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Differential diagnosis of sexual pain in women

Robert L Barbieri, MD
Section Editor
Howard T Sharp, MD
Deputy Editor
Kristen Eckler, MD, FACOG


Individuals with sexual pain disorders experience genital pain just before, during, or after sexual intercourse. There are many possible etiologies of pain related to sex (table 1A-C). The leading cause in women under the age of 50 has been attributed to localized provoked vulvodynia [1]. In women over the age of 50, urogenital atrophy is the leading cause [2].

This topic will review the most common etiologies of sexual pain disorders in women and their treatment. The initial diagnostic approach to sexual pain and treatment of specific causes of sexual pain are discussed separately.

(See "Approach to the woman with sexual pain".)

(See "Treatment of vulvodynia (vulvar pain of unknown cause)".)

(See "Clinical manifestations and diagnosis of genitourinary syndrome of menopause (vulvovaginal atrophy)".)

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Literature review current through: Dec 2017. | This topic last updated: Oct 03, 2017.
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