Sunday, January 15, 2006


Dyspareunia is a physically painful sexual experience. In the elderly man, dyspareunia involves painful erection, painful intromission, and painful ejaculation. In the elderly woman, dyspareunia involves uterine cramping or vaginal irritation. Male dyspareunia is usually caused by prostatic pain secondary to infection, benign prostatic hypertrophy, or carcinoma. Female dyspareunia can be attributed to decreased sexual opportunity, decreased hormone production, urinary tract infections, and extended periods of intercourse due to delayed ejaculation. Dyspareunia can often be the first symptom of an infection or an inflammatory condition.
Treatment for male dyspareunia usually involves administering testosterone replacement therapy. Treatment for female dyspareunia includes systemic or topical hormone replacement combined with increased fluid intake, better hygiene, and taking urinary antiseptics (such as Septra) to help control urologic infections. Applying a lubricant (such as K-Y gel) to the penis before intercourse may also be beneficial.
Rossman, I. Clinical Geriatrics, 3rd ed. Philadelphia: J. B. Lippincott Co., 1986.
Steinberg, F. U. Care of the Geriatric Patient, 6th ed. St. Louis: C. V. Mosby Co., 1983.


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