(O-32) PRIMARY DEPTH DYSPAREUNIA IS CAUSED BY THE INCOMPATIBILITY OF THE SIZE OF THE PENIS WITH THE VAGINA

Abstract

Abstract Introduction/Objective Dyspareunia, to this day, is not yet fully understood. It is known that the size of the distended vagina is variable, as well as the size of the penis. A vagina distended by a larger penis, suffers trauma and pain. The work aims to measure the flexibility of the human vagina, to guide professionals, who treat women with this complaint. Methods Women who signed the informed consent form and underwent vaginal surgeries under anesthesia had their vagina measured in the specular examination according to the POP-Q (total length of the vagina, measurement from the hymen to the deepest portion of the vagina) and also the same measurement with maximum distension of the vagina verified by the resistance to the introduction of a centimetric device. The difference in the measurements obtained determined the flexibility of the vagina in centimeters. Results A total of 120 vaginas were measured. The smallest vagina, measured without distention, was 5 centimeters and with distension of 10 centimeters. The largest, without distension, was 13.5 centimeters and with distension of 16 centimeters. Women with genital prolapse showed greater flexibility, ranging from 0.5 cm to 8 cm. Conclusions 1-The largest measured distention of a vagina was 16 centimeters, which implies that penises larger than 16 centimeters, if penetrated completely, will cause some degree of vaginal trauma. 2-The smallest distended vagina measured 10 centimeters, so any penis that penetrates 10 centimeters into the female vagina will not cause trauma. 3-Women with complaints of pelvic pain associated with depth dyspareunia should be advised about trauma to the vaginal fundus or presence of gynecological pathology, as well as Relative Short Vagina Syndrome. 4-Professionals who serve women and couples need to understand this new concept of depth dyspareunia. However, further well-controlled studies should be conducted to consolidate this new knowledge. Financing No conflict.