Dyspareunia in women. Breaking the silence is the first step toward treatment.

Dyspareunia is a heterogeneous disorder that has a number of potentially overlapping causes. It can be a source of great conflict and anxiety for many women. The primary care physician who takes the time to obtain a complete and careful sexual history and perform a comprehensive physical examination can help the majority of these patients. When dysfunction is complicated or refractory to treatment, gynecologic and psychosocial consultation may be necessary.