Dyspareunia Flashcards
1
Q
Key history in dyspareunia
A
Duration, timing, associated symptoms (vaginal discharge, rash, painful menses, GI symptoms, hot
flashes), adequacy of lubrication; libido; sexual history; history of sexual trauma or domestic violence;
history of endometriosis, PID, or prior abdominal/pelvic surgeries
2
Q
Key physical exam in dyspareunia
A
Vital signs; abdominal exam; complete pelvic exam
3
Q
54 yo F with painful intercourse
+ LMP nine months ago
+ hot flashes
A
Atrophic vaginitis Endometriosis Cervicitis Depression Domestic violence
Pelvic exam
LH/FSH
Wet mount, KOH prep, cervical cultures
4
Q
37 yo F with dyspareunia, inability to conceive and dysmenorrhea
A
Endometriosis Cervicitis Vaginismus Vulvodynia PID Depression Domestic violence
Pelvic exam Wet mount, KOH prep, cervical cultures U/S—pelvis Laparoscopy Endometrial biopsy
