Can pelvic exams detect causes of dyspareunia?
Yes, a careful pelvic examination can often identify or suggest many causes of dyspareunia, including infections, skin conditions, structural problems, or pelvic floor dysfunction.
Detailed Medical Explanation
During the pelvic exam, your doctor will look for redness, lesions, discharge, muscle spasm, and tenderness. The exam may reveal infections (like thrush or herpes), dermatological conditions (like lichen sclerosus), or anatomical abnormalities (like cysts or prolapse). It can also help localise pain and distinguish between superficial and deep causes. NHS: Painful Sex.
Clinical Context
Women should always be offered a chaperone and have the examination explained clearly to ensure comfort and dignity.
Evidence-Based Approaches
NHS and RCOG guidelines emphasise the importance of sensitive, thorough pelvic examination in evaluating sexual pain. RCOG: Sexual Problems after Childbirth.