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What are symptoms of endometriosis: dyspareunia WHAT ARE SYMPTOMS OF ENDOMETRIOSIS: DYSPAREUNIA
Dyspareunia means painful sexual intercourse. It is another common, but often unacknowledged, symptom of endometriosis. In the survey conducted by the Endometriosis Association nearly half (48%) of the women with endometriosis had experienced dyspareunia.
Dyspareunia often causes much heartache for women with endometriosis and it can have devastating effects on their self-esteem and their sexual relationships.
Dyspareunia due to endometriosis may be felt during or after intercourse and may be so severe as to make intercourse impossible. The pain maybe described as sharp, stabbing, jabbing, or a deep aching. Intercourse may always cause pain or only when intercourse occurs at certain times of the month — for example, during menstruation or at ovulation. The pain may be felt only during deep penetration but it may also be felt during any form of intercourse, particularly if the uterus is rigidly fixed by adhesions in a retroverted position.
Dyspareunia is usually associated with endometriosis in the Pouch of Douglas, the
utero-sacral ligaments and the rectovaginal septum. It may also be associated with cysts or implants on the ovaries, vagina or cervix.
If the endometriosis is located in the Pouch of Douglas, the utero-sacral ligaments or the recto-vaginal septum the pain may be due to stretching or jarring of the endometriosis on those tissues.
If cysts are located on the ovary the pain may be due to compression of those cysts, particularly if the ovary is rigidly held in position by adhesions. In addition, penetration may cause some implants to bleed slightly and this may cause pain for some time after intercourse.
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What are symptoms of endometriosis: bowel symptoms, bladder symptoms, infertility