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Male Sexual Dysfunction

Male Dyspareunia

Male dyspareunia is recurrent or persistent pain in the genital area during or immediately after sexual intercourse. It can involve the penis, testicles, scrotum, or deep pelvic pain.

75%
Success Rate
Varies by cause; 4-12 weeks with treatment
Duration
Multiple
Treatment Options
3+ Groups
May Affect

What is Male Dyspareunia?

Male dyspareunia is recurrent or persistent pain in the genital area during or immediately after sexual intercourse. It can involve the penis, testicles, scrotum, or deep pelvic pain.

Prevalence: Affects 1-5% of men; underreported condition

Symptoms and Signs

  • Pain during penetration or thrusting
  • Burning or sharp pain at the penile tip
  • Deep pelvic or abdominal pain during intercourse
  • Pain after ejaculation
  • Testicular or scrotal pain during sex
  • Avoidance of sexual activity due to pain

Causes and Risk Factors

Common Causes

  • Phimosis or tight frenulum
  • Peyronie's disease with curvature
  • Prostatitis or seminal vesicle inflammation
  • Pelvic floor muscle dysfunction
  • Urethral stricture
  • Testicular or epididymal inflammation
  • Pelvic surgery sequelae

Risk Factors

  • ⚠️Prostatitis history
  • ⚠️Pelvic surgery
  • ⚠️Peyronie's disease
  • ⚠️Phimosis
  • ⚠️Pelvic floor dysfunction

Treatment Options

Expected Outcomes: Good prognosis once underlying cause is identified and treated appropriately

Available Treatments:

  • Treatment of underlying cause (structural, inflammatory)
  • Pelvic floor physical therapy
  • Lubrication optimization
  • Topical anesthetic creams
  • Anti-inflammatory medications
  • Sex therapy and counseling
  • Surgical correction of structural issues

Prevention Tips

  • Treat underlying urologic conditions
  • Use adequate lubrication
  • Pelvic floor relaxation exercises
  • Communicate with partner about discomfort

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