FEMALE SEXUAL DYSFUNCTION

• Vaginismus
• Dyspareunia

Vaginisum is involuntary spasm & tightening of vaginal interoitus and perineal muscles that prevent penile penetration. It is psychosomatic problem. However when associated with dyspareunia (pain during or resulting form coitus) it has an organic cause.

Patient come with complaining

• Unconsummated marriage
• Infertility
• Pain or fear of coitus
• Fever of pelvic examination

Organic cause

Any condition that leads to dyspareunia may eventually lead to vaginismus.

Superficial dyspareunia

• Vaginitis of lower genital tract due to acute & chronic infection .
• Vaginal mucosal atrophy
• Poor lubrication
• Hymenal dyspareunia
• Postpartum laceration

Deep Dyspareunia

• Upper genital pelvic inflammation
• Adhesioins
• Fixed tender uterus