Dyspareunia may be divided into two categories, superficial and deep. Superficial means that there is immediate pain at the opening of the vagina when a man attempts to insert the penis. The most likely reasons for this are tears, infections or structural defects of the vulva or vagina.
Deep dyspareunia means that there is pelvic pain or discomfort after penetration of the penis. This is usually associated with deep thrusting. The likely causes are abnormalities of the deeper structures of the vagina. Typical symptoms include: