Dyspareunia Treated By Bilateral Pudendal Nerve Block

Dyspareunia, genital pain with intercourse, is a highly prevalent problem amongst female patients and a common cause of sexual dysfunction [1]. Dyspareunia is commonly classified as superficial or deep depending on the location of the pain. Superficial dyspareunia results from pain at the vaginal introitus upon penile penetration, whereas deep dyspareunia occurs with deep thrusting of the penis. Multiple studies have determined that the majority of women with dyspareunia report superficial pain associated with penile entry [2-4]. The etiology of dyspareunia is often multi-factorial, and therefore consistent characteristics of patients with dyspareunia are lacking [4]. The presentation may vary from localized pain to generalized disinterest in sexual experiences, making dyspareunia one of the more difficult clinical obstacles to treat with good patient outcome [4,5]. In this report, we present a case of superficial dyspareunia managed with bilateral pudendal nerve block.