SUPERFICIAL DYSPAREUNIA

Various organic lesions can give rise to superficial dyspareunia. Easi ly surgically treated, they must be recognised: 1) minor hymenal abnor malities: cribriform, microperforate, septate, fleshy or hyperelastic hymens; 2) vaginal abnormalities: longitudinal or transverse septum; 3 ) post obstetrical or post operative vulvar outlet stenosis; 4) sexual trauma: tears of the vestibular fossa or hymenal tears;5) stenosing l ichen sclerosus, lichen planus, bowenoid papulosis and Bowen's disease ; 6) focal vestibulitis associated with more or less obvious psycholog ical outcomes.