A patient shares with the nurse that she has pain during intercourse. For which health problems should the nurse assess this patient?
Select all that apply.
1. perforated hymen
2. vaginal scarring
3. fear of sexual abuse
4. vaginismus
5. climacteric
Correct Answer: 2, 3, 4, 5
Vaginal scarring and vaginismus cause the vaginal muscles at the introitus to contract so tightly that an erect penis cannot be inserted. Estrogen decreases in perimenopause and menopause, resulting in vaginal dryness and painful intercourse. An imperforate hymen and fear of sexual abuse are other causes of painful intercourse.
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