What is superficial dyspareunia vs deep dyspareunia?
Superficial dyspareunia refers to pain at the entrance of the vagina, while deep dyspareunia is pain experienced deep within the pelvis during intercourse.
Detailed Medical Explanation
Superficial dyspareunia is pain on penetration at or near the vaginal opening, often due to infections, vulvodynia, hormonal changes, or skin conditions. Deep dyspareunia occurs with deep penetration and is typically caused by pelvic conditions such as endometriosis, pelvic inflammatory disease, or ovarian cysts. Correctly identifying the pain’s location helps guide effective diagnosis and treatment. NHS: Painful Sex.
Clinical Context
Superficial and deep dyspareunia can sometimes overlap. Thorough assessment by a women’s health clinician is essential for targeted therapy and support.
Evidence-Based Approaches
Guidelines from NICE and RCOG recommend location-based assessment for all women presenting with dyspareunia to optimise outcomes. RCOG: Dyspareunia.