Current Approaches in Dyspareunia Treatment

Painful sexual intercourse (dyspareunia) is a condition with a very high treatment success rate when accurately diagnosed. The key to successful treatment is determining whether the pain is superficial or deep and directly addressing the root cause. This article outlines the current approaches applied in dyspareunia treatment and the essential treatment stages.

Dyspareunia Treatment Methods

Depending on the source of the pain, the following modern treatment methods are utilized in medical practice:

• Hormonal and Moisturizing Treatments: Local estrogen creams and vaginal moisturizers containing hyaluronic acid to prevent vaginal dryness and menopausal atrophy.
• Pelvic Floor Botox: Botox injection to relax muscles in patients who develop involuntary pelvic muscle spasms due to pain.
• Microsurgical Vestibulectomy: Surgical removal of hypersensitive tissue via microsurgery in patients with vulvar vestibulitis syndrome.
• Hymenoplasty and Septum Resection: Surgical correction of anatomical obstacles in cases where the hymen is thick or vaginal septa are present.

Importance of Multidisciplinary Follow-Up

In addition to physical therapies, sexual therapy support is provided to couples to overcome psychological hesitations caused by chronic pain, thereby comprehensively improving sexual well-being.