Provoked vestibulodynia By Dr. Akshita Goel

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Provoked vestibulodynia (PVD), subset of genital pain, is related to decreased sexual satisfaction, impacted by interpersonal characteristics,partner responses, ambivalence, perceived relationship, and sexual proximity. Physical Therapy (PT) is beneficial for reducing pain, sexual function, distress, and psychological discomfort and is advocated as first-line treatment. PT promotes pain sensitivity, tone, vaginal flexibility, and relaxation potential. Digital intravaginal assessment and surface electromyography (SEMG) recordings both testify same conclusions. Manual therapy, biofeedback, electrical stimulation, dilator insertions, home exercises are all included in sessions. Active transcranial direct current stimulation, multimodal physical therapy, manual therapy have all been proven to be effective treatments. PVD has varied pathophysiological underpinnings, but no variances in morphometric or dynamometric attributes of pelvic floor muscle, emphasizing that PT should be offered to all categories. Accepting oneself when one’s reality differs from what is considered “normal” and recognizing one’s own ability to make sense of those experiences are fundamental.

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