CURRENT APPROACH OF PAIN IN SEXUAL INTERCOURSE (DYSPAREUNIA)
DOI:
https://doi.org/10.35919/rbsh.v30i1.66Keywords:
Dispareunia ; Coito; dor pélvicaAbstract
Introduction/Objective: Pelvic pain affects 30% of women in menacme with active sexual life and of these 50% report dyspareunia. Unfortunately, even today, many professionals do not deal adequately with this complaint and therefore many women suffer from this problem. The objective of our work is to clearly show how to approach this medical condition in order to improve the quality of life of women who suffer from this problem. Development: First, erroneous and old concepts must be modified and updated, being the first; the definition of dyspareunia that must be understood as the pain felt exclusively during sexual intercourse, because the pain felt before the relationship must be understood as pelvic pain of psychological cause or pelvic pain of organic cause and the pain felt after the relationship must always be understood as pelvic pain of organic cause. The second concept to be modified is the definition of primary dyspareunia that should be understood as the pain felt resulting from the sexual act due to the disproportion of the penis with the vagina. The third concept to be changed is the definition of secondary dyspareunia which should be understood as pain due to a defined organic cause, for example, endometriosis. The definition of mixed dyspareunia, which is the existence of primary and secondary dyspareunia occurring concomitantly, should be added. The definition of superficial or entry dyspareunia and the definition of deep dyspareunia should be kept as they have always been understood, i.e. the former is pain felt at the entrance of the vagina, so vaginism is also superficial dyspareunia and the latter is felt at the bottom of the vagina. Secondarily, in view of these new concepts, a new system of approach to pelvic pain and dyspareunia should be introduced to solve this serious problem. Conclusions: Professionals who care for women with dyspareunia complaints, knowing how to approach the problem adequately, may benefit their patients so that they may have a better quality of sexual life.
KEY WORDS - Dyspareunia; Coitus; Pelvic pain.