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Abstract

Dyspareunia at different stages of life

Dyspareunia is a common symptom that women may encounter at various stages of their lives and is oftentimes not reported to the caring physician. The pathogenesis is usually multifactorial and ranges from clearly defined diseases such as malformations, endometriosis, and structural changes of the pelvic floor to psychosexual disorders (sexual arousal disorders, vaginismus) and complex clinical pictures such as local provoked vestibulodynia (very often in young women) and generalized vulvodynia (more often in menopausal or postmenopausal women).

Diagnosis and therapy should follow a biopsychosocial concept. A sensitive conversation and examination are preconditions for successful care and treatment of the patient. Very often, different modes of therapy (psychoeducation, pain killers, pelvic floor physiotherapy, local therapy concepts, psychotherapy) will have to be combined in order to relieve the patient's suffering.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2011; 7(2): 168–179

Keywords
Dyspareunia, psychosexual disorders, Vaginismus, painful sex for woman

Johannes Bitzer
Universitätsspital Basel, Frauenklinik, Basel, Schweiz
Reviewer: Anneliese Schwenkhagen, Hamburg
und Hans-Joachim Ahrendt, Magdeburg

Bitzer J. Dyspareunie ... Gynakol Geburtsmed Gynakol Endokrinol 2011; 7(2): 168–179 publiziert 31.07.11 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2011 ISSN 1614-8533