• Atrophic vaginitis
• **Genitopelvic pain/penetration disorder (**vaginismus)
• Female sexual interest/arousal disorder
• Localized provoked vulvodynia
• Pudendal neuralgia

**Sjögren syndrome can cause** dyspareunia from impaired exocrine function leading to decreased vaginal secretions.

Estrogen deficiency is a common cause of dyspareunia and vaginal dryness in postmenopausal patients.