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Home > Adults > Gynaecology >

Dyspareunia

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Checked: 23-07-2017 by Next Review: 23-07-2018

Dyspareunia and vaginismus

Please refer to the guidelines for the management of Dyspareunia (word doc) produced by Dr Rachel Brown, Gynaecology GPSI (Montpelier Health Centre)

Referral

Appropriate referral for treatment of dyspareunia depends on the underlying cause - see link to document above.

Psychological treatments are available via the Sexual Health Clinic.

Surgery may be required in the following circumstances:

  • Pelvic pathology such as masses, chronically infected tubes, endometriosis, adhesions - refer via eRS
  • Removal of sensitive scar tissue bridge can be highly effective when there is pain following episiotomy. Please note- episiotomy/perineal tear scar revision greater than 12 months following delivery is not routinely commissioned and requires individual funding. See the Female Genetalia Surgery section for details.
  • Fenton's operation (to enlarge a tight introitus) may help.
  • Ventrosuspension to 'correct' a retroverted uterus in an anteverted position is occasionally proposed but it is not known if it is effective as there are no randomised controlled trials of this procedure.

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

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