Can dyspareunia be lifelong or acquired?
Dyspareunia can be either lifelong (present from the first sexual experience) or acquired (developing after a period of pain-free intercourse).
Detailed Medical Explanation
Lifelong dyspareunia is present from first attempts at intercourse and often relates to congenital, anatomical, or pelvic floor factors. Acquired dyspareunia begins after a pain-free period and may be due to infections, hormonal changes, pelvic pathology, trauma, or psychological stressors. Identifying the onset helps determine underlying causes and optimal treatment. NHS: Painful Sex.
Clinical Context
Women may experience changes in sexual comfort throughout life. Careful assessment by a clinician is recommended to tailor interventions and support.
Evidence-Based Approaches
NICE and RCOG guidelines distinguish between lifelong and acquired dyspareunia for effective investigation and management. RCOG: Dyspareunia.