What surgical treatments exist for dyspareunia?
Surgical treatments for dyspareunia are reserved for specific underlying causes, such as endometriosis, pelvic adhesions, or vaginal scarring. Surgery is not a first-line option but may be appropriate when other treatments fail.
Detailed Medical Explanation
Surgical options include laparoscopic excision of endometriosis, removal of ovarian cysts, division of pelvic adhesions, or repair of vaginal/perineal scars. Outcomes depend on accurate diagnosis and skilled surgery. Surgery is considered only when less invasive treatments do not resolve pain. NHS: Endometriosis Surgery.
Clinical Context
Surgical assessment should be performed by a gynaecologist with expertise in pelvic pain and minimally invasive procedures. Most women respond to conservative treatments.
Evidence-Based Approaches
NICE and RCOG recommend surgery only after thorough investigation and where reversible structural causes are found. RCOG: Endometriosis.