What hormonal imbalances cause dyspareunia?
Oestrogen deficiency is the most common hormonal imbalance leading to dyspareunia, but thyroid and other endocrine disorders may also contribute to painful sex.
Detailed Medical Explanation
Low oestrogen (from menopause, breastfeeding, or contraceptives) leads to vaginal dryness, thinning, and pain. Disorders of the pituitary, thyroid, or adrenal glands can alter hormone levels and impact sexual function. Identifying and treating the underlying imbalance is key. NHS: Vaginal Dryness.
Clinical Context
Women with unexplained sexual pain should have a hormonal and thyroid assessment as part of their workup.
Evidence-Based Approaches
NHS and NICE recommend hormonal investigations in women presenting with dyspareunia and other symptoms of imbalance. NHS: Hormonal Imbalances.