Coccydynia and dyspareunia

Journal of Obstetrics and Gynaecology

1991, 11, 365-367

A. W. Samuel

Royal Hampshire County Hospital, Winchester


One of the causes of dyspareunia [painful sexual intercourse] is coccydynia. A local steroid injection was successful in relieving the symptoms in three such patients and local ultrasound treatment was successful in one. Two patients who failed to respond to steroid injections underwent coccygectomy which relieved the dyspareunia and coccydynia. One patient who had previously undergone a major pelvic fracture had relief of her symptoms of dyspareunia and groin pain after resection of the pubis and ischium.

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