{"id":3905,"date":"2026-02-26T16:54:46","date_gmt":"2026-02-26T13:54:46","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/dispareunia\/"},"modified":"2026-04-01T18:37:52","modified_gmt":"2026-04-01T15:37:52","slug":"dispareunia","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/","title":{"rendered":"Dispareunia"},"content":{"rendered":"\n

La dispareunia (del griego dyspareunos<\/em> \u2014 pobremente emparejado) es una disfunci\u00f3n sexual caracterizada por dolor genital persistente o recurrente. <\/p>\n\n

El dolor puede ocurrir inmediatamente antes, durante o despu\u00e9s del acto sexual, provocando un gran angustia personal y eludir la intimidad sexual.<\/p>\n\n

Etiolog\u00eda y fisiopatolog\u00eda<\/strong><\/h2>\n\n

La clasificaci\u00f3n se basa en la profundidad del s\u00edndrome doloroso:<\/p>\n\n

    \n
  1. Dispareunia introital (superficial):<\/strong> el dolor se localiza en la vulva y la entrada de la vagina. La patogenia puede estar relacionada con procesos infecciosos-inflamatorios (vulvitis, candidiasis, bartolinitis), microtraumas (fisuras de la comisura posterior) o espasmos reflejos de los m\u00fasculos del suelo p\u00e9lvico (vaginismo). En la posmenopausia, la causa principal es la vaginitis atr\u00f3fica<\/strong>, en la que la deficiencia de estr\u00f3genos provoca adelgazamiento del epitelio y reducci\u00f3n de la lubricaci\u00f3n.<\/li>\n\n\n\n
  2. Dispareunia profunda:<\/strong> el dolor se produce en la pelvis menor durante la penetraci\u00f3n profunda (frotamientos). La patogenia est\u00e1 determinada por un factor mec\u00e1nico: desplazamiento de \u00f3rganos fijados por adherencias, presi\u00f3n sobre ap\u00e9ndices inflamados o contacto f\u00edsico directo con infiltrados endometriosos, localizados en el tejido retrocervical y los ligamentos \u00fatero-sacros.<\/li>\n<\/ol>\n\n

    Importancia cl\u00ednica<\/strong><\/h2>\n\n

    La dispareunia profunda es un s\u00edntoma altamente espec\u00edfico y a menudo \u00fanico temprano del endometriosis<\/strong> infiltrante que afecta el espacio de Douglas (endometriosis retrocervical). Tambi\u00e9n es caracter\u00edstica del proceso de adherencias cr\u00f3nicas en la pelvis menor tras enfermedades inflamatorias p\u00e9lvicas previas. La queja de dolor durante la vida sexual requiere una investigaci\u00f3n bimanual obligatoria y, a menudo, una laparoscopia diagn\u00f3stica para identificar la causa org\u00e1nica.<\/p>\n","protected":false},"excerpt":{"rendered":"

    La dispareunia (del griego dyspareunos<\/em> \u2014 pobremente emparejado) es una disfunci\u00f3n sexual caracterizada por dolor genital persistente o recurrente. <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3905","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"\nDispareunia: definici\u00f3n m\u00e9dica y descripci\u00f3n | Voka Wiki<\/title>\n<meta name=\"description\" content=\"La dispareunia (del griego dyspareunos \u2014 pobremente emparejado) es una disfunci\u00f3n sexual caracterizada por dolor genital persistente o recurrente.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dispareunia\" \/>\n<meta property=\"og:description\" content=\"La dispareunia (del griego dyspareunos \u2014 pobremente emparejado) es una disfunci\u00f3n sexual caracterizada por dolor genital persistente o recurrente.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/\" \/>\n<meta property=\"og:site_name\" content=\"Voka Wiki\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-01T15:37:52+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/\",\"url\":\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/\",\"name\":\"Dispareunia: definici\u00f3n m\u00e9dica y descripci\u00f3n | Voka Wiki\",\"isPartOf\":{\"@id\":\"https:\/\/wiki.voka.io\/es\/#website\"},\"datePublished\":\"2026-02-26T13:54:46+00:00\",\"dateModified\":\"2026-04-01T15:37:52+00:00\",\"description\":\"La dispareunia (del griego dyspareunos \u2014 pobremente emparejado) es una disfunci\u00f3n sexual caracterizada por dolor genital persistente o recurrente.\",\"breadcrumb\":{\"@id\":\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/wiki.voka.io\/es\/glossary\/dispareunia\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/wiki.voka.io\/es\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Glosario\",\"item\":\"https:\/\/wiki.voka.io\/es\/glosario\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Dispareunia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/wiki.voka.io\/es\/#website\",\"url\":\"https:\/\/wiki.voka.io\/es\/\",\"name\":\"Voka Wiki\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/wiki.voka.io\/es\/#organization\"},\"alternateName\":\"Anatomy & Pathology Wiki by VOKA\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/wiki.voka.io\/es\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/wiki.voka.io\/es\/#organization\",\"name\":\"Voka 3D Anatomy & Pathology\",\"alternateName\":\"VOKA\",\"url\":\"https:\/\/wiki.voka.io\/es\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/wiki.voka.io\/es\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/wiki.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png\",\"contentUrl\":\"https:\/\/wiki.voka.io\/wp-content\/uploads\/2025\/02\/cropped-voka-logo-1.png\",\"width\":70,\"height\":16,\"caption\":\"Voka 3D Anatomy & Pathology\"},\"image\":{\"@id\":\"https:\/\/wiki.voka.io\/es\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\",\"https:\/\/www.instagram.com\/voka.io\/\",\"https:\/\/www.linkedin.com\/company\/voka-io\/\",\"https:\/\/www.youtube.com\/channel\/UCqGGuOEpr62ScH8Pjk2q5zw\/videos\",\"https:\/\/www.pinterest.com\/VokaAnatomyPro\/\",\"https:\/\/www.threads.com\/@voka.io\"],\"description\":\"VOKA.io offers 3D medical animations and custom 3D modeling services. 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