Physical introitus – hymen, congenital anomaly, infection, episiotomy repair, neoplastic, atrophy / dystrophy vaginitis cervicitis endometriosis pelvic inflammatory disease uterine retroversion with prolapse, paracervical varices urethritis / cystitis urethral caruncle / diverticulum Psycho-physiological (more common) vaginismus – psychological or secondary to pain inadequate lubrication inadequate vaginal elevation Pruritus vulvae dermatoses dystrophies infection premalignant / malignant … Continue reading Dyspareunia – aetiology