Vaginal muscle pain

Vaginal pain: Causes, symptoms, and treatment

Vaginal pain can be a temporary symptom of infection or injury. However, in some cases, it can be a chronic symptom with no known cause.

Persistent vaginal pain with no clear cause is called vulvodynia. It is a common gynecological condition that affects up to 16% of females in the United States.

Fear or embarrassment may keep a person from seeking professional treatment for vaginal pain. Anecdotal evidence suggests that some doctors can be quick to dismiss this symptom.

However, the right healthcare provider will work diligently to diagnose and treat the problem.

Read on to learn about the symptoms and causes of vaginal pain, as well as the treatment options.

A wide range of conditions can cause vaginal pain, but the following are the most common:

Infection

Yeast infections are among the most common causes of vaginal pain. About 75% of females develop a vaginal yeast infection at some point during their life.

A yeast infection can cause itching, burning, and, sometimes, a cottage cheese-like discharge from the vagina.

These infections do not usually spread through sexual intercourse, and most experts do not recommend treating sexual partners.

Bacterial vaginosis (BV) is also a common infection, particularly among people who are sexually active.

Although BV does not always cause symptoms, some people may experience the following symptoms in the vagina:

• pain
• itching
• burning
• a fishy odor
• discomfort during sex

Many people mistake the symptoms of BV for those of a yeast infection. However, the two have different causes and require different treatments.

Some other infections, especially chlamydia and gonorrhea — both of which are sexually transmitted infections (STIs) — can also cause pain and unusual discharge.

Physical trauma

Physical injury to the vagina or vulva can cause vaginal pain. Relatively minor injuries, such as cuts from shaving, may sometimes be responsible, but one of the most common causes of injury and pain is childbirth.

Giving birth causes vaginal tearing in most people during their first vaginal delivery. The tear usually extends into the perineum, which is the area between the vagina and anus. Doctors refer to this as a perineal tear. It is also possible for the clitoris or labia to tear during childbirth.

A doctor or midwife may need to stitch up serious tears. The stitches that they use will dissolve over time and do not require removal.

Pelvic floor dysfunction or injury

Damage to the muscles of the pelvic floor can cause pain in the vagina, stomach, and back, as well as affecting muscles in other areas.

Some factors that can increase the risk of pelvic floor problems include:

• age
• pregnancy
• injury from childbirth
• episiotomy, which is a surgical incision to enlarge the vaginal opening into the perineum during labor

Some people with pelvic floor dysfunction also experience incontinence, especially when sneezing or jumping. A person may also experience fecal incontinence, pain when passing stool, or both symptoms.

Vulvodynia

Vulvodynia is a type of chronic pain in the vulva, vagina, or both. The pain varies from person to person, but many report a burning pain that is fairly continuous, though sexual intercourse can trigger or worsen it.

Doctors do not fully understand vulvodynia and why it occurs. The diagnostic process can be lengthy because it involves excluding other causes of vaginal pain.

Anyone who suspects that they have vulvodynia should see a doctor, as various treatments are available.

Bartholin’s cyst

The Bartholin’s glands sit on either side of the entrance to the vagina and help lubricate it.

A blockage in one of these glands can give rise to a cyst, which may feel like a hard lump or look like a pimple. The cyst can cause pain, usually on one side of the vagina.

Bartholin’s cysts may get larger over several days before disappearing or rupturing. Sometimes, they become infected, causing intense pain.

Vaginal pain can have many different characteristics. Describing the pain in detail can help a healthcare provider correctly diagnose the problem.

Below are the most common types of vaginal pain:

Burning

Vaginal yeast infections, BV, and other types of infection often cause a burning sensation, especially during or after intercourse.

Vulvodynia also often causes burning pain, though this typically occurs alongside other symptoms.

Itching

Itchiness is a classic sign of an infection, such as a yeast infection, BV, or an STI.

Less frequently, a pelvic floor injury causes nerve dysfunction that feels like itchiness or another unusual sensation.

Some people experience vaginal itchiness specifically during intercourse. Some possible causes of this include:

• vulvodynia
• the rupture of a Bartholin’s cyst
• healing following a physical injury

Tension or muscle spasms

Tightness, soreness, and muscle spasms in the vagina may indicate pelvic floor dysfunction. Some people also experience pain with different characteristics or in other areas — for example, they may have lower back pain or hip discomfort.

Vulvodynia can cause the vaginal muscles to tense before or during intercourse. Some people report that their muscles tense so forcefully that they are unable to have intercourse.

Tenderness or sensitivity

If the skin around the vagina and vulva feels painful, tender, or sensitive, this may be a symptom of a Bartholin’s cyst.

The area may also be discolored, and there may be a hard lump or visible swelling. If an infection develops, the pain may become intense.

Trauma to the vagina or vulva can also cause tenderness and sensitivity. Many people report soreness after giving birth, especially following a perineal tear.

Pain during intercourse

Intercourse can make any type of vaginal pain worse because friction causes irritation.

However, if a person only experiences vaginal pain during intercourse, vulvodynia may be the cause.

If a fishy odor follows painful intercourse, this could indicate BV.

A doctor can usually diagnose a vaginal yeast infection based on a person’s symptoms alone, though they may need to test a sample of discharge. This test will help the doctor rule out bacterial infections and STIs, such as gonorrhea and chlamydia.

The diagnostic process may also involve the doctor:

• performing a physical examination of the area to check for recent injuries
• carrying out an internal vaginal exam to check for muscle abnormalities, swelling, and irritation
• taking a comprehensive medical history, during which they are likely to ask about risk factors for specific vaginal health issues

People with vulvodynia do not typically have detectable symptoms of a physical disorder. Therefore, the doctor will need to rule out other causes of vaginal pain to arrive at this diagnosis.

The cause of the pain will determine the treatment options.

Antibiotics can treat gonorrhea, BV, chlamydia, and some other bacterial infections. Physical injuries, such as deep or infected wounds, may also require antibiotics.

As yeast is a fungus rather than a bacterium, antibiotics will not treat a yeast infection, and they may make it worse. Instead, the doctor may recommend an over-the-counter treatment or prescribe oral antifungal medication.

Bartholin’s cysts typically go away on their own, although warm compresses can speed this process. If a cyst grows very large, a doctor may surgically drain it. If a cyst becomes infected, it may require antibiotics.

Physical therapy may help with pelvic floor injuries, and the physical therapist can work with the person to develop a plan for strengthening the pelvic floor at home. Physical therapy may also help with vulvodynia.

Vulvodynia is notoriously difficult to treat. The right treatment varies from person to person, but it often includes a combination of:

• oral and topical pain medications
• nerve stimulation
• drugs called nerve blocks
• pelvic floor exercises
• sex therapy
• avoiding known triggers, where possible

Home remedies cannot treat bacterial vaginal infections, and trying these methods may give an infection time to get worse.

Anyone who suspects that they have a bacterial infection should see a doctor for a diagnosis and treatment.

However, certain home remedies may help with symptoms of other conditions. People may find that applying warm compresses to a Bartholin’s cyst several times a day reduces the time it takes to resolve.

Those with a vaginal tear can often ease the pain using a sitz bath, ice packs, numbing sprays, or a combination of these remedies.

Strategies for preventing some forms of vaginal pain include:

• wearing a condom during sex
• undergoing regular STI testing and asking all partners about their STI status
• changing out of clothes as soon as possible if they become wet or sweaty, as moisture provides an ideal environment for yeast
• asking a doctor or midwife about methods of preventing tears during childbirth, if pregnant

Vaginal pain may be temporary or chronic, and it can range from mild irritation to severe, debilitating pain. The feeling may result from infection, injury, or no identifiable cause.

Anyone with vaginal pain should see a doctor or another healthcare provider for a diagnosis. Most often, vaginal pain goes away once a person finds the right treatment.

The cause of chronic vaginal pain can be difficult to diagnose. Typically, a healthcare provider will only diagnose vulvodynia after ruling out other possible causes of the pain. Although experts know little about the causes of vulvodynia, many treatments are available.

Some people have reported that healthcare providers can be unsympathetic about vaginal pain and unhelpful. If this is the case, it is important to ask for a second opinion from someone who specializes in this type of pain.

Vaginal pain: Causes, symptoms, and treatment

Vaginal pain can be a temporary symptom of infection or injury. However, in some cases, it can be a chronic symptom with no known cause.

Persistent vaginal pain with no clear cause is called vulvodynia. It is a common gynecological condition that affects up to 16% of females in the United States.

Fear or embarrassment may keep a person from seeking professional treatment for vaginal pain. Anecdotal evidence suggests that some doctors can be quick to dismiss this symptom.

However, the right healthcare provider will work diligently to diagnose and treat the problem.

Read on to learn about the symptoms and causes of vaginal pain, as well as the treatment options.

A wide range of conditions can cause vaginal pain, but the following are the most common:

Infection

Yeast infections are among the most common causes of vaginal pain. About 75% of females develop a vaginal yeast infection at some point during their life.

A yeast infection can cause itching, burning, and, sometimes, a cottage cheese-like discharge from the vagina.

These infections do not usually spread through sexual intercourse, and most experts do not recommend treating sexual partners.

Bacterial vaginosis (BV) is also a common infection, particularly among people who are sexually active.

Although BV does not always cause symptoms, some people may experience the following symptoms in the vagina:

• pain
• itching
• burning
• a fishy odor
• discomfort during sex

Many people mistake the symptoms of BV for those of a yeast infection. However, the two have different causes and require different treatments.

Some other infections, especially chlamydia and gonorrhea — both of which are sexually transmitted infections (STIs) — can also cause pain and unusual discharge.

Physical trauma

Physical injury to the vagina or vulva can cause vaginal pain. Relatively minor injuries, such as cuts from shaving, may sometimes be responsible, but one of the most common causes of injury and pain is childbirth.

Giving birth causes vaginal tearing in most people during their first vaginal delivery. The tear usually extends into the perineum, which is the area between the vagina and anus. Doctors refer to this as a perineal tear. It is also possible for the clitoris or labia to tear during childbirth.

A doctor or midwife may need to stitch up serious tears. The stitches that they use will dissolve over time and do not require removal.

Pelvic floor dysfunction or injury

Damage to the muscles of the pelvic floor can cause pain in the vagina, stomach, and back, as well as affecting muscles in other areas.

Some factors that can increase the risk of pelvic floor problems include:

• age
• pregnancy
• injury from childbirth
• episiotomy, which is a surgical incision to enlarge the vaginal opening into the perineum during labor

Some people with pelvic floor dysfunction also experience incontinence, especially when sneezing or jumping. A person may also experience fecal incontinence, pain when passing stool, or both symptoms.

Vulvodynia

Vulvodynia is a type of chronic pain in the vulva, vagina, or both. The pain varies from person to person, but many report a burning pain that is fairly continuous, though sexual intercourse can trigger or worsen it.

Doctors do not fully understand vulvodynia and why it occurs. The diagnostic process can be lengthy because it involves excluding other causes of vaginal pain.

Anyone who suspects that they have vulvodynia should see a doctor, as various treatments are available.

Bartholin’s cyst

The Bartholin’s glands sit on either side of the entrance to the vagina and help lubricate it.

A blockage in one of these glands can give rise to a cyst, which may feel like a hard lump or look like a pimple. The cyst can cause pain, usually on one side of the vagina.

Bartholin’s cysts may get larger over several days before disappearing or rupturing. Sometimes, they become infected, causing intense pain.

Vaginal pain can have many different characteristics. Describing the pain in detail can help a healthcare provider correctly diagnose the problem.

Below are the most common types of vaginal pain:

Burning

Vaginal yeast infections, BV, and other types of infection often cause a burning sensation, especially during or after intercourse.

Vulvodynia also often causes burning pain, though this typically occurs alongside other symptoms.

Itching

Itchiness is a classic sign of an infection, such as a yeast infection, BV, or an STI.

Less frequently, a pelvic floor injury causes nerve dysfunction that feels like itchiness or another unusual sensation.

Some people experience vaginal itchiness specifically during intercourse. Some possible causes of this include:

• vulvodynia
• the rupture of a Bartholin’s cyst
• healing following a physical injury

Tension or muscle spasms

Tightness, soreness, and muscle spasms in the vagina may indicate pelvic floor dysfunction. Some people also experience pain with different characteristics or in other areas — for example, they may have lower back pain or hip discomfort.

Vulvodynia can cause the vaginal muscles to tense before or during intercourse. Some people report that their muscles tense so forcefully that they are unable to have intercourse.

Tenderness or sensitivity

If the skin around the vagina and vulva feels painful, tender, or sensitive, this may be a symptom of a Bartholin’s cyst.

The area may also be discolored, and there may be a hard lump or visible swelling. If an infection develops, the pain may become intense.

Trauma to the vagina or vulva can also cause tenderness and sensitivity. Many people report soreness after giving birth, especially following a perineal tear.

Pain during intercourse

Intercourse can make any type of vaginal pain worse because friction causes irritation.

However, if a person only experiences vaginal pain during intercourse, vulvodynia may be the cause.

If a fishy odor follows painful intercourse, this could indicate BV.

A doctor can usually diagnose a vaginal yeast infection based on a person’s symptoms alone, though they may need to test a sample of discharge. This test will help the doctor rule out bacterial infections and STIs, such as gonorrhea and chlamydia.

The diagnostic process may also involve the doctor:

• performing a physical examination of the area to check for recent injuries
• carrying out an internal vaginal exam to check for muscle abnormalities, swelling, and irritation
• taking a comprehensive medical history, during which they are likely to ask about risk factors for specific vaginal health issues

People with vulvodynia do not typically have detectable symptoms of a physical disorder. Therefore, the doctor will need to rule out other causes of vaginal pain to arrive at this diagnosis.

The cause of the pain will determine the treatment options.

Antibiotics can treat gonorrhea, BV, chlamydia, and some other bacterial infections. Physical injuries, such as deep or infected wounds, may also require antibiotics.

As yeast is a fungus rather than a bacterium, antibiotics will not treat a yeast infection, and they may make it worse. Instead, the doctor may recommend an over-the-counter treatment or prescribe oral antifungal medication.

Bartholin’s cysts typically go away on their own, although warm compresses can speed this process. If a cyst grows very large, a doctor may surgically drain it. If a cyst becomes infected, it may require antibiotics.

Physical therapy may help with pelvic floor injuries, and the physical therapist can work with the person to develop a plan for strengthening the pelvic floor at home. Physical therapy may also help with vulvodynia.

Vulvodynia is notoriously difficult to treat. The right treatment varies from person to person, but it often includes a combination of:

• oral and topical pain medications
• nerve stimulation
• drugs called nerve blocks
• pelvic floor exercises
• sex therapy
• avoiding known triggers, where possible

Home remedies cannot treat bacterial vaginal infections, and trying these methods may give an infection time to get worse.

Anyone who suspects that they have a bacterial infection should see a doctor for a diagnosis and treatment.

However, certain home remedies may help with symptoms of other conditions. People may find that applying warm compresses to a Bartholin’s cyst several times a day reduces the time it takes to resolve.

Those with a vaginal tear can often ease the pain using a sitz bath, ice packs, numbing sprays, or a combination of these remedies.

Strategies for preventing some forms of vaginal pain include:

• wearing a condom during sex
• undergoing regular STI testing and asking all partners about their STI status
• changing out of clothes as soon as possible if they become wet or sweaty, as moisture provides an ideal environment for yeast
• asking a doctor or midwife about methods of preventing tears during childbirth, if pregnant

Vaginal pain may be temporary or chronic, and it can range from mild irritation to severe, debilitating pain. The feeling may result from infection, injury, or no identifiable cause.

Anyone with vaginal pain should see a doctor or another healthcare provider for a diagnosis. Most often, vaginal pain goes away once a person finds the right treatment.

The cause of chronic vaginal pain can be difficult to diagnose. Typically, a healthcare provider will only diagnose vulvodynia after ruling out other possible causes of the pain. Although experts know little about the causes of vulvodynia, many treatments are available.

Some people have reported that healthcare providers can be unsympathetic about vaginal pain and unhelpful. If this is the case, it is important to ask for a second opinion from someone who specializes in this type of pain.

Pain during sexual intercourse - the causes of occurrence, in what diseases it occurs, diagnosis and methods of treatment

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• INVITRO
• Library
• Symptoms
• Pain during intercourse

Vaginismus

Papillomatosis

Cystitis

Endometriosis

Prostatitis

10693 03 June nine0003

IMPORTANT!

The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes. nine0003

Pain during intercourse: causes, diseases in which it develops, methods of diagnosis and treatment.

Definition

Pain and discomfort during intercourse (dyspareunia) refers to extremely unpleasant and painful sensations that occur in the genitals during coition. The reaction to this pain is so pronounced that it makes a person refuse sexual intercourse. Fear of pain causes muscle spasm, which does not allow you to enjoy intimacy, is accompanied by impaired blood circulation in the pelvic organs and dystrophic changes in tissues. nine0003

The vicious circle of psychogenic and organic changes largely determines the ineffectiveness of treatment when using only drug therapy.

Types of pain during intercourse

Pain during intercourse can vary in intensity and character. Depending on the nature of the disease, moderate diffuse (diffuse) pain or a feeling of heaviness in the lower abdomen, a feeling of spasm, burning, itching may prevail. Rarely, widespread severe pain in the uterus or lower abdomen can be observed. nine0003

Pain is differentiated by localization (at the entrance to the vagina or deep pain in the uterus), time of occurrence (at the beginning of coition, during the active phase or after intercourse), situational (only with a certain partner or only in a certain position).

Regardless of the localization and nature of the pain, it is always accompanied by negative emotions, forcing fear and hostility towards sexual intercourse.

Possible causes of pain during intercourse

The international classification of diseases distinguishes two causes of pain syndrome - organic (associated with diseases of the genitourinary tract) and psychosomatic (the primary link is associated with a psychological disorder).

Organic dyspareunia in women

In women, the pain may be caused by vaginismus, or spasmodic contraction of the muscles in the vagina when the penis enters. The cause of vaginismus most often lies in a negative attitude towards sex, caused by previous stress, pain or rape. nine0003

Less commonly, dyspareunia occurs after trauma to the genital organs, childbirth, or pelvic surgery. According to statistics, more than a quarter of women experience pain after a caesarean section, as well as many nursing mothers.

Pain followed by contraction of the vaginal muscles can be caused by insufficient amount of lubricant (lubricant) in the absence of arousal at the beginning of sexual intercourse, as well as due to atrophy of the vaginal mucosa due to a decrease in estrogen (female sex hormone) levels in women during menopause. nine0003

A decrease in estrogen levels and dryness of the vaginal mucosa can be the result of chemotherapy and radiological therapy.

Inflammation of the mucous membrane of the vulva is associated with atrophic tissue changes due to impaired carbohydrate metabolism and estrogen deficiency. Diabetic vulvitis is characterized by the standard signs of inflammation - redness, swelling and pain during sexual intercourse.

Vulvodynia (vulvar vestibulitis) is also a common cause of dyspareunia, where pain occurs when the penis enters the vagina. This condition is explained by a multiple increase in the transmission of impulses from the receptors of the vagina to the brain. With such sensitivity, even a slight irritation is perceived by a woman as a strong and unbearable pain. Sometimes such pain can be provoked by vulvovaginal candidiasis and papillomatosis. nine0003

Painful intercourse is observed when there are pathological processes in the urethra and bladder. So, interstitial cystitis (painful bladder syndrome) in almost half of the cases is accompanied by dyspareunia, which makes women see a doctor. Pain in this case occurs not only during intercourse, but also when the bladder is full, and its peak occurs at the time of the urge to urinate.

Pelvic pain, one of the manifestations of which is dyspareunia, is characterized by constant or cyclic painful, pulling sensations in the sacrum, lower back or lower abdomen. This condition may be due to both a gynecological disease and may not have an obvious organic basis. Most often, dyspareunia in the composition of pelvic pain occurs in patients with endometriosis, while they also complain of pelvic pain, dysmenorrhea (severe cyclic pain in the lower abdomen) and heavy menstruation. nine0003

Pelvic pain and dyspareunia sometimes occur with the pathological position of the uterus (uterus bend, retroversion of the uterus), weakening the tone of the pelvic floor.

Congestive and inflammatory changes in the pelvic organs lead to adhesive processes, which aggravates the pain syndrome.

Organic dyspareunia in men

In men, the most common causes of pain during intercourse are inflammatory diseases of the prostate and urethra. nine0003

The pain usually occurs at the time of ejaculation. If the pain syndrome accompanies the moment of erection, it can be caused by inflammation or loss of elasticity of the foreskin.

Dyspareunia is often a symptom of urinary tract infections such as urogenital chlamydia. At the same time, there may be discharge from the urethra, painful urination, and symptoms of epididymitis (inflammatory disease of the epididymis) or prostatitis (inflammatory disease of the prostate gland). nine0003

Fibrous plaques in the albuginea and cavernous tissue of the penis in Peyronie's disease cause deformation of the penis during erection, which is accompanied by painful sensations during intercourse.

Psychosomatic dyspareunia

In addition to the organic nature, dyspareunia also has psychogenic causes: improper sexual education, psycho-emotional trauma, delayed psychosexual development, unfavorable beginning of sexual life. Often, patients have a history of gynecological and urological diseases that are characterized by a long course. Psychosomatic dyspareunia can also be accompanied by pathology of the genital organs, but their severity is low and most often represented by only minor changes. nine0003

Which doctors to contact for pain during intercourse

Dyspareunia combines a complex of problems, the solution of which can be provided by the joint work of doctors.

Typically, a woman who experiences pain during intercourse goes to a gynecologist, however, treatment without taking into account psychosomatic disorders may be ineffective, therefore it is recommended to include a sex therapist in therapy.

A man who experiences pain during intercourse should contact urologist. nine0003

Diagnosis and examination of pain during sexual intercourse

Diagnosis of the disease that caused dyspareunia is difficult and usually includes several stages.

First of all, a thorough medical history is needed, which allows you to identify not only the nature and location of pain, but also the time of its onset (from the very beginning of sexual activity, after childbirth or surgery, with the onset of menopause, etc. ). It is very important to assess psychosocial factors - stress during the first sexual intercourse, cases of unwanted sex, violence, dissatisfaction with family life, lack of libido. nine0003

After taking a history of women, an examination of the external genitalia is performed, which allows visualization of areas of redness, signs of candidiasis or vaginosis. The doctor also conducts a digital or bimanual (two-handed) examination, in particular, this is necessary to detect vaginismus and vulvodynia. If discharge is present, a Pap smear, wet-slide microscopy, and culture are required.

Culture of genital secretions for microflora, determination of sensitivity to antimicrobials and bacteriophages

Bacteriological examination of biomaterial for the purpose of isolating and identifying opportunistic pathogens - pathogens of nonspecific infectious...

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RUB 1,565

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If endometriosis is suspected, your doctor may order a colposcopy, ultrasound, magnetic resonance imaging, or computed tomography. nine0003

Colposcopy

Examination to assess the condition of the mucous membrane of the vagina and cervix and diagnose pathological changes, including neoplasms in the early stages...

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US examination of pelvic organs (uterus, adnexa)

Ultrasound scanning of the organs of the female reproductive system to assess the shape and size, as well as exclude pathology. nine0003

RUB 2,390 Sign up

MRI of the pelvis and external genitalia

RUB 8,740 Sign up

The diagnosis of "interstitial cystitis" is made sequentially after the exclusion of pathology from the bladder. Clinical and biochemical blood tests are required, as well as a blood test for antibodies to the herpes simplex virus, cytomegalovirus. nine0003

Clinical blood test: general analysis, leukoformula, ESR (with microscopy of a blood smear in the presence of pathological changes)

Synonyms: Complete blood count, UAC. Full blood count, FBC, Complete blood count (CBC) with differential white blood cell count (CBC with diff), Hemogram. Brief description of the study Clinical blood test: general...

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Creatinine (in the blood) (Creatinine)

Synonyms: Blood test for creatinine; Serum creatinine; Serum creatinine, GFR estimate. Creat; Cre; Blood Creatinine; Serum Creatinine; Serum Creat. Brief description of the definition ...

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Avidity of IgG antibodies to herpes simplex virus types 1 and 2

Herpes simplex virus (HSV) infection is part of a group of reproductively significant infections referred to as the TORCH complex Up to 5 working days

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Avidity of IgG antibodies to cytomegalovirus (anti-Cytomegalovirus avidity, anti-CMV-IgG avidity)

Cytomegalovirus infection is included in the group of reproductively significant infections, referred to as the TORCH complex (the name is formed by initial letters in Latin . ..

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In addition, microscopic and bacteriological examination of urine, smears from the urethra and cervical canal, ultrasound examination of the kidney and bladder, as well as excretory urography, CT of the urinary tract and cystoscopy of the walls of the bladder are carried out. nine0003

General urinalysis (Urine analysis with sediment microscopy)

Method of determination Determination of physical and chemical parameters is carried out on an automatic analyzer using the "dry chemistry" method. Hardware microscope...

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Urine Culture, Routine, quantitative. Aerobic Bacteria Identification. Antibiotic Susceptibility, enlarged testing

Synonyms: Urine Culture, Routine, quantitative. Aerobic Bacteria Identification. Antibiotic Susceptibility Enlarged Testing. Brief description of the study "Urine culture for microflora and determination of sensitive ...

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Gram Stain. Bacterioscopic examination of different smears

Synonyms: Gram-stained smear analysis. Microscopic (bacterioscopic) examination of Gram-stained smear. Brief description of the study Microscopic examination of a smear, stained ...

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Comprehensive ultrasound examination of the urinary system (kidneys, ureters, bladder)

Comprehensive ultrasound scan of the urinary system, which allows to detect pathology at an early stage of development. nine0003

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Ultrasound of the bladder, determination of the volume of residual urine

Examination of the bladder to assess its structure and functional features.

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CT urinary tract

Method for assessing the state of the urinary system using computed tomography.

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For men with complaints of pain during intercourse, the doctor prescribes a study to determine the DNA of Chlamydia trachomatis in prostate secretion, ejaculate by polymerase chain reaction (PCR) with real-time detection in order to exclude urogenital chlamydia. nine0003

Chlamydia, DNA determination (Chlamydia trachomatis, DNA) in prostate secretion, ejaculate

Determination of Chlamydia trachomatis DNA in prostate secretion, ejaculate by polymerase chain reaction (PCR) with real-time detection. Chlamydia (...

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Diagnosis of prostatitis is carried out by examining the middle portion of urine in order to detect an increased content of leukocytes and pathogenic microorganisms. In addition, the level of prostate-specific antigen in the blood serum increases in a patient with prostatitis.

General urinalysis (Urine analysis with sediment microscopy)

Method of determination Determination of physical and chemical parameters is carried out on an automatic analyzer using the "dry chemistry" method. Hardware microscope...

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PSA total (Prostate-specific antigen total, PSA total)

Total PSA is a protein specific to prostate tissue used as a tumor marker. Physiological excretory product of the prostate ...

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Treatment of conditions characterized by pain during intercourse

Organic dyspareunia requires treatment of the underlying gynecological or urological disease. If it is carried out correctly and in a timely manner, then the pain during intercourse disappears as it heals. However, organic pathologies often exist in parallel with psychological disorders - in these cases, as in psychosomatic dyspareunia, the psychotherapeutic help of a sex therapist is needed. nine0003

An indication for sexological correction is the fear of sexual intercourse even after the elimination of the main organic cause of pain, decreased libido, and lack of orgasm.

What to do about pain during intercourse

Patients with dyspareunia are advised by doctors not to accumulate "pain" experience, which ultimately leads to irreversible organic and psychological changes.

Sources:

1. Yarotskaya E.L. Pelvic pain in gynecology: modern approaches to the examination, treatment and rehabilitation of patients // Obstetrics and gynecology: Clinical recommendations. - No. 2, 2016. - 2. - P. 82–94.
2. Clinical guidelines "Cystitis in women". Developed by: Russian Society of Urology. – 2021.

IMPORTANT!

The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes. nine0003

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