How is dyspareunia classified medically?
Dyspareunia is classified by the timing (lifelong vs acquired), location (superficial vs deep), and context (generalized vs situational) of pain during intercourse.
Detailed Medical Explanation
Medical classification of dyspareunia considers several factors:
- Timing: Lifelong (from first sexual experience) or acquired (develops after a period of no pain).
- Location: Superficial (at the vaginal entrance) or deep (within the pelvis).
- Context: Generalized (all situations) or situational (specific partners, times, or positions).
This approach helps guide targeted investigations and treatment. NHS: Painful Sex.
Clinical Context
A clear classification helps clinicians provide patient-centred care, select appropriate investigations, and refer to relevant specialists.
Evidence-Based Approaches
Both NICE and RCOG support the use of timing, location, and context when assessing and treating dyspareunia. RCOG: Dyspareunia.