030 Anatomic Sites and Risk Factors for Deep Dyspareunia

Deep dyspareunia negatively impacts women’s sexual function, relationships, and quality-of-life. However, compared to superficial dyspareunia, there is relatively less known about the pathophysiology of deep dyspareunia. Our objective was to identify anatomic sites and underlying risk factors for deep dyspareunia in women with endometriosis and/or pelvic pain. This study involved the analysis of cross-sectional baseline data from a prospective cohort of 548 women (87% consent rate), recruited between Dec 2013 and Apr 2015. The setting was a tertiary referral center for endometriosis and/or pelvic pain. Exclusion criteria included menopausal status and age > 50. Primary outcome was severity of deep dyspareunia on a 0-10 numeric rating scale. We performed a standardized endovaginal ultrasound-assisted pelvic exam to palpate anatomic structures for tenderness and reproduce deep dyspareunia. Underlying risk factors for each tender anatomic site were identified from standardized questionnaires and medical records. Multivariable regression was used to determine which tender anatomic structures were independently associated with deep dyspareunia severity, and to identify risk factors.