer third of the vagina?

Answer 4

Vaginismus

Question 5

What could be causative factors of vaginismus?

Answer 5

Fear, pain, sexual violence, negative attitudes towards sex

Question 6

What labs should be done on patients with dyspareunia?

Answer 6

UA, GC. KOH, wet prep

Question 7

What imaging should be done on patients with dyspareunia?

Answer 7

Transvaginal US

Question 8

How is vaginismus treated?

Answer 8

Counseling, education
Botox in refractory cases

Question 9

How is vulvodynia treated?

Answer 9

Topical agents/anesthetics
Tricyclic Antidepressants
SSRIs
Gabapentin
Physical Therapy

Question 10

Who should patients with dyspareunia be referred to?

Answer 10

GYN