Many female patients are troubled by difficulties in urination and have been seen many times and have taken many medicines without satisfactory treatment. Female dyspareunia can be divided into two types: mechanical and functional. Mechanical – dyspareunia is caused by lesions in any part of the bladder and urethra that affect the urine discharge. Functional – Difficulty in urination caused by the urinary tract being open but the bladder forcing muscle being weak, and the bladder forcing muscle and urethral sphincter being uncoordinated in the process of urination. The Department of Urology, Inner Mongolia Medical University Hospital, Sichinbu and Neurogenic bladder dysfunction is often associated with constipation, relaxation of the anal sphincter, and in severe cases, fecal incontinence. How to differentiate: general examination such as urinary routine, urological ultrasound, cystoscopy, urodynamic examination or imaging urodynamic examination. How to treat mechanical dyspareunia: Patients with bladder neck contracture whose oral a-blockers are ineffective have their symptoms resolved with an internal bladder neck dissection. Patients with urethral stricture were cured after performing urethral dilatation. Treatment of functional dyspareunia: Patients with weak bladder forced urinary muscles first find the cause and take oral medication to promote the contractility of forced urinary muscles or sacral nerve stimulation treatment. For dyspareunia caused by uncoordinated bladder forceps and urethral sphincter during voiding, oral medication is used for external biofeedback treatment, intra-sphincter botulinum toxin injection, or sacral nerve stimulation. The treatment of neurogenic bladder is based on the condition of the bladder to determine the best treatment plan and individualized treatment is appropriate. Conclusion: Understanding the condition, accurate diagnosis, and individualized treatment from the etiology will lead to better treatment. Patients who are confused by the above symptoms or difficulty in urination can see me at the Department of Urology of the affiliated hospital.