A patient shares with a nurse that she has pain during intercourse. The nurse asks questions to determine if the patient has which problems? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Perforated hymen
2. Vaginal scarring
3. Fear of sexual abuse
4. Vaginismus
5. Perimenopause
2,3,4,5
Rationale 1: A physical condition that may result in pain during intercourse is an imperforate hymen.
Rationale 2: Vaginal scarring can cause the vaginal muscles at the introitus to contract so tightly that an erect penis cannot be inserted.
Rationale 3: Fear of sexual abuse is a psychological cause of painful intercourse.
Rationale 4: Vaginismus occurs when the vaginal muscles at the introitus contract so tightly that an erect penis cannot be inserted.
Rationale 5: Falling levels of estrogen in perimenopause and menopause may result in vaginal dryness and painful intercourse.
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