Mangement of dyspareunia secondary to hymenal remnants.

At the Sexual Dysfunction Clinic at Keesler USAF Medical Center, 17 women complaining of dyspareunia with painful hymen and demonstrable vaginismus were managed by surgical removal of hymenal remnants followed by directive sexual therapy and progressive vaginal dilatation. All patients were pain free within 8 weeks of the surgical procedures. It is believed that a combined approach is best to break the cycle of pain, fear, vaginismus, and more pain that these women have established.