How to diagnose dyspareunia properly?
Diagnosing dyspareunia requires a thorough medical, sexual, and psychological history, plus a focused physical examination. Tests may be needed to identify underlying causes.
Detailed Medical Explanation
The diagnostic process involves discussing the pain’s timing, location, severity, and impact on quality of life. A gynaecological examination may check for infections, skin conditions, or structural problems. Depending on the findings, investigations such as swabs, urine tests, pelvic ultrasound, or referral to a specialist may be recommended. Psychosocial assessment is crucial for addressing emotional or relationship factors. NHS diagnosis guidance.
Clinical Context
Accurate diagnosis ensures women receive appropriate treatment and support. Multidisciplinary involvement, including gynaecology, physiotherapy, and psychology, often provides the best outcomes.
Evidence-Based Approaches
NICE and Royal College of Obstetricians & Gynaecologists recommend a holistic, patient-centred diagnostic pathway. Early identification and referral are encouraged for persistent cases. RCOG leaflet.