{"id":3908,"date":"2026-02-26T16:54:46","date_gmt":"2026-02-26T13:54:46","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/dyspareunie\/"},"modified":"2026-04-01T18:37:55","modified_gmt":"2026-04-01T15:37:55","slug":"dyspareunie","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/","title":{"rendered":"Dyspareunie"},"content":{"rendered":"\n

La dyspareunie (du grec dyspareunos<\/em> \u2014 mal accoupl\u00e9) est une dysfonction sexuelle caract\u00e9ris\u00e9e par une douleur g\u00e9nitale persistante ou r\u00e9currente. <\/p>\n\n

La douleur peut survenir imm\u00e9diatement avant, pendant ou apr\u00e8s le rapport sexuel, entra\u00eenant une d\u00e9tresse personnelle importante et un \u00e9vitement de l’intimit\u00e9 sexuelle.<\/p>\n\n

\u00c9tiologie et physiopathologie<\/strong><\/h2>\n\n

La classification est bas\u00e9e sur la profondeur d’apparition du syndrome douloureux\u00a0:<\/p>\n\n

    \n
  1. Dyspareunie intro\u00eftale (superficielle)\u00a0:<\/strong> la douleur est localis\u00e9e au niveau de la vulve et de l’entr\u00e9e du vagin. La pathogen\u00e8se peut \u00eatre li\u00e9e \u00e0 des processus infectieux et inflammatoires (vulvite, candidose, bartholinite), \u00e0 des microtraumatismes (fissures de la commissure post\u00e9rieure) ou \u00e0 un spasme r\u00e9flexe des muscles du plancher pelvien (vaginisme). En post-m\u00e9nopause, la principale cause est la vaginite atrophique<\/strong>, o\u00f9 une carence en \u0153strog\u00e8nes provoque un amincissement de l’\u00e9pith\u00e9lium et une diminution de la lubrification.<\/li>\n\n\n\n
  2. Dyspareunie profonde\u00a0:<\/strong> la douleur survient dans le petit bassin lors d’une p\u00e9n\u00e9tration profonde (frictions). La pathogen\u00e8se est due \u00e0 un facteur m\u00e9canique\u00a0: d\u00e9placement des organes fix\u00e9s par adh\u00e9rences, pression sur les annexes enflamm\u00e9es ou impact physique direct sur les infiltrats endom\u00e9triosiques situ\u00e9s dans le tissu r\u00e9tro-cervical et les ligaments sacro-ut\u00e9rins.<\/li>\n<\/ol>\n\n

    Importance clinique<\/strong><\/h2>\n\n

    La dyspareunie profonde est un sympt\u00f4me pr\u00e9coce tr\u00e8s sp\u00e9cifique, souvent le seul, de l’endom\u00e9triose<\/strong> infiltrante impliquant l’espace de Douglas (endom\u00e9triose r\u00e9tro-cervicale). Elle est \u00e9galement caract\u00e9ristique du processus adh\u00e9rentiel chronique du petit bassin apr\u00e8s des processus inflammatoires pelviens. La plainte de douleur pendant la vie sexuelle n\u00e9cessite un examen bimanuel obligatoire et souvent une laparoscopie diagnostique pour identifier la cause organique.<\/p>\n","protected":false},"excerpt":{"rendered":"

    La dyspareunie (du grec dyspareunos<\/em> \u2014 mal accoupl\u00e9) est une dysfonction sexuelle caract\u00e9ris\u00e9e par une douleur g\u00e9nitale persistante ou r\u00e9currente. <\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3908","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"\nDyspareunie : d\u00e9finition m\u00e9dicale et description | Voka Wiki<\/title>\n<meta name=\"description\" content=\"La dyspareunie (du grec dyspareunos \u2014 mal accoupl\u00e9) est une dysfonction sexuelle caract\u00e9ris\u00e9e par une douleur g\u00e9nitale persistante ou r\u00e9currente.\" \/>\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\/fr\/glossary\/dyspareunie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dyspareunie\" \/>\n<meta property=\"og:description\" content=\"La dyspareunie (du grec dyspareunos \u2014 mal accoupl\u00e9) est une dysfonction sexuelle caract\u00e9ris\u00e9e par une douleur g\u00e9nitale persistante ou r\u00e9currente.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/\" \/>\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=\"2026-04-01T15:37:55+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/\",\"url\":\"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/\",\"name\":\"Dyspareunie : d\u00e9finition m\u00e9dicale et description | Voka Wiki\",\"isPartOf\":{\"@id\":\"https:\/\/wiki.voka.io\/fr\/#website\"},\"datePublished\":\"2026-02-26T13:54:46+00:00\",\"dateModified\":\"2026-04-01T15:37:55+00:00\",\"description\":\"La dyspareunie (du grec dyspareunos \u2014 mal accoupl\u00e9) est une dysfonction sexuelle caract\u00e9ris\u00e9e par une douleur g\u00e9nitale persistante ou r\u00e9currente.\",\"breadcrumb\":{\"@id\":\"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/wiki.voka.io\/fr\/glossary\/dyspareunie\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/wiki.voka.io\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Glossaire\",\"item\":\"https:\/\/wiki.voka.io\/fr\/glossaire\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Dyspareunie\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/wiki.voka.io\/fr\/#website\",\"url\":\"https:\/\/wiki.voka.io\/fr\/\",\"name\":\"Voka Wiki\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/wiki.voka.io\/fr\/#organization\"},\"alternateName\":\"Anatomy & Pathology Wiki by VOKA\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/wiki.voka.io\/fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/wiki.voka.io\/fr\/#organization\",\"name\":\"Voka 3D Anatomy & Pathology\",\"alternateName\":\"VOKA\",\"url\":\"https:\/\/wiki.voka.io\/fr\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/wiki.voka.io\/fr\/#\/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\/fr\/#\/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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