Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

Pain on SI

Answer

1) What other history you would like to ask?

- Is sexual desire normal or lack( whether disorder caused by frigidity; lack of sexual desire)

- Any history of heavy menses (to exlude dyspareunia due to endometriosis)

- Last sexual intercourse and multiple partner (to see any possibility of pelvic inflammatory disorder which can cause dyspareunia due to pelvic adhesion)

- Any substance abuse?

- Marked distress or interpersonal difficulty.

- Sexual trauma like sex abuse, rape (psychosexual conflict may preceive penis as weapon).

- Strict religious upbringing that associate pain with sins.




Reference: page 214, Kaplan&Sadock’s Pocket Handbook of Clinical Psychiatry 4th edition, Benjamin.J saddock M.D, Virginia, A. saddock, M.D, Lippincott Williams&Wilkins,

Diagnostic criteria from DSM-IV-TR; published by American Psychiatric association Washington DC.



Notes: Vaginismus should be differentiated from dyspareunia which is recurrent or persistent genital pain associated with sexual intercourse in either male or female. It is usually a deep pelvic pain which is associated with pelvic pathology; endometriosis, pelvic adhesion, ovarian neoplasm


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But those who have faith and work righteousness, they are companions of the Garden: Therein shall they abide (For ever). [Q2:82]



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