Urogenital pain affects at least 25% of reproductive age women. This includes interstitial cystitis, endometriosis, vulvodynia, and then also dyspareunia–a term for painful intercourse, which is really common not just in postmenopausal women, but in premenopausal women. As a physiatrist, I am looking at rehabilitation strategies. For these women, we focus a lot on pelvic floor muscle treatment, and we have good evidence now that supports it in all these different conditions. So it almost doesn’t matter what the diagnosis is, the treatment will be quite similar for all these different subtypes.
