Recurrent thrush or BV vs pain—how do I tell?
Recurrent thrush or BV vs pain—how do I tell? Recurrent thrush (candidiasis) and bacterial vaginosis (BV) typically cause itching, discharge, and odour, whereas vaginal pain—especially during…
Signs of pelvic floor overactivity—how is it treated?
Signs of pelvic floor overactivity—how is it treated? Pelvic floor overactivity—also called hypertonic pelvic floor or high-tone dysfunction—occurs when the muscles of the pelvic floor remain…
What is psychosexual therapy and who might benefit?
What is psychosexual therapy and who might benefit? Psychosexual therapy is a specialised form of talking therapy that addresses the psychological, emotional, and relational aspects of…
Pelvic floor overactivity/trigger points—how do they cause pain?
Pelvic Floor Overactivity and Trigger Points: How Do They Cause Pain? Pelvic floor overactivity occurs when the muscles at the base of the pelvis remain chronically…
Pudendal neuralgia or nerve pain—what are the clues?
Pudendal neuralgia or nerve pain—what are the clues? Pudendal neuralgia is chronic pelvic pain caused by irritation or compression of the pudendal nerve, which supplies sensation…
What are red-flag symptoms that need urgent review?
What are red-flag symptoms that need urgent review? Red-flag symptoms are warning signs that suggest a potentially serious or time-sensitive medical condition requiring urgent assessment by…
Safe options for pain while breastfeeding (low oestrogen state)?
What are safe pain relief options while breastfeeding in a low oestrogen state? Breastfeeding naturally suppresses oestrogen, which can cause vaginal dryness, painful sex, joint aches,…
What imaging or referrals are appropriate for deep dyspareunia?
What imaging or referrals are appropriate for deep dyspareunia? Deep dyspareunia—pain felt high in the vagina or pelvis during deep penetration—requires structured investigation to identify pelvic…
What does NICE say about energy devices and sexual function symptoms?
What does NICE say about energy devices and sexual function symptoms? NICE (National Institute for Health and Care Excellence) has issued specific guidance on vaginal energy-based…
Pain on thrusting or deep inside—what might be the cause?
Pain on thrusting or deep inside—what might be the cause? Pain deep inside the vagina or pelvis during thrusting is known as deep dyspareunia. It is…
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