Cognitive-Behavioral Couple Therapy Provided Pain Relief from Vulvar Pain

PainRelief.com Interview with:
Sophie Bergeron, Ph.D.
Canada Research Chair in Intimate Relationships and Sexual Wellbeing
Past-President, Society for Sex Therapy and Research
Professeure titulaire/Professor
Département de psychologie 
Université de Montréal 

Dr. Bergeron

PainRelief.com:  What is the background for this study?

Response: Chronic pain problems involving the female reproductive system are major health concerns in women of all ages. As conditions which are poorly understood and often misdiagnosed or ignored, they entail a great personal cost to patients and a significant financial cost to society.

One such condition is vulvodynia, or chronic unexplained vulvar pain. Up to 8% of women under 40 may experience idiopathic vulvar pain during their lifetimes. Provoked vestibulodynia (PVD) – an acute recurrent pain localized within the vulvar vestibule and experienced primarily during sexual intercourse – is suspected to be the most frequent cause of vulvodynia in premenopausal women.

Despite its high prevalence and negative impact on psychosexual functioning of both affected women and their partners, there has been a paucity of controlled research to provide empirically validated treatments for afflicted couples. This randomized clinical trial compared a novel cognitive-behavioral couple therapy (CBCT) and topical lidocaine for PVD.

Painful Genital Condition in Women Linked to Tight Jeans, Hair Removal

PainRelief.com Interview with:

Bernard L Harlow, Ph.D.
Professor, Boston University School of Public Health
Adjunct Mayo Professor, University of Minnesota School of Public Health

Bernard L Harlow, Ph.D.
Professor, Boston University School of Public Health
Adjunct Mayo Professor, University of Minnesota School of Public Health

PainRelief.comWould you briefly explain what is meant by vulvodynia?

Response: Vulvodynia is a chronic pain condition characterized by debilitating vulvar discomfort due to burning pain or pain on contact that occurs in the absence of clinically visible pathological findings or other identifiable disorders. It is estimated to affect approximately 8% of women by the age of 40 based on our previous research.

PainRelief.com:  What is the background for this study?

Response: Little is known about this debilitating pain condition. However, previous studies suggest an association between urogynecological infections and vulvodynia. Given that personal hygienic behaviors, such as wearing tight fitting jeans or pants, and performing vaginal douching, increase the risk of gynecologic infections, we sought to determine whether these practices impact the risk of vulvodynia.

We studied approximately 200 women with and 200 women without clinically confirmed vulvodynia.