Overview
Your healthcare provider can diagnose the underlying cause of pain during sex with a thorough health history and physical examination. The physical exam could include checking your pelvis, abdomen, vagina and uterus.
What tests are done to diagnose dyspareunia?
To locate the source of the pain and diagnose any medical conditions, healthcare providers may perform the following:
- Pelvic exam: Your healthcare provider may also collect a sample of vaginal fluid and pee to test for signs of infection. Sometimes, your provider will perform a rectal exam.
- Ultrasounds: Transvaginal ultrasound can get a better view of your reproductive system.
- Laparoscopy: In rare cases, laparoscopy is used if other tests are inconclusive.
How do I talk to my doctor about painful sex?
Talk openly with your healthcare provider about any pain during sexual intercourse. It’s normal to feel slightly embarrassed about discussing a sensitive topic like sex. But know that your provider has heard it before and is there to help you.
Some questions your healthcare provider may ask you are:
- Where’s the pain occurring?
- How often does the pain occur?
- How long have you been having painful intercourse?
- What does the pain feel like?
- What medications are you taking?
- Have you had any prior surgeries in the area?
- Have you been treated for any conditions that affect your genitals?
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