Alimi Yusuf, Iwanaga Joe, Oskouian Rod J, Loukas Marios, Tubbs R Shane
Department of Anatomical Sciences, St. George's University, St. George's, Grenada, West Indies.
Seattle Science Foundation, Seattle, Washington.
Clin Anat. 2018 Oct;31(7):1013-1017. doi: 10.1002/ca.23250. Epub 2018 Oct 26.
Dyspareunia can be described as continuous unremitting or intermittent pain associated with intercourse. It can be classified based on the location of the pain - entry or deep dyspareunia, or based on when the pain was first experienced - primary or secondary dyspareunia. There are different causes of dyspareunia and some of the most important causes include the following: vulvodynia, postpartum dyspareunia, endometriosis, inadequate vaginal lubrication or arousal, and other anogenital causes such as hemorrhoids and anal fissures. In this review, our objective is to apply the anatomical knowledge of dyspareunia to patient care, increase awareness among clinicians about the diverse etiology of dyspareunia and ensure that the whole patient, not just the pain of dyspareunia is being treated as the causes of dyspareunia can be due to various pathologies. Clin. Anat., 31:1013-1017, 2018. © 2018 Wiley Periodicals, Inc.
性交困难可被描述为与性交相关的持续性、不间断或间歇性疼痛。它可根据疼痛的部位——阴道口或深部性交困难进行分类，也可根据首次出现疼痛的时间——原发性或继发性性交困难进行分类。性交困难有多种成因，其中一些最重要的成因包括：外阴痛、产后性交困难、子宫内膜异位症、阴道润滑不足或性唤起不足，以及其他肛门生殖器方面的病因，如痔疮和肛裂。在本综述中，我们的目标是将性交困难的解剖学知识应用于患者护理，提高临床医生对性交困难多种病因的认识，并确保对患者整体进行治疗，而不仅仅是治疗性交困难的疼痛，因为性交困难的成因可能源于各种病理状况。《临床解剖学》，2018年第31卷，第1013 - 1017页。© 2018威利期刊公司。
