Dyspareunia is painful sex that occurs before, during or after intercourse. Women usually experience dyspareunia during sex. Men usually experience it upon ejaculation, and it is a symptom of prostatitis. It is a common problem; however, many medical professionals are not aware of this syndrome causing patients frustration.
“Dyspareunia (difficult mating) is defined as genital pain that occurs before, during, or after intercourse. The repeated experience of pain during intercourse can cause marked distress, anxiety, and interpersonal difficulties, leading to anticipation of a negative sexual experience and eventually to sexual avoidance.”
American Psychiatric Association, 4th ed. 1994
Dyspareunia can occur in women and men. Some sources estimate dyspareunia occurs in two-thirds of all women. The medical literature does not quantify the number of men with this condition; however, it is a symptom of prostatitis.
Vaginal infections or infections of the prostate are the most common successfully-treated causes of dyspareunia.
Hemorrhoids are common. Women during pregnancy have a high incidence of hemorrhoids. Some causes can be minimized such as prolonged sitting, prolonged standing, heavy lifting and others. Evidence shows a relationship between hemorrhoids and erectile dysfunction in people younger than 30. Hemorrhoidal Prostatic Impotence Syndrome was named in the 1940’s.
What is a hemorrhoid?
A hemorrhoid can be described as a big, bulging varicose vein in the rectum.
A hemorrhoid is defined as a “mass of dilated, tortuous veins in the ano-rectum involving the venous plexuses of that area.” – Taber’s Cyclopedic Medical Dictionary, Edition 18. Syn. Pile – a single hemorrhoid; or Piles – hemorrhoids.
Chronic pelvic pain (CPP) occurs in women and men. The American College of Obstetricians and Gynecologists (ACOG) definition applies to women. The European Association of Urologists (EAU) revised their guidelines beginning in 2009 to include women and men in their definition of chronic pelvic pain. Chronic pelvic pain is a bladder pain syndrome that occurs in women and men. Urological pain syndromes in men include chronic prostatitis/chronic pelvic pain syndrome (CPPS).
Historically, chronic pelvic pain (CPP), was defined by the American College of Obstetricians and Gynecologists (ACOG) and applied to women.
In 2009, the European Association of Urology (EAU) published Guidelines on chronic pelvic pain (CPP). Their stated objective was “to revise guidelines for the diagnosis, therapy, and follow-up of CPP patients.”