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Deep pain on intercourse

MedGen UID:
602587
•Concept ID:
C0423747
•
Disease or Syndrome
Synonym: Deep dyspareunia
SNOMED CT: Deep dyspareunia (247419003); Deep pain on intercourse (247419003)

Professional guidelines

PubMed

Management and outcomes of penile fracture: 10 years' experience from a tertiary care center.
Özorak A, Hoşcan MB, Oksay T, Güzel A, Koşar A
Int Urol Nephrol 2014 Mar;46(3):519-22. Epub 2013 Sep 22 doi: 10.1007/s11255-013-0531-y. PMID: 24057767
Evaluation and differential diagnosis of dyspareunia.
Heim LJ
Am Fam Physician 2001 Apr 15;63(8):1535-44. PMID: 11327429
Penile fracture: differential diagnosis, management and outcome.
Karadeniz T, Topsakal M, Ariman A, Erton H, Basak D
Br J Urol 1996 Feb;77(2):279-81. doi: 10.1046/j.1464-410x.1996.86420.x. PMID: 8800899

Recent clinical studies

Etiology

Effects of Pelvic Floor Muscle Physiotherapy on Urinary, Bowel, and Sexual Functions in Women with Deep Infiltrating Endometriosis: A Randomized Controlled Trial.
Del Forno S, Cocchi L, Arena A, Pellizzone V, Lenzi J, Raffone A, Borghese G, Paradisi R, Youssef A, Casadio P, Raimondo D, Seracchioli R
Medicina (Kaunas) 2023 Dec 29;60(1) doi: 10.3390/medicina60010067. PMID: 38256327Free PMC Article
Dyspareunia: Etiology, presentation, and management.
Hrelic DA, Wax EM, Saccomano SJ
Nurse Pract 2023 Nov 1;48(11):27-34. doi: 10.1097/01.NPR.0000000000000111. PMID: 37884020
Dyspareunia in Women.
Hill DA, Taylor CA
Am Fam Physician 2021 May 15;103(10):597-604. PMID: 33983001
Orgasmic dural tear: an unusual delayed presentation of postural headache following lumbar discectomy.
Dannawi Z, Lennon SE, Zaidan A, Khazim R
BMJ Case Rep 2014 Nov 28;2014 doi: 10.1136/bcr-2014-208071. PMID: 25432914Free PMC Article
Intracavernous self-injection of prostaglandin E1 in the therapy of erectile dysfunction.
Porst H, van Ahlen H, Block T, Halbig W, Hautmann R, Löchner-Ernst D, Rudnick J, Staehler G, Weber HM, Weidner W
Vasa Suppl 1989;28:50-6. PMID: 2609244

Diagnosis

Dyspareunia in Women.
Hill DA, Taylor CA
Am Fam Physician 2021 May 15;103(10):597-604. PMID: 33983001
Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space.
Giannella L, Mfuta K, Tuzio A, Cerami LB
J Pediatr Adolesc Gynecol 2016 Feb;29(1):e9-e11. Epub 2015 Aug 22 doi: 10.1016/j.jpag.2015.08.005. PMID: 26307239
Orgasmic dural tear: an unusual delayed presentation of postural headache following lumbar discectomy.
Dannawi Z, Lennon SE, Zaidan A, Khazim R
BMJ Case Rep 2014 Nov 28;2014 doi: 10.1136/bcr-2014-208071. PMID: 25432914Free PMC Article
Disseminated gonococcemia.
Mehrany K, Kist JM, O'Connor WJ, DiCaudo DJ
Int J Dermatol 2003 Mar;42(3):208-9. doi: 10.1046/j.1365-4362.2003.01720.x. PMID: 12653917
Endometriosis.
Mazza D
Aust Fam Physician 1999 Sep;28(9):933-4. PMID: 10561895

Therapy

Effects of Pelvic Floor Muscle Physiotherapy on Urinary, Bowel, and Sexual Functions in Women with Deep Infiltrating Endometriosis: A Randomized Controlled Trial.
Del Forno S, Cocchi L, Arena A, Pellizzone V, Lenzi J, Raffone A, Borghese G, Paradisi R, Youssef A, Casadio P, Raimondo D, Seracchioli R
Medicina (Kaunas) 2023 Dec 29;60(1) doi: 10.3390/medicina60010067. PMID: 38256327Free PMC Article
Orgasmic dural tear: an unusual delayed presentation of postural headache following lumbar discectomy.
Dannawi Z, Lennon SE, Zaidan A, Khazim R
BMJ Case Rep 2014 Nov 28;2014 doi: 10.1136/bcr-2014-208071. PMID: 25432914Free PMC Article
Laparoscopic apical mesh excision for deep dyspareunia caused by mesh banding in the vaginal apex.
Walid MS, Heaton RL
Arch Gynecol Obstet 2009 Sep;280(3):347-50. Epub 2009 Jan 7 doi: 10.1007/s00404-008-0911-1. PMID: 19127368
Endometriosis.
Mazza D
Aust Fam Physician 1999 Sep;28(9):933-4. PMID: 10561895
Dyspareunia of vulvo-vaginal origin. Causes and management.
Huffman JW
Postgrad Med 1983 Feb;73(2):287-96. doi: 10.1080/00325481.1983.11697774. PMID: 6823460

Prognosis

Epidemiology of endometriosis in Ukraine: results a multicenter study (2019-2021).
Salmanov AG, Yuzko OM, Tofan BY, Korniyenko SM, Lysenko BM, Padchenko AS, Strakhovetskyi VS, Paliga I, Voloshyn OA, Zarichanska KV
Pol Merkur Lekarski 2024;52(3):277-285. doi: 10.36740/Merkur202403103. PMID: 39007465
Revolutionizing core muscle analysis in female sexual dysfunction based on machine learning.
Abdel Hady DA, Abd El-Hafeez T
Sci Rep 2024 Feb 27;14(1):4795. doi: 10.1038/s41598-024-54967-0. PMID: 38413786Free PMC Article
Pain typology and incident endometriosis.
Schliep KC, Mumford SL, Peterson CM, Chen Z, Johnstone EB, Sharp HT, Stanford JB, Hammoud AO, Sun L, Buck Louis GM
Hum Reprod 2015 Oct;30(10):2427-38. Epub 2015 Aug 11 doi: 10.1093/humrep/dev147. PMID: 26269529Free PMC Article
Orgasmic dural tear: an unusual delayed presentation of postural headache following lumbar discectomy.
Dannawi Z, Lennon SE, Zaidan A, Khazim R
BMJ Case Rep 2014 Nov 28;2014 doi: 10.1136/bcr-2014-208071. PMID: 25432914Free PMC Article
Intracavernous self-injection of prostaglandin E1 in the therapy of erectile dysfunction.
Porst H, van Ahlen H, Block T, Halbig W, Hautmann R, Löchner-Ernst D, Rudnick J, Staehler G, Weber HM, Weidner W
Vasa Suppl 1989;28:50-6. PMID: 2609244

Clinical prediction guides

Painful sexual intercourse, quality of life and sexual function in patients with endometriosis: not just deep dyspareunia.
Del Forno S, Raspollini A, Doglioli M, Andreotti A, Spagnolo E, Lenzi J, Borghese G, Raimondo D, Arena A, Rodriguez E, Hernandez A, Govoni F, Seracchioli R
Arch Gynecol Obstet 2024 Oct;310(4):2091-2100. Epub 2024 Jul 25 doi: 10.1007/s00404-024-07643-7. PMID: 39052076Free PMC Article
Effects of Pelvic Floor Muscle Physiotherapy on Urinary, Bowel, and Sexual Functions in Women with Deep Infiltrating Endometriosis: A Randomized Controlled Trial.
Del Forno S, Cocchi L, Arena A, Pellizzone V, Lenzi J, Raffone A, Borghese G, Paradisi R, Youssef A, Casadio P, Raimondo D, Seracchioli R
Medicina (Kaunas) 2023 Dec 29;60(1) doi: 10.3390/medicina60010067. PMID: 38256327Free PMC Article
A new approach to regenerative medicine in gynecology.
Mantovani M, Gennai A, Russo PR
Int J Gynaecol Obstet 2022 Jun;157(3):536-543. Epub 2021 Sep 24 doi: 10.1002/ijgo.13906. PMID: 34463351
Painful sexual intercourse caused by a disproportionately long penis: an historical note on a remarkable treatment devised by Guilhelmius Fabricius Hildanus (1560-1634).
Kompanje EJ
Arch Sex Behav 2006 Oct;35(5):603-5. doi: 10.1007/s10508-006-9057-z. PMID: 17031589
Intracavernous self-injection of prostaglandin E1 in the therapy of erectile dysfunction.
Porst H, van Ahlen H, Block T, Halbig W, Hautmann R, Löchner-Ernst D, Rudnick J, Staehler G, Weber HM, Weidner W
Vasa Suppl 1989;28:50-6. PMID: 2609244

Recent systematic reviews

The Subjective Experience of Dyspareunia in Women with Endometriosis: A Systematic Review with Narrative Synthesis of Qualitative Research.
Facchin F, Buggio L, Dridi D, Barbara G, Vercellini P
Int J Environ Res Public Health 2021 Nov 18;18(22) doi: 10.3390/ijerph182212112. PMID: 34831868Free PMC Article
Antibiotic prophylaxis for operative vaginal delivery.
Liabsuetrakul T, Choobun T, Peeyananjarassri K, Islam QM
Cochrane Database Syst Rev 2020 Mar 26;3(3):CD004455. doi: 10.1002/14651858.CD004455.pub5. PMID: 32215906Free PMC Article
What Is Known and Unknown About the Association Between Endometriosis and Sexual Functioning: A Systematic Review of the Literature.
Barbara G, Facchin F, Buggio L, Somigliana E, Berlanda N, Kustermann A, Vercellini P
Reprod Sci 2017 Dec;24(12):1566-1576. Epub 2017 May 31 doi: 10.1177/1933719117707054. PMID: 28558521

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