Dyspareunia

Clinical Features:

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

Investigations:

• USG OF L/A
• Urine RME 
• VIA test

🗒️Rx:

1. If young Female patient

• Lubricant oil/ K-Y Jelly(gycerol) (সহবাসের পূর্বে মাসিকের রাস্তায় লাগাবেন)

2. If young female with vaginal dryness:

Tab.Ovestin(Estriol) (1mg) 

• 0+0+1...........3 months

3. if patient is aged/vaginal dryness present:

 Tab.Menorest(Tibolone)(2.5mg)

• 0+0+1…….3 month

OR

Tab.Osmifen(ospemifene) (60mg) 

• 0+0+1...........3 months

Natural Therapy:Advice

• Change the Sexual position
  
• Adequte Fore play
  
•  Pelvic Floor therapy
  
• Vaginal Dilator
  
• Vaginal Moisturizer
  
• Vaginal Lubricant
  
• Sex Counselling
  
• Healthy living