(2022) How To Code Dyspareunia ICD 10 – List With Codes & Guidelines
This article outlines the causes, symptoms, diagnosis, treatment and ICD 10 CM code for Dyspareunia.
Dyspareunia ICD 10 Causes
Dyspareunia ICD 10 occurs only in women en for some women, dyspareunia ICD 10 is a sign of physical problems. Other women feel pain due to emotional factors. There are several conditions that can cause DysPareunia ICD 10.
Most common physical causes of dyspareunia ICD 10 are:
- vaginal dryness
- menopause
- childbirth
- breastfeeding
- medications
- little or no arousal during sexual relations
- skin diseases that cause ulcers
- cracks
- itching and burns
- infections such as yeast
- urinary tract infections (UTIs)
- injuries or traumas (birth, accident, episiotomy, hysterectomy, pelvic surgery)
- vulvodynia (pain in the vulva )
Factors that reduce sexual desire and affect a person’s ability to get aroused can cause dyspareunia ICD 10. These include:
- stress, which causes a tightening of pelvic floor muscles
- anxiety
- guilt or shame associated with sex
- self-image
- body problems
- drugs such as birth control pills
- relationship problems
- diseases such as cancer
- arthritis
- diabetes
- thyroid disease
- history of sexual abuse or rape.
Dyspareunia ICD 10 Symptoms
The dominant symptom of dyspareunia ICD 10 is pain during intercourse, which occurs at the vaginal opening of the pelvis. If the patient has painful sexual intercourse, the patient can experience pain during sexual entry and penetration, pain during penetration, including wearing a tampon, deep pain during bumping, burning pain, pain, and orthopedic pain that persists for hours after sexual intercourse.
The pain differs from a localized or broader feeling of discomfort. There can be a painful, burning, throbbing or tearing feeling.
Dyspareunia ICD 10 Diagnosis
In order to diagnose Dyspareunia ICD 10, the doctor has to ask for the patient’s medical history and performs a pelvic exam to determine the cause of the pain. The patient may need to talk about previous sexual experiences and reproductive history. He or she may also be willing to explain the exact location, length, and timing of the pain.
During the pelvic exam, the doctor will check for signs of infection or structural abnormalities. The doctor can insert a device called speculum into the vagina to allow a visual examination.
A pelvic ultrasound can help detect structural abnormalities such as endometriosis, fibroids or cysts. The doctor can also press on the genital or pelvic muscles to determine the location of the pain. Telling the doctor during an examination where the pain is occurring can help to determine the cause. What causes discomfort or pain in women with dyspareunia ICD 10.
Dyspareunia ICD 10 Treatments
After diagnosing Dyspareunia ICD 10, treatments can be provided. Treatment options vary based on the cause of pain. If an infection or illness contributes to the pain, treat it to relieve it. In many post-menopausal women, dyspareunia ICD 10 is caused by insufficient lubrication due to low estrogen levels. Changing medications, which are known to cause lubrication problems, can eliminate some of the symptoms.
The Food and Drug Administration has approved the drug Ospemifen (Osphena) for the treatment of moderate to severe dyspareunia ICD 10 in women who have vaginal lubrication problems. The medication acts as estrogen on the vaginal mucosa. To treat this, topical estrogen is applied directly to the vagina.
The downside is that the drug can cause hot flashes and carries a risk of stroke, blood clots and cancer of endometrium and endometrium. Certain non-drug therapies can help with dyspareunia ICD 10. The drug that relieves painful sexual intercourse is prasterone intrarosa. Prasterone is a capsule that the patient has to put in the vagina.
If the patient and her partner avoid intimacy or have painful relations, help might be needed in order to improve communication with the partner and restoring sexual intimacy. Conversations with a counsellor or sex therapist can help solve these problems. Sex can sometimes be painful, and without treatment the patient might has a negative emotional response to sexual stimulation. Cognitive behavioural therapy can be helpful in changing negative patterns of thinking and behaviour. The patient can also learn vaginal relaxation exercises to relieve pain.
ICD 10 CM Code For Dyspareunia
ICD 10 CM N94.1 Dyspareunia
Excluding:
- Psychogenic dyspareunia – instead use code F52.6
