Pelvic pain

Question 1

Definition of dyspareunia

Answer 1

Recurrent or persistent genital pain associated with sexual intercourse

Question 2

Definition of vaginismus

Answer 2

Recurrent or persistent involuntary spasm of musculature of outer third of vagina, interfering with vaginal penetration

Question 3

Definition of non coital sexual pain disorder

Answer 3

Recurrent or persistent genital pain induced by non-coital sexual stimulation

Question 4

Definition of primary sexual pain disorder

Answer 4

Pain present since first intercourse

Question 5

Definition of secondary sexual pain disorder

Answer 5

Pain developing after previously pain-free intercourse

Question 6

Definition of complete sexual pain disorder

Answer 6

Pain with each sexual experience

Question 7

Definition of incomplete sexual pain disorder

Answer 7

Pain with some sexual experiences or partners but not others

Question 8

Risk factors for sexual pain disorders

Answer 8

Female
History of PID (10-fold)
Depression (8-fold)
Anxiety
History of sexual abuse
Black race
Peri/post-menopausal status

Question 9

Causes of deep dyspareunia

Answer 9

Endometriosis
Uterine retroversion
Pelvic organ prolapse
Leiomyoma
Adnexal pathology e.g. ovarian cyst
Pelvic adhesions