<unk>  is painful sexual intercourse due to medical or psychological causes. The term is used almost exclusively in women, although the problem can also occur in men. Even when long-standing, the causes are often reversible, but self-perpetuating pain is a factor after the original cause has been removed.<unk>  is considered to be primarily a physical, rather than an emotional problem until proven otherwise. In most instances of<unk> , there is an original physical cause. Extreme forms, in which the woman's pelvic floor musculature contracts involuntarily, is termed vaginismus.Based on Diagnosis Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013),dyspareunia and vaginismus were typically classified as distinct sexual pain disorders. This new classification unifies vaginismus and<unk>  into one category called "genito-pelvic pain/penetration disorder" due to the clinical difficulties in distinguishing these conditions. GPPPD is an umbrella term for two sexual pain disorders:dyspareunia and vaginismus, because in practice, it is difficult to differentiate these two from each other. Sometimes the pain may cause pelvic muscle spasms or involuntary pelvic muscle spasms in vaginismus to cause pain. However, possible medical causes of<unk>  should be ruled out or treated before considering a diagnosis of genito-pelvic pain/penetration disorder(GPPPD). If a medical cause is successfully treated, and pain has not been resolved yet, a diagnosis of vulvodynia or genito-pelvic/penetration disorder is appropriate to be considered.
Dyspareunia
Delayed ejaculation
Hyperesthesia
Logorrhoea
Penis pain
Dysmenorrhea
Premature ejaculation
Andropause