Journal of Obstetrics and Gynaecology
1991, 11, 365-367
A. W. Samuel
Royal Hampshire County Hospital, Winchester
One of the causes of dyspareunia [painful sexual intercourse] is coccydynia. A local steroid injection was successful in relieving the symptoms in three such patients and local ultrasound treatment was successful in one. Two patients who failed to respond to steroid injections underwent coccygectomy which relieved the dyspareunia and coccydynia. One patient who had previously undergone a major pelvic fracture had relief of her symptoms of dyspareunia and groin pain after resection of the pubis and ischium.