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Dyspareunia and working

November 10th 2006 16:13
Dyspareunia and working :
Dyspareunia is difficulty or pain experienced by a woman during intercourse.

Causes :
Dyspareunia may be caused by a resistant hymen (the membrane that usually covers the opening to the vagina in virgins) or by inflammation of or injury to the vagina, the urethra (the tube that carries urine from the bladder to the outside), the vulva (the structures around the opening to the vagina), or the anus. It can be the result of formation of scar tissue around an episiotomy (a surgical cut to enlarge the opening of the vagina immediately before childbirth) or surgery to repair the vagina.


Symptoms :
Pain during or after sexual intercourse is the primary symptom of dyspareunia.

Diagnosis :
Diagnosis is made on the basis of both a physical and an emotional evaluation. In some cases, physical abnormalities can be detected during the physical examination. In other cases, careful inquiry into the patient's emotional state and sexual history may reveal factors that account for the discomfort.

Treatment :
Treatment for dyspareunia is correction of any underlying disease, injury, or structural defect, if such a problem exists. For some couples, counseling by a psychiatrist or sex therapist may be helpful.

Water-soluble lubricating jelly (not petroleum jelly), obtainable in any drugstore, provides a good vaginal lubricant. Estrogen creams can be used along with water-soluble jelly to restore lubrication to a dry vagina after menopause. Soothing creams and temporary avoidance of intercourse can relieve the soreness of dyspareunia.



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