Dyspareunia

The two are most often interchangeable.

In general, Dyspareunia is the most common sexual dysfunction.[1]

Indian epidemiology then other

Male causes:

The following male factors are responsible i.e.:

• Impotence
• Premature ejaculation
• Congenital anatomic defect of the penis
• Lack of technique of coital act

Female causes:

Depending upon the site of pain, the dyspareunia may either i.e.:

• Either Superficial or entrance
• Vaginal
• Deep

Superficial: In detail, Any lesion of the lower part of the labia minora or around the fourchette may be responsible

Vaginal: Burning pain along the barrel of vagina either during or following intercourse is the presenting complaint.

Common causes of Dyspareunia are i.e.:

• Vaginitis
• Vaginal septum
• Tender scar—following gynecologic either operation or delivery
• Secondary vaginal atresia
• Tumor
• Vaginal atrophy

Deep: The patient experiences pain while the penis penetrates deep into the vagina. As the vagina is insensitive to pain, deep dyspareunia usually results from pathology of paravaginal tissues or other pelvic organs.

Such lesions are:

• Endometriosis, especially on rectovaginal septum
• Chronic cervicitis
• Chronic PID
• Retroverted uterus — mostly acquired also fixed
• Prolapsed ovary in the pouch of Douglas.[1]

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Risk factors are things that make you more likely to develop a disease in the first place.

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Sign & Symptoms of Dyspareunia

• Pain only at sexual entry (in other words; penetration)
• Pain with every penetration, including putting in a tampon.
• Deep pain during thrusting.
• Either Burning pain or aching pain.
• Throbbing pain, lasting hours after intercourse [1]

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A medical evaluation for dyspareunia usually consists of i.e.:

A thorough medical history.

Moreover, Your doctor might ask when your pain began, where it hurts, how it feels and if it happens with every sexual partner also every sexual position.

Your doctor might also inquire about your sexual history, surgical history and childbirth.[1]

Complications are what happen after you have a disease. They are the negative consequences of the disease process.

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Treatment of Dyspareunia

• Treatment depends upon the cause.
• Too often, sex education of both the partners relieves the symptom.
• The infective lesions of the vulva also vagina are to be treated.
• Tender scar on the either perineum or the vagina is to be excised.
• The treatment of vaginismus has been mentioned earlier.[1]

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Homoeopathic Treatment of Dyspareunia

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.

which includes

• The medical history of the patient,
• Physical and mental constitution,
• Family history,
• Presenting symptoms,
• Underlying pathology,
• Possible causative factors etc.

A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.

What Homoeopathic doctors do?

A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?.

The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.

The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improved with homeopathic medicines.

Homeopathic Medicines for Dysentery:

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.

Medicine of Dyspareunia:

1.Argentum nitricum

• Inflammation of prepuce, ulceration.
• Female Sexual dreams also orgasms at night (in an epileptic).

2.Staphysagria:

• Specifically indicated in Dyspareunia.
• In female her parts very sensitive, worse sitting down.
• Irritable bladder in young married women.
• Prolapses, with sinking in the abdomen; aching around the hips. In male especially after self-abuse; persistent dwelling on sexual subjects.
• Spermatorrhoea, with sunken features; guilty look; emissions, with backache also weakness and sexual neurasthenia.
• Dyspnoea after coition.

3.Thuja:

• Vagina very sensitive, Warty excrescences on vulva and perineum. Profuse leucorrhoea; thick, greenish.
• Severe pain in left ovary and left inguinal region. Menses scanty, retarded.
• Fleshy excrescences. Additionally, Ovaritis; worse left side, at every menstrual period. Profuse perspiration before menses.
• In male Inflammation of prepuce and glans; pain in penis. Balanitis. Besides this, Gonorrhoeal rheumatism, Gonorrhoea.
• All in all, Chronic induration of testicles. Pain and burning felt near neck of bladder, with frequent and urgent desire to urinate. Prostatic enlargement.

4.Ferrum metallicum:

• Menses remit a day or two, also then return.
• Furthermore, Discharge of long pieces from uterus.
• Specifically indicated in Dyspareunia.
• Women who are weak, delicate, chlorotic, yet have a fiery-red face.
• Menses too early, too profuse, last too long; pale, watery. Sensitive vagina. Lastly, Tendency to abortion. Prolapse of vagina.

5. Natrum Muriaticum:

• Menses irregular; usually profuse.
• Vagina dry. Leucorrhoea acrid, watery. Bearing-down pains; worse especially in morning.
• Prolepses uteri, with cutting in urethra.
• Ineffectual labour- pains. Suppressed menses. Hot during menses.

6.Sepia:

• Pelvic organs relaxed. Bearing down sensation as if everything would escape through vulva.
• Must cross limbs to prevent protrusion, or press against vulva.
• In detail, Leucorrhoea, yellow, greenish; with much itching.
• Menses too late and scanty, irregular, early also profuse, sharp clutching pains.
• Violent stitches upward in the vagina, from uterus to umbilicus.
• Prolapse of uterus and vagina. Morning sickness. Vagina painful, especially on coition.

• Take omega-3 fatty acids.
• Fresh vegetables, fruits, whole grains.
• To avoid coffee, trans-fats, or red meat have more pronounced dyspareunia symptoms.
• Eating a balanced and healthy diet So, it is better to keep more fresh vegetables, and omega-3 fatty acids in your diet. It is not easy to prevent dyspareunia but by maintaining a healthy lifestyle with a proper diet you can control its symptoms and severity.[2]

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[1] DC DUTTA’s GYNECOLOGY

[2]https://www.mayoclinic.org/diseases-conditions/painful-intercourse/diagnosis-treatment/drc-20375973

[3] Therapeutic Byways By Anshutz E. P.

Frequently Asked Questions

What is Dyspareunia?

Dyspareunia means that the coital act is difficult and or painful.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Dyspareunia?

• Argentum nitricum
• Staphysagria
• Thuja
• Ferrum metallicum
• Natrum Muriaticum
• Sepia

What causes Dyspareunia?

• Impotence
• Premature ejaculation
• Congenital anatomic defect of the penis
• Lack of technique of coital act
• Vaginitis
• Vaginal septum
• Tender scar
• Secondary vaginal atresia
• Tumor
• Vaginal atrophy

What are the symptoms of Dyspareunia?

• Pain only at sexual entry
• Pain with every penetration, including putting in a tampon.
• Deep pain during thrusting.
• Burning pain or aching pain.
• Throbbing pain, lasting hours after intercourse