Abstract
Purpose Provoked vestibulodynia (PVD) is a common reason for sexual pain in young women. Furthermore, this persistent vulvar pain condition can have a significant negative impact on an individual’s sexual health and well-being. As knowledge about effective treatments is limited, the aim of this study was to gain insight into meaningful processes towards improved sexual health, supported by a multimodal physiotherapy intervention. Methods Through individual semi-structured interviews, this longitudinal, qualitative study explored the experiences of ten young women with PVD who took part in a somatocognitive therapy program. Participants were interviewed towards the end of their therapy period, and again one year later, to develop insight into therapeutic processes unfolding over time. Results Through analysis we identified the following themes: (1) Developing positive feelings of embodiment, (2) Developing a greater awareness of internal feelings and bodily states, and (3) Developing sex-positive beliefs and behaviours. Conclusion The findings show how individually tailored physiotherapy emphasising embodiment and sexual health can promote meaningful processes towards improved sexual health for women living with PVD.
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