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Multidisciplinary treatment for provoked vestibulodynia: Treatment trajectories, predictors, and moderators of sexual distress and pain

Clinical Journal of Pain Mar 14, 2019

Smith KB, et al. - Researchers invited women attending a multidisciplinary treatment program for provoked vestibulodynia (PVD) to complete questionnaires before, following, and at 6 and 18 months after program completion in order to examine women’s symptom trajectories over time, as well as baseline demographic, psychosocial and pain characteristics as predictors/ moderators of sexual pain and distress following treatment. In addition, they determined how baseline variables influence the probability of having low sexual distress scores following treatment. Outcomes revealed significant improvements in sexual distress and pain over time. They noted greater improvements in sexual distress in correlation with higher baseline levels of Female Sexual Function Index (FSFI) desire and arousal. Similarly, greater improvements in pain could be predicted with higher baseline levels of desire. Sexual distress was not evident in 25% (n=35) at 6 months among women distressed at baseline and with 6 month FSDS scores; higher baseline levels of desire were noted to be correlated with the greater probability of having low sexual distress at 6 months.
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