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This symptom signals UTI in 83% of cases
TOPLINE:
Dyspareunia is a major indicator of urinary tract infections, being present in 83% of cases.
METHODOLOGY:
- Dyspareunia is a common symptom of UTIs, especially in premenopausal women, but is rarely inquired about during patient evaluations, according to researchers from Florida Atlantic University.
- In 2010, the researchers found that among 3,000 of their female Latinx patients aged 17-72 years in South Florida, 80% of those with UTIs reported experiencing pain during sexual intercourse.
- Since then, they have studied an additional 2,500 patients from the same population.
TAKEAWAY:
- Among all 5,500 patients, 83% of those who had UTIs experienced dyspareunia.
- Eighty percent of women of reproductive age with dyspareunia had an undiagnosed UTI.
- During the perimenopausal and postmenopausal years, dyspareunia was more often associated with genitourinary syndrome than UTIs.
- Ninety-four percent of women with UTI-associated dyspareunia responded positively to antibiotics.
IN PRACTICE:
“We have found that this symptom is extremely important as part of the symptomatology of UTI [and is] frequently found along with the classical symptoms,” the researchers reported. “Why has something so clear, so frequently present, never been described? The answer is simple: Physicians and patients do not talk about sex, despite dyspareunia being more a clinical symptom than a sexual one. Medical schools and residency programs in all areas, especially in obstetrics and gynecology, urology, and psychiatry, have been neglecting the education of physicians-in-training in this important aspect of human health. In conclusion, this is [proof] of how medicine has sometimes been influenced by religion, culture, and social norms far away from science.”
SOURCE:
The data were presented at the 2023 meeting of the Menopause Society. The study was led by Alberto Dominguez-Bali, MD, from Florida Atlantic University, Boca Raton, Fla.
LIMITATIONS:
The study authors reported no limitations.
DISCLOSURES:
The authors reported no relevant financial relationships.
A version of this article first appeared on Medscape.com.
TOPLINE:
Dyspareunia is a major indicator of urinary tract infections, being present in 83% of cases.
METHODOLOGY:
- Dyspareunia is a common symptom of UTIs, especially in premenopausal women, but is rarely inquired about during patient evaluations, according to researchers from Florida Atlantic University.
- In 2010, the researchers found that among 3,000 of their female Latinx patients aged 17-72 years in South Florida, 80% of those with UTIs reported experiencing pain during sexual intercourse.
- Since then, they have studied an additional 2,500 patients from the same population.
TAKEAWAY:
- Among all 5,500 patients, 83% of those who had UTIs experienced dyspareunia.
- Eighty percent of women of reproductive age with dyspareunia had an undiagnosed UTI.
- During the perimenopausal and postmenopausal years, dyspareunia was more often associated with genitourinary syndrome than UTIs.
- Ninety-four percent of women with UTI-associated dyspareunia responded positively to antibiotics.
IN PRACTICE:
“We have found that this symptom is extremely important as part of the symptomatology of UTI [and is] frequently found along with the classical symptoms,” the researchers reported. “Why has something so clear, so frequently present, never been described? The answer is simple: Physicians and patients do not talk about sex, despite dyspareunia being more a clinical symptom than a sexual one. Medical schools and residency programs in all areas, especially in obstetrics and gynecology, urology, and psychiatry, have been neglecting the education of physicians-in-training in this important aspect of human health. In conclusion, this is [proof] of how medicine has sometimes been influenced by religion, culture, and social norms far away from science.”
SOURCE:
The data were presented at the 2023 meeting of the Menopause Society. The study was led by Alberto Dominguez-Bali, MD, from Florida Atlantic University, Boca Raton, Fla.
LIMITATIONS:
The study authors reported no limitations.
DISCLOSURES:
The authors reported no relevant financial relationships.
A version of this article first appeared on Medscape.com.
TOPLINE:
Dyspareunia is a major indicator of urinary tract infections, being present in 83% of cases.
METHODOLOGY:
- Dyspareunia is a common symptom of UTIs, especially in premenopausal women, but is rarely inquired about during patient evaluations, according to researchers from Florida Atlantic University.
- In 2010, the researchers found that among 3,000 of their female Latinx patients aged 17-72 years in South Florida, 80% of those with UTIs reported experiencing pain during sexual intercourse.
- Since then, they have studied an additional 2,500 patients from the same population.
TAKEAWAY:
- Among all 5,500 patients, 83% of those who had UTIs experienced dyspareunia.
- Eighty percent of women of reproductive age with dyspareunia had an undiagnosed UTI.
- During the perimenopausal and postmenopausal years, dyspareunia was more often associated with genitourinary syndrome than UTIs.
- Ninety-four percent of women with UTI-associated dyspareunia responded positively to antibiotics.
IN PRACTICE:
“We have found that this symptom is extremely important as part of the symptomatology of UTI [and is] frequently found along with the classical symptoms,” the researchers reported. “Why has something so clear, so frequently present, never been described? The answer is simple: Physicians and patients do not talk about sex, despite dyspareunia being more a clinical symptom than a sexual one. Medical schools and residency programs in all areas, especially in obstetrics and gynecology, urology, and psychiatry, have been neglecting the education of physicians-in-training in this important aspect of human health. In conclusion, this is [proof] of how medicine has sometimes been influenced by religion, culture, and social norms far away from science.”
SOURCE:
The data were presented at the 2023 meeting of the Menopause Society. The study was led by Alberto Dominguez-Bali, MD, from Florida Atlantic University, Boca Raton, Fla.
LIMITATIONS:
The study authors reported no limitations.
DISCLOSURES:
The authors reported no relevant financial relationships.
A version of this article first appeared on Medscape.com.