DYSPAREUNIA

Question 1

54 yo F c/o painful intercourse. Her last
menstrual period was nine months ago.
She has hot fl ashes.

Answer 1

Atrophic vaginitis
Endometriosis
Cervicitis
Depression
Domestic abuse

Pelvic exam
Wet mount, KOH prep, cervical
cultures
U/S—pelvis

Question 2

37 yo F presents with dyspareunia,

inability to conceive, and dysmenorrhea.

Answer 2

Endometriosis
Cervicitis
Vaginismus
Vulvodynia
PID
Depression
Domestic violence

Pelvic exam
Wet mount, KOH prep, cervical
cultures
U/S—pelvis
Laparoscopy