What happens after a telemedicine visit for Dyspareunia (Painful Intercourse) - Triage

Audience: pediatric

Dyspareunia, or painful intercourse, can be a challenging and sensitive issue, especially for young people. After a telemedicine visit focused on this concern, you will usually receive guidance on what might be causing the pain and how to manage it. The healthcare provider may suggest lifestyle changes, recommend gentle exercises, or advise on ways to reduce discomfort. Sometimes, they might ask for an in-person visit for a closer examination or tests if needed. It's important to follow the advice given and keep track of any changes or new symptoms. Remember, telemedicine helps start the conversation and guide you, but some situations require face-to-face care to ensure safety and effective treatment.

Red flags — go in person / ER

• Severe pelvic or abdominal pain that worsens quickly — seek emergency care immediately.
• Heavy vaginal bleeding or unusual foul-smelling discharge — contact your healthcare provider promptly.
• Fever or chills combined with pelvic pain — urgent medical evaluation needed.

What telemedicine can do

• Initial assessment of symptoms and concerns related to painful intercourse.
• Providing education about possible causes and self-care strategies.
• Guidance on lifestyle changes and symptom monitoring.
• Determining if in-person evaluation or tests are needed.

What telemedicine cannot do

• Performing physical examinations or pelvic exams.
• Collecting laboratory samples or imaging studies.
• Diagnosing complex medical conditions requiring hands-on assessment.
• Administering treatments that require direct contact or procedures.

Understanding Dyspareunia in Young People

Dyspareunia means pain during sexual activity or intercourse. In pediatric and adolescent patients, this can be due to many reasons such as infections, skin conditions, emotional stress, or physical factors like dryness or muscle tightness. Talking openly with a healthcare provider helps identify possible causes and find ways to feel better.

What to Expect After Your Telemedicine Visit

After your visit, the provider may suggest simple steps to relieve pain, such as using lubricants, practicing relaxation techniques, or avoiding irritants. They might also recommend follow-up visits or tests if symptoms do not improve or if there are signs of infection or other conditions. You will get instructions on when to seek urgent care.

When In-Person Care May Be Needed

Some situations require a physical exam or lab tests that cannot be done through telemedicine. If your provider suspects an infection, skin problem, or other medical condition, they will guide you to get in-person care. This helps ensure accurate diagnosis and appropriate treatment.

How to Prepare for Your Telemedicine Visit

Before your appointment, find a private, quiet space where you feel comfortable talking. Write down your symptoms, questions, and any concerns. Have a list of any medicines or products you use. Being ready helps the provider understand your situation better.

Red Flags to Watch For

Seek immediate medical help if you experience:

These signs may indicate serious infections or other urgent conditions.

Aftercare and Follow-Up

Follow the provider’s advice carefully. Keep track of your symptoms and any new changes. Attend scheduled follow-up appointments, whether by telemedicine or in person. If pain persists or worsens, contact your healthcare provider promptly.

How to prepare for your tele-visit

• Find a private and quiet space for your telemedicine visit.
• Write down your symptoms, including when the pain occurs and its severity.
• List any medications, creams, or products you are using.
• Prepare questions or concerns to discuss with your provider.
• Ensure your device is charged and has a stable internet connection.

After your tele-visit

• Follow the self-care advice given by your healthcare provider.
• Use recommended products like lubricants if advised.
• Monitor your symptoms and note any changes.
• Attend any follow-up appointments as scheduled.
• Seek immediate care if red-flag symptoms appear.

FAQs

What causes dyspareunia in young people?

Dyspareunia can be caused by infections, skin irritation, dryness, muscle tightness, or emotional stress. Sometimes, it may be related to medical conditions that need evaluation by a healthcare provider.

Can telemedicine treat painful intercourse?

Telemedicine can help assess symptoms, provide education, and suggest initial self-care steps. However, some cases require in-person exams or tests for proper diagnosis and treatment.

What should I do if the pain gets worse after the telemedicine visit?

If pain worsens or you develop new symptoms like fever, heavy bleeding, or unusual discharge, contact your healthcare provider or seek emergency care promptly.

Is it normal to feel embarrassed talking about painful intercourse?

Yes, it’s common to feel embarrassed, but healthcare providers are trained to discuss these topics respectfully and confidentially. Open communication helps you get the right care.

How can I prepare for my telemedicine visit about dyspareunia?

Prepare by choosing a private space, writing down your symptoms and questions, and having a list of any medications or products you use. This helps your provider understand your situation better.

Sources

1. Dyspareunia — MedlinePlus, U.S. National Library of Medicine.
2. Painful Intercourse (Dyspareunia) — Mayo Clinic.
3. Sexual Health: Painful Intercourse — Centers for Disease Control and Prevention (CDC).
4. American Academy of Pediatrics: Adolescent Sexual Health — American Academy of Pediatrics.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have concerns about your health or symptoms worsen, please seek direct evaluation by a healthcare professional.