What is primary dyspareunia vs secondary dyspareunia?
Primary dyspareunia means pain has been present since first intercourse, while secondary dyspareunia develops after a period of pain-free sex.
Detailed Medical Explanation
Primary dyspareunia is pain that starts from the very first sexual experience, often related to anatomical factors, congenital conditions, or pelvic floor muscle dysfunction. Secondary dyspareunia starts after a period of comfortable intercourse, usually triggered by new medical conditions, hormonal changes, infections, or psychological issues. Distinguishing between the two helps guide investigations and management. NHS: Painful Sex.
Clinical Context
Understanding whether dyspareunia is primary or secondary can aid in identifying root causes and tailoring treatment. A full assessment by a sexual health or gynaecology specialist is recommended.
Evidence-Based Approaches
NICE and RCOG advocate for personalised, thorough assessment for all types of dyspareunia. Early intervention and holistic care improve outcomes. RCOG: Dyspareunia.