61. Low Desire, Vaginismus, And Dyspareunia dyspareunia is another disorder that can occur in both men and women. Itis defined as genital pain that is associated with sexual intercourse. http://www.bu.edu/anxiety/v_d_hsdd.html

Hypoactive sexual desire disorder (HSDD) is a condition in which individuals (either men or women) are persistently and recurrently uninterested in sexual expression, and who report the absence of sexual fantasies. In addition, there is little motivation to seek stimuli and diminished frustration when deprived of the opportunity for sexual expression. The individual usually does not initiate sexual activity or may only engage in it reluctantly when it is initiated by the partner. As with all sexual disorders, HSDD can be classified as lifelong (existing for the entirety of the person’s adult life) or acquired (developed after a period of normal functioning). It can also be classified as generalized (occurring across all partners, sexual activities, and situations) or situational (limited to certain partners, sexual practices, or situations). One important factor in the diagnosis of HSDD as with all sexual disorders is that the condition is distressing to the individual and/or is interfering with their life in some way. The following are the diagnostic criteria for HSDD as provided by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV, 1994):

62. Painful Intercourse (dyspareunia) Painful intercourse (dyspareunia). In women intercourse may be painfuldue to vaginal or vulval infections, which cause unusual discharge http://www.drlockie.com/disease/painint.htm

Painful intercourse (dyspareunia) In women intercourse may be painful due to vaginal or vulval infections, which cause unusual discharge or itchiness (see Vaginal and vulval problems Cystitis (frequent urge to urinate), or Vaginismus (spasm of muscles at entrance to vagina); pain on deep penetration or in certain positions may be a symptom of endometriosis or retroversion of the uterus (see Uterus problems ), or of cervical erosion (see Cervical problems Dryness of vagina can cause discomfort and soreness for both partners; vaginal secretions tend to become scantier after Menopause , but sometimes lack of lubrication is due to Anxiety about intercourse , or too perfunctory foreplay; KY jelly usually helps. Resuming intercourse too soon after having a baby can be painful, as can intercourse for the first time ever. In men a burning sensation when ejaculating or urinating, and perhaps unusual discharge from penis, suggests urethritis (see Penis problems ) or prostatitis (see Prostate problems ); pain during intercourse may be balanitis (see Penis problems or herpes

63. Coccydynia Dyspareunia Tailbone Pain Intercourse Physical therapy without surgery for tailbone pain, coccydynia, menstrualpain, dyspareunia, dysmenorrhea, infertility. Coccydynia . dyspareunia. http://www.clearpassage.com/coccydynia1.htm

Coccydynia Dyspareunia Coccyx (tailbone) pain, menstrual pain, pre-menstrual syndrome, PMS and pailful periods may all have a biomechanical cause. In many cases these conditions may be treated without drugs or surgery. Even with a diagnosis of endometriosis, the actual pain often comes from adhesions or scar tissue accompanying the endometriosis. These patients often respond quickly to our very unique, non-surgical physical and massage therapy treatment. Non-surgical treatment for this condition Back Coccydynia (Tailbone Pain) Dyspareunia (Painful Intercourse) The coccyx is a delicate structure situated at the lowest point of the sacrum. Its position in the body leaves it vulnerable to trauma from falls onto the buttocks, car accidents, childbirth (especially difficult deliveries) and scarring from abdominal surgeries such as hysterectomy and episiotomy. Physical or sexual abuse and chronic slumped sitting posture are other causes of persistent tailbone pain. In all of these situations, the coccyx may become anteverted, retroverted, or lateroverted (pushed too far forward, backward, or to the side). The result is frequently embarrassing and sometimes debilitating pain. Chronic dyspareunia may be caused by adhesions following episiotomy or plastic repair of the vagina. Endometriosis, vaginitis, pelvic inflammatory disease and radiation therapy sometimes result in chronic painful intercourse due to adhesion formation at the round or broad ligaments, uterus or other structures.

64. Pelvic Pain Coccydynia Dysmenorrhea Dyspareunia Menstruation PMS Pelvic Pain. High success rate treating pelvic and vulvar pain, withoutdrugs or surgery. Outof-town patients welcome !! Non-surgical http://www.clearpassage.com/pelvic_pain.htm

Pelvic Pain High success rate treating pelvic and vulvar pain, without drugs or surgery. Out-of-town patients welcome !! Non-surgical treatment for this condition Back Overview of Pelvic Conditions Structure of the Pelvic Bones The structural anatomy of the lower torso can be categorized into four specific and distinct segments: 1. The pelvis, 2. The sacrum, 3. The lumbosacral junction, 4. The lumbar spine. The pelvic joints include the pubic symphysis joint (where the two pubic bones meet) and the two sacroiliac joints, (where the pelvic bones join the sacrum). These three joints work together, promoting a "mobile stability" for standing, balance, moving, walking and stair climbing. Because of the way that these joints function, the repetitive movements that affect them, and the translation of forces that go up the legs and through these joints, biomechanical dysfunctions are very common at the pelvis. The Bones and Joints of the Pelvis Clinically, we see pelvic joint dysfunctions as structural and postural imbalances. The pelvis may appear higher on one side as compared to the other side. Due to the pelvic imbalance, one leg may appear slightly longer than the other.

65. Dyspareunia : Meddie Health Search ITEMS LINKS dyspareunia An explanation of what this is, symptoms, diagnosis,prevention, treatment and prognosies are some to the topics discussed. http://www.meddie.com/search/Health/Reproductive_Health/Sexual_Dysfunctions/Dysp

HOME ADD A LINK MODIFY A LINK NEW LINKS ... TOP RATED Search Meddie: the entire directory only this category More search options Home Health Reproductive Health ... Sexual Dysfunctions : Dyspareunia ITEMS: LINKS: Dyspareunia An explanation of what this is, symptoms, diagnosis, prevention, treatment and prognosies are some to the topics discussed. (Rating: 0.00 Votes: 0) Rate It Dyspareunia - Pain During Intercourse A web site for women experiencing pain during intercourse or during menstruation as a result of a tilted or retroverted uterus. (Rating: 0.00 Votes: 0) Rate It Dyspareunia Resources for Women A variety of educational brochure PDFs, surveys and media player files for women experiencing pain during intercourse. (Rating: 0.00 Votes: 0) Rate It HOME ADD A LINK MODIFY A LINK ... Design © ISC Enterprises Inc.

66. Tayal, Watson "Dyspareunia In Undiagnosed Sjogren's Syndrome" dyspareunia in Undiagnosed Sjogren's Syndrome, British Journal of Clinical Practice50, no. 1 Patients with dyspareunia might not volunteer this symptom. http://www.vulvarpain.icomm.ca/tayal.html

Tayal, SC, and PG Watson. "Dyspareunia in Undiagnosed Sjogren's Syndrome," British Journal of Clinical Practice 50, no. 1 (January/February 1996): 57-58. Summary A case of superficial dyspareunia in a 46-year-old women [sic] is described. Clinical suspicion, examination and investigations supported a diagnosis of Sjogren's syndrome. Dyspareunia is a common symptom that may cause anxiety and lead to problems in sexual relationships. A community of women aged 35-59 identified dyspareunia in 8% (30/379) and vaginal dryness in 17% (73/434). Patients with dyspareunia might not volunteer this symptom. Causes of superficial dyspareunia include a rigid hymen, vulvovaginitis due to thrush or, less commonly, trichomoniasis, a poorly repaired episiotomy, and, in postmenopausal women, narrowing of the vagina due to atrophic changes. Vaginal dryness may cause superficial dyspareunia. Various factors lead to vaginal dryness: drugs such as anticholinergic agents, antihistamines, antidepressants, antispasmodics, antiparkinsonian agents, potent progestogens such as norethisterone, and antioestrogenic drugs such as danazol and tamoxifen; diabetes mellitus;

67. Woman's Natural Health Practice: Dyspareunia dyspareunia dyspareunia is described as pain during or after sexual intercourse. dyspareuniaCauses Any of the genital parts can cause pain during sex. http://www.naturalgynae.com/nav6_fact4.html

Dyspareunia... Dyspareunia is described as pain during or after sexual intercourse. It can have many causes and careful differential diagnosis in needed to identify the cause which is often different in each case. Chinese medicine offers a good alternative to orthodox medical treatment which is natural and gentle and very well accepted by women who suffer from this condition. Dyspareunia Causes Any of the genital parts can cause pain during sex. Some conditions affect the skin around the vaginal entrance, some cause muscle spasm at the vaginal entrance and some women have a bacterial, viral or yeast infection. In many cases the cause is unknown and orthodox medicine is unable to offer a treatment. The pain from these conditions is usually felt when a tampon or penis is inserted into the vagina. Sometimes just sitting down can cause discomfort. The causes can be wide and varied. Vaginismus (spasm of the muscles around the vagina), Vulvitis (inflammation of the vulva tissue), vulvar vestibulitis (inflammation of the vulvar vestibule) are all causes of superficial (vaginal entrance) Dyspareunia. Deep dyspareunia is felt not at the vaginal entrance, but deep in the lower abdomen usually with thrusting during sexual intercourse. This type of Dyspareunia is usually caused by internal reproductive organ conditions also because the bladder and intestines are close to the vagina, they can refer pain during sex. In some cases of Dyspareunia an allergic or intolerant reaction to foods or substances can be a contributing factor.

68. Dyspareunia - Frequent Intercourse Creating Soreness? dyspareunia can be very stressful for a woman. dyspareunia Frequent IntercourseCreating Soreness? dyspareunia can be very stressful for a woman. http://www.herbolove.com/article.asp?art=367

69. Dyspareunia Or Painful Sex dyspareunia or Painful Sex Sex better. Treatment for dyspareunia or PainfulSex Case Story for Painful Sex Sex Problems for Women. http://www.partnertherapy.com/PartnerTherapy/92

Dyspareunia or Painful Sex Sex is not supposed to be painful once you have got past the early stages. If there is pain, then the causes need to be found. Common causes of painful sex are Physical Causes Tension in the vagina, like Vaginismus Infections, such as thrush, warts, herpes, sexually transmitted diseases. Medical conditions, such as endometriosis, where the womb lining grows in the wrong place. Birth conditions, such as imperforate or unopened hymen, or splits or fissures in the wall of the vagina. Surgical problems, such as adhesions after an operation on your tummy. After childbirth, while the vagina recovers, it can pe painful for up to a year. Once you have checked with a gyneacologist that it is healed and there is no physical cause for your pain, it is OK to have sex. Emotional Causes Not getting turned on or aroused Arousal Difficulties Not realy feeling grown up, and as though you shouldn't be doing this Strict upbringing. History of Sexual Abuse or rape or other trauma. Family traditions and customs. Relationship Difficulties Fear of Sex which makes us tense, and all we feel is fear.

70. Painful Sex Or Dyspareunia In Men Painful Sex or dyspareunia in Men Men can get pain before, during, and after sex,and it is important to be clear about when and exactly where the pain arises. http://www.partnertherapy.com/PartnerTherapy/165

Painful Sex or Dyspareunia in Men Men can get pain before, during, and after sex, and it is important to be clear about when and exactly where the pain arises. It may be in the shaft or glans of the penis, scrotum, anus, or sometimes another area, the most common being a headache after orgasm. It can happen during arousal, in the erection, or with ejaculation and orgasm, or as everything returns to its non-aroused state. The first step is to see a doctor, as the pain may have a medical cause which could need medical treatment. A common medical cause is genito-urinary infection, and a visit to your local GU Clinic could check this for you in an entirely confidential environment. They also have health advisors trained to discuss sexual difficulties, and they could tell you if you should see a therapist. Non-medical causes of painful sex are Sexual Abuse Fear of Sex in Men , repressed anxiety, and in some cases no cause can be found. A combination of medication and Sex Therapy is often the right solution for men having painful sex. treatment for Painful Sex in Men Case Story for Painful Sex in Men Sex Problems for Men

71. MoonDragon's Obgyn Information & Discussion - Dyspareunia dyspareunia. For Informational Use Only . dyspareunia and vaginismus(spasm of the pubic muscles of the lower vagina) are often linked. http://www.moondragon.org/obgyn/disorders/dyspareunia.html

This page is best viewed with 800x600 monitor display. DYSPAREUNIA For "Informational Use Only". For more detailed information, contact your health care provider about options that may be available for your specific situation. BASIC INFORMATION DESCRIPTION Recurrent and persistent genital pain associated with sexual intercourse. Dyspareunia and vaginismus (spasm of the pubic muscles of the lower vagina) are often linked. FREQUENT SIGNS AND SYMPTOMS Pain in the genital area during sexual activity, including foreplay, intercourse or attempted intercourse. Pain may fe mild or severe, and it may vary with different intercourse positions. CAUSES Physical causes include: Infection of the genitals, including herpes and others involving the vagina, cervix, fallopian tubes or ovaries. Pressure against the vaginal wall caused by scarring from operations or radiation treatment. Tight episiotomy scar from vaginal repair after childbirth. A fibroid or other uterine tumor. Endometriosis A hymen that is imperforate (not opened) , torn or thicker than normal. A bruised opening to the urethra.

72. American Family Physician: Management Of Dyspareunia And Vaginismus. Terms related to this article Vagina Muscles dyspareunia Care and treatment. Page1 2 Next. Management of dyspareunia and Vaginismus. http://www.findarticles.com/cf_dls/m3225/8_61/61456474/p1/article.jhtml

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73. Vaginal Dryness, Vaginismus, Dyspareunia, Vaginal Dryness Teatment Vaginal dryness, Vaginismus, dyspareunia, Vaginal dryness teatment. Recoverymedicine for lasting treatment of vaginal dryness and dyspareunia. http://www.biostructural.com/vaginal_dryness.shtm

Vaginal dryness, Vaginismus, Dyspareunia, Vaginal dryness testament, Recovery Medicine Vaginal dryness, Vaginismus and Dyspareunia are all tied together in many cases; the breakdown of the protective vaginal mucosa leading to vaginal dryness, vaginal pain (Vaginismus), vaginal irritation, vaginal infection and painful vaginal intercourse (dyspareunia). Biostructural medicine recovery, via its disease modifying anti-catabolic nutracol nm, may provide significant benefits with all three conditions namely vaginal dryness, vaginismus (vaginal pain) and dyspareunia (painful vaginal intercourse). How it works How to take it Safety Data Health conditions ... Biomedica Labs Vaginal dryness - Dyspareunia Vaginismus What are vaginismus and dyspareunia and how do they relate to vaginal dryness? Dehydration of mucosal membranes of the vaginal mucosa leading to increased susceptibility to infection, irritation and uncomfortable intercourse (dyspareunia, vaginismus). Vaginal dryness, Vaginismus and Dyspareunia are all tied together in many cases; the breakdown of the protective vaginal mucosa leading to vaginal dryness, vaginal pain (Vaginismus), vaginal irritation, vaginal infection and painful vaginal intercourse (dyspareunia).

74. MMWH: Dyspareunia 8/02. dyspareunia (Pain with Sexual Relations). It is not uncommon for women to experiencepain or discomfort during and/or after sexual relations (dyspareunia). http://www.mmwh.com/patedu/dyspareunia.htm

Mather - McClellan Women's Health Home Site Map Patient Education www.mmwh.com Patient Education Sheets rev. 8/02 Dyspareunia (Pain with Sexual Relations) It is not uncommon for women to experience pain or discomfort during and/or after sexual relations (dyspareunia). Menopausal women are particularly susceptible to developing dyspareunia. During the reproductive years, the ovaries produce high levels of estrogen and progesterone. Among other things, estrogen maintains the thickness and health of the vagina, which leads to normal functioning of the vagina during sexual relations. Menopause leads to lower estrogen levels, which may cause the vagina to become relatively thin and dry (atrophic). Lower estrogen levels also inhibit the normal vaginal sexual response, e.g. with regard to lubrication. In some cases, vaginal atrophy and lack of sexual response may lead to discomfort during and/or after sexual relations. Generally speaking, dyspareunia may occur during superficial, mid, and/or deep penetration. Dyspareunia due to vaginal atrophy may occur at any level, and often occurs along the entire course of the vagina. Other common causes of dyspareunia include: cystocele or rectocele may cause discomfort during sexual relations. The dyspareunia is typically anterior with cystoceles, and posterior with rectoceles.

75. Conditions For Dyspareunia Table of Contents Conditions by symptom dyspareunia.Conditions for dyspareunia. Endometriosis. http://www.healthandage.com/html/res/com/ConsLookups/Symptoms/dyspareunia.html

Table of Contents Conditions by symptom Conditions for dyspareunia Endometriosis

76. GotoMyDoc - Education - Sexual Health - Painful Intercourse - Dyspareunia Learn More About For More Info Sexual Health. Painful intercouse (dyspareunia).Pain with intercourse is a signal that something is wrong. http://www.gotomydoc.com/education/sexualhealth/learn/dyspareunia/

What It's About Did You Know? Learn More About For More Info Sexual Health Painful intercouse (dyspareunia) Pain with intercourse is a signal that something is wrong. There are a variety of things to consider when this symptom occurs – the most common things are included below: first time having sex uncomfortable position (the wrong angle of penetration) too forceful movements inadequate lubrication irritating condom material (e.g. nonoxynol-9) irritating creams, lotions or oils used in the genital area bladder spasm, infection or full bladder vaginal infection STD prolapse (weakened areas in the pelvic floor) hernia Anytime painful intercourse is a regular problem or if it’s accompanied by bleeding or deep pelvic pain, do not delay in having these symptoms evaluated by your OB/GYN health care provider. Clinicians Practices All About Pregnancy All About MidLife ... Home

77. New Look At Dyspareunia On C-Health: Your Health And Wellness Source New look at dyspareunia, Apr. 5, 2002. dyspareunia is a catchall phrase like headache or lower back pain used to describe painful sex. http://chealth.canoe.ca/health_news_detail.asp?channel_id=16&news_id=515

78. Therapeutic Ultrasound For Postpartum Perineal Pain And Dyspareunia (Cochrane Re Click here to order the full review. Therapeutic ultrasound for postpartumperineal pain and dyspareunia (Cochrane Review). HaySmith EJC. ABSTRACT http://www.cochrane.org/cochrane/revabstr/ab000495.htm

Abstract from The Cochrane Library , Issue 1, 2003 Click here to order the full review Therapeutic ultrasound for postpartum perineal pain and dyspareunia (Cochrane Review) Hay-Smith EJC ABSTRACT A substantive amendment to this systematic review was last made on 19 May 1998. Cochrane reviews are regularly checked and updated if necessary. Background: Proponents of therapeutic ultrasound suggest it can decrease pain by resolution of inflammation processes and reducing the pressure on pain sensitive structures by haematoma and oedema. Objectives: The objective of this review was to assess the effects of therapeutic ultrasound for treating acute perineal pain, persistent perineal pain and/or dyspareunia, following childbirth. Search strategy: The Cochrane Pregnancy and Childbirth Group trials register (to July 2001), EMBASE, CINAHL (to May 1996), Physiotherapy Index (1985 to May 1996) and World Congress of Physical Therapy 1994 Conference Proceedings. Selection criteria: Randomised and quasi-randomised trials comparing active therapeutic ultrasound with no treatment, placebo ultrasound, or any other 'standard' or active treatment for women with acute or persistent perineal pain and/or dyspareunia following childbirth. Data collection and analysis: One reviewer assessed trial quality and extracted data.

79. BBC - Health - Overcoming Sexual Problems When Sex Hurts / Dyspareunia When sex hurts medically known as dyspareunia by Paula Hall - Psychosexual TherapistLack of sexual arousal The pain cycle Tips for increasing arousal http://www.bbc.co.uk/health/sex/probs_painfulintercourse.shtml

CATEGORIES TV RADIO COMMUNICATE ... INDEX SEARCH MONDAY 31st March 2003 Text only BBC Homepage Health Homepage Your Health ... Help Like this page? Send it to a friend! Sex - Overcoming sexual problems When sex hurts - medically known as Dyspareunia by Paula Hall - Psychosexual Therapist Lack of sexual arousal The pain cycle Tips for increasing arousal Temporary conditions ... Further help, links and books Introduction It's common for women to suffer from painful intercourse at some stage in their life. For most, it will be a passing discomfort - probably with a known reason. But unfortunately, for some pain becomes a regular feature of love making. This can have a devastating effect on the physical and emotional enjoyment experienced by both partners. There are a number of physical causes ranging from temporary conditions to gynaecological disorders. But in the majority of cases, painful intercourse is the result of the body not being sexually aroused enough for penetration. Lack of sexual arousal This is by far the most common cause of painful intercourse. When a women's body is ready for sex, the vagina expands length ways and width ways. The top of the vagina balloons out to create an area for the cervix to move into. While all this is happening, your vagina is becoming moist and lubricated to avoid any friction. The vagina was never designed to be penetrated (except perhaps by a tampon) in it's unaroused state. If you're sure you're fully aroused but still suffer from pain, check with your GP that you're not suffering from an

80. Evaluation And Differential Diagnosis Of Dyspareunia Evaluation and Differential Diagnosis of dyspareunia. dyspareunia is genitalpain experienced just before, during or after sexual intercourse. http://www.angelfire.com/md3/clinicacayanga/dyspareunia.htm

Evaluation and Differential Diagnosis of Dyspareunia D yspareunia is genital pain experienced just before, during or after sexual intercourse. Although this condition has historically been classified as a sexual disorder, an integrated and pain-model approach to the problem is gaining support. The current thinking about pain initiation and promulgation suggests an initial instigating factor that is then perpetuated by confounding factors. These factors may be physical or psychologic. Patients with dyspareunia may complain of a well-defined and localized pain, or express a general disinterest in and dissatisfaction with intercourse that stems from the associated discomfort. Although dyspareunia is present in both sexes, it is far more common in women, with the pain initiating in several areas, from vulvar surfaces to deep pelvic structures. Patients with dyspareunia are more likely than the general public to report pain with use of a tampon or digit, or during a gynecologic examination. This article reviews the various causes of dyspareunia and describes the historical and physical clues leading to these diagnoses. Treatment options are beyond the scope of this article.

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