It is important to assess women presenting with dyspareunia carefully and to make an accurate diagnosis prior to commencing treatment for any underlying physical and psychological problems.
- There are many causes of dyspareunia in women. The underlying problem may be acute or chronic.
- Including questions about sexual function in the history taking routine will enable a discussion of sexual problems.
- Dyspareunia is likely to have a major impact on relationship dynamics.
- It is important that women with chronic dyspareunia understand that accurate diagnosis is necessary because there are many different causes and these have different treatments.
- All treatments should be given a proper trial over a reasonable period of time.
- Lichen sclerosus and vulval and vaginal intraepithelial neoplasia (VIN and VAIN, respectively) lesions should be checked regularly for malignant change.