Differential Diagnosis for Nausea with Vaginal Penetration
- Single most likely diagnosis
- Vaginismus: This condition is characterized by involuntary muscle spasms in the vaginal wall, making penetration painful or impossible. Nausea can be associated with the anxiety and stress of attempting penetration.
- Other Likely diagnoses
- Vulvodynia: A chronic pain condition affecting the vulva, which can cause discomfort, burning, or nausea during vaginal penetration.
- Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus, leading to pain, nausea, and discomfort during penetration.
- Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs that can cause pain, nausea, and discomfort during vaginal penetration.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Ovarian torsion: A rare but life-threatening condition where the ovary twists, cutting off its blood supply. Nausea and vomiting can be associated with the severe pain.
- Ectopic pregnancy: A pregnancy that develops outside the uterus, which can cause severe abdominal pain, nausea, and vomiting.
- Rare diagnoses
- Vestibulodynia: A condition characterized by chronic pain in the vulvar vestibule, which can cause nausea and discomfort during vaginal penetration.
- Irritable Bowel Syndrome (IBS): A gastrointestinal disorder that can cause nausea, abdominal pain, and changes in bowel movements, potentially exacerbated by vaginal penetration.
- Somatic Symptom Disorder: A psychological condition where a person experiences physical symptoms, such as nausea, in response to a perceived threat or stressor, in this case, vaginal penetration.