 [ Symptoms ] i had severe pain 4 hours after having sex went to the er and was diagnosed with dyspareunia is this really what i have the pain is not so much during sex but afterwards and its moderate to severe [ Disease ] all dysparunia means is pain with sex and you already knew that the real issue is the cause i would strongly suggest that you make an appointment with a good gynecologist for an examination the er is not the best place to do a comprehehsive work up for this complex problem