For entry dyspareunia, it is important to rule out vaginitis, especially candida, eczema, atrophy, urethritis, interstitial cystitis, herpes, cracked skin, bartholin adenitis and psychosexual problems.

For deep dyspareunia, consider endometritis, pelvic adhesions, adnexal pathology, retroverted uterus, pelvic inflammatory disease and pelvic congestion.