Can endometriosis cause deep dyspareunia?
Yes, endometriosis is a leading cause of deep dyspareunia, causing pain during deep penetration due to inflammation and scarring in the pelvis.
Detailed Medical Explanation
Deep dyspareunia refers to pain felt deep within the pelvis during intercourse. Endometriosis involves the growth of endometrial tissue outside the womb, leading to inflammation, adhesions, and scarring around pelvic organs. This can cause pain during deep penetration or certain sexual positions. Early diagnosis and specialist management are crucial for symptom relief. NHS: Endometriosis.
Clinical Context
Deep dyspareunia from endometriosis often coexists with period pain, pelvic pain, and sometimes bowel or bladder symptoms. Multidisciplinary care from gynaecologists, pain specialists, and physiotherapists is frequently needed.
Evidence-Based Approaches
NICE and European Society of Human Reproduction and Embryology recommend early intervention. Surgery, hormonal therapy, and pain management are supported by strong evidence. NICE NG73.