You have accessJournal of UrologySexual Function/Dysfunction: Female (PD36)1 Apr 2020PD36-05 PREVALENCE AND CHARACTERIZATION OF DYSPAREUNIA IN A GENERAL UROLOGY CLINIC POPULATION Jacqueline Zillioux, Clinton Yeaman*, Kimberly Boatman, Sarah Krzastek, and David Rapp Jacqueline ZilliouxJacqueline Zillioux More articles by this author , Clinton Yeaman*Clinton Yeaman* More articles by this author , Kimberly BoatmanKimberly Boatman More articles by this author , Sarah KrzastekSarah Krzastek More articles by this author , and David RappDavid Rapp More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000907.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Dyspareunia affects an estimated 8-22% of US women. However, a paucity of investigation exists to better understand the specific location and quality of sexual pain. We aimed to assess the specific character of dyspareunia in a general urology population presenting for evaluation of unrelated non-painful complaints. METHODS: This is an IRB-approved prospective, survey-based study of female patients presenting to a general urology clinic over a 10-month period (7/2018-5/2019). Participants were recruited and screened by a study coordinator in clinic registration, excluding those presenting specifically for a painful complaint or condition (flank pain, interstitial cystitis). Patients were given a 32-item survey with questions pertaining to sexual activity and dyspareunia, with focus on pain location, quality, frequency, and severity. Detailed anatomic figures were included to aid patients with pain localization. Analysis was performed with R programming language (3.6.1). RESULTS: A total of 181 women completed the survey, with a mean age of 56 years. Overall, fifty-three (29%) women reported dyspareunia. However, among currently sexually active women the prevalence of dyspareunia was 46% (38/83). A majority (53%) of patients indicated moderate to severe dissatisfaction with their sexual activity. Despite this finding, a significant proportion (33%) of patients with dyspareunia reported having at least weekly sexual activity. Further, the majority (60%) reported onset of pain prior to age 50. Patients reported a significant variety of pain locations and qualities (Tables 1A and 1B). Whereas women more commonly reported multiple pain locations (median 2 (IQR 1,4)), the majority (70%) endorsed only one pain quality. A significant proportion (34%) reported high or very high pain severity, with 45% having pain most or all times of sexual activity. CONCLUSIONS: A significant percentage of women presenting to a general urology clinic experience dyspareunia. Notably, patient-reported pain characteristics, including location and quality, varied significantly across women assessed. Further study is needed to understand how these characteristics may relate to different and specific etiologies of sexual pain and directed treatment options. Source of Funding: N/A © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e724-e725 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jacqueline Zillioux More articles by this author Clinton Yeaman* More articles by this author Kimberly Boatman More articles by this author Sarah Krzastek More articles by this author David Rapp More articles by this author Expand All Advertisement PDF downloadLoading ...