Can depression make dyspareunia worse?
Yes, depression can lower pain tolerance, reduce libido, and make coping with dyspareunia more challenging. Treating depression often helps improve pain outcomes.
Detailed Medical Explanation
Depression is associated with changes in brain chemistry and pain perception, which may increase pain severity or duration. Women with both depression and dyspareunia often experience worse sexual function and quality of life. Integrated treatment for mood and pain is best. NHS: Depression.
Clinical Context
Addressing mental health is a key part of managing persistent pain. Many women benefit from combined therapy and support for mood and sexual wellbeing.
Evidence-Based Approaches
NICE and NHS recommend holistic management, including mood assessment and psychological therapy, for women with sexual pain and depression. NHS: Depression.