Can you have both superficial and deep dyspareunia?
Yes, some women experience both superficial and deep dyspareunia, meaning pain occurs at the entrance and deeper in the pelvis during intercourse.
Detailed Medical Explanation
Having both types of pain suggests multiple or overlapping causes, such as infections or skin conditions affecting the vulva and hormonal changes or pelvic disease causing deeper pain. Full assessment is required to identify all contributing factors and tailor treatment accordingly. NHS: Painful Sex.
Clinical Context
Coexistence of both pain types is not uncommon and highlights the need for a multidisciplinary team, including gynaecology, physiotherapy, and psychological support.
Evidence-Based Approaches
Guidelines from NICE and RCOG encourage a broad and holistic approach when both pain types are present, with a focus on individualised care. RCOG: Dyspareunia.