The Genito Urinary Syndrome of Menopause Presents Sexual Symptoms that can be Best Explained by the Relative Short Vagina Syndrome

The authors comment Genito Urinary Syndrome of Menopausal (GUSM) calling attention to the topic of sexual dysfunction that can be associated with the syndrome, but the specific point: deep dyspareunia (DD) is better accounted for by another syndrome, which also affects women who are not menopausal and which have in common the vagina that is short relative to the penis that penetrates it and therefore has a deep dyspareunia, which causes Relative Short Vagina Syndrome (RSVS). One of the causes of the short vagina is the hypoestrogenism that some women have, for various reasons, but in the premenopausal and menopausal women is, mainly, the decrease in hormones steroids by ovarian failure. There is a medical condition called deep dyspareunia (DD) that affects some climacteric and menopausal women with or without GSM, as well as women of any age. The DD does not occur, exclusively, during menopause, but is a source of discomfort at any age and is better explained by another diagnosis, the RSVS that presents chronic pelvic pain (CPP). The repeated deep dyspareunia leads to pelvic pain due two situations: 1- by primary dyspareunia - during intercourse, a bigger penis than the vagina can lead to injury of the vaginal tissue, 2- by secondary dyspareunia - there is an organic cause, as endometriosis or other, and just a penis touch this tissue, the patient fill pain. The goal is to show that many causes of chronic pelvic pain treated as a psychological cause, is concerned the RSVS. The ultimate aim is to improve the quality of sexual life of women.