Kristene Whitmore1, Judy Fried Siegel2, Susan Kellogg-Spadt3. 1. Graduate Hospital, Philadelphia, PA, USA;. Electronic address: bladder1@aol.com. 2. Family Urology Practice, Hastings-on-Hudson, New York, USA. 3. Pelvic and Sexual Health Institute, Philadelphia, PA, USA.
Abstract
INTRODUCTION: Sexual pain, or dyspareunia, is a common symptom among women. Dyspareunia presents in many ways, and arises from a range of causes. Interstitial cystitis/painful bladder syndrome (IC/PBS) is one potential cause that may frequently be overlooked by clinicians. Interstitial cystitis is increasingly recognized as more common than was once thought. However, it can be difficult to identify, as the symptoms of IC/PBS (urinary urgency and frequency, dyspareunia, nocturia, and pelvic pain) overlap with other urogynecologic conditions. AIM: This article will review the association between dyspareunia and IC/PBS, and will provide an approach to the diagnosis and treatment of IC/PBS in women with sexual pain. METHODS AND MAIN OUTCOME MEASURES: Review of the medical literature and expert medical opinion. RESULTS: Many women with IC/PBS experience dyspareunia, often in conjunction with chronic pelvic pain. When IC/PBS is suspected, there are simple measures to aid in the diagnosis of this condition, and treatments are readily available. CONCLUSIONS: When a woman presents with the symptoms of urinary urgency and frequency, dyspareunia, nocturia, and/or pelvic pain, IC/PBS should be part of the diagnostic evaluation.
INTRODUCTION:Sexual pain, or dyspareunia, is a common symptom among women. Dyspareunia presents in many ways, and arises from a range of causes. Interstitial cystitis/painful bladder syndrome (IC/PBS) is one potential cause that may frequently be overlooked by clinicians. Interstitial cystitis is increasingly recognized as more common than was once thought. However, it can be difficult to identify, as the symptoms of IC/PBS (urinary urgency and frequency, dyspareunia, nocturia, and pelvic pain) overlap with other urogynecologic conditions. AIM: This article will review the association between dyspareunia and IC/PBS, and will provide an approach to the diagnosis and treatment of IC/PBS in women with sexual pain. METHODS AND MAIN OUTCOME MEASURES: Review of the medical literature and expert medical opinion. RESULTS: Many women with IC/PBS experience dyspareunia, often in conjunction with chronic pelvic pain. When IC/PBS is suspected, there are simple measures to aid in the diagnosis of this condition, and treatments are readily available. CONCLUSIONS: When a woman presents with the symptoms of urinary urgency and frequency, dyspareunia, nocturia, and/or pelvic pain, IC/PBS should be part of the diagnostic evaluation.
Authors: Daniele Porru; Fabio Leva; Alberto Parmigiani; Davide Barletta; Dimitrios Choussos; Barbara Gardella; Maria Diletta Daccò; Rossella Elena Nappi; Massimo Allegri; Carmine Tinelli; Carlo Maria Bianchi; Arsenio Spinillo; Bruno Rovereto Journal: Int Urogynecol J Date: 2011-09-09 Impact factor: 2.894