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Sexual dysfunction is present in almost every patient with chronic pelvic pain and often is a most significant problem that patients experience. This is in addition to a significant decrease of quality of life from pain that further stigmatizes those very unfortunate patients. Patients who are unable to have intercourse are often abandoned by their partners and often are not able to find new partners. Sexual dysfunction therefore has to be taken very seriously and it should be addressed with both partners. Couples should be told that cure is possible and alternatives to vaginal intercourse should be discussed. Often pelvic floor muscle spasm is responsible for pain with intercourse and treatment of that condition is discussed in Chapter 20.
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