sexual dysfunction sexual pain disorder 302.76 (Dyspareunia) 306.51 (Vaginismus) (Both not due to a general medical condition) F52.6 (Dyspareunia) F52.5 (Vaginismus) (Both not due to a general medical condition) In the sexual pain disorders there are two condition how it can be manifested: Dyspareunia.- is a recurrent or persistent pain in the genitals before, during, or after sexual intercourse. The physical examination for individuals with this disorder typically does not demonstrate genital abnormalities. The repeated experience of genital pain during coitus may result in the avoidance of sexual experience, disrupting existing sexual relationships or limiting the development of new sexual relationship. Vaginismus.- the essential feature of this disorder is the recurrent or persistent involuntary contraction of the perineal muscles surrounding the outer third of the vagina when vaginal penetration with penis, finger, tampon, or speculum is attempted. In some females, even the anticipation of vaginal insertion may result in muscle spam. Once the disorder is established, the course is usually chronic unless ameliorated by treatment. Acquired Vaginismus also may occur suddenly in response to a sexual trauma or a general medical condition. trastornos sexuales por dolor