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For Couples Coping with Provoked Vestibulodynia, Sexual Goals are Important

Sep 15, 2015

For Couples Coping with Provoked Vestibulodynia, Sexual Goals are ImportantThe pain of provoked vestibulodynia (PVD) makes sex difficult for many couples. But focusing on the type of sexual goals they share could improve satisfaction for both partners.

PVD refers to pain in a woman’s vulvar vestibule, the area around the opening of the vagina. The vestibule includes the urethra, from which urine flows. Several glands, such as those involved with vaginal lubrication and discharge, are also found in the vestibule.

Women with PVD feel a burning or stinging sensation whenever the area is touched. Sexual activity, gynecological exams, and even inserting a tampon or wearing close-fitting clothes can be uncomfortable.


Pain during sex hurting your love life? A different mindset for couples might help. (Click to tweet)


Some women experience more pain than others, but for many, intercourse can be a problem. It’s common for women and their partners to feel anxious about sex and sad about a loss of intimacy. Couples may stop having sex because of PVD.

The cause of PVD isn’t clear, although oversensitive nerve fibers might be involved. Treatments, such as sex therapy, numbing agents, and pelvic floor physical therapy may help.


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