12. Dyspareunia: Causes and Treatments (Including Provoked Vestibulodynia)

  1. Paolo Vercellini
  1. Marta Meana PhD1 and
  2. Yitzchak M. Binik PhD2

Published Online: 21 MAR 2011

DOI: 10.1002/9781444391855.ch12

Chronic Pelvic Pain

Chronic Pelvic Pain

How to Cite

Meana, M. and Binik, Y. M. (2011) Dyspareunia: Causes and Treatments (Including Provoked Vestibulodynia), in Chronic Pelvic Pain (ed P. Vercellini), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444391855.ch12

Editor Information

  1. Istituto “Luigi Mangiagalli”, Fondazione IRCCS Ca' Granda, University of Milan, Italy

Author Information

  1. 1

    University of Nevada, Las Vegas, Nevada, USA

  2. 2

    McGill University, McGill University Health Center, Montreal, Quebec, Canada

Publication History

  1. Published Online: 21 MAR 2011
  2. Published Print: 23 MAR 2011

Book Series:

  1. Gynecology in Practice

Book Series Editors:

  1. Aydin Arici

ISBN Information

Print ISBN: 9781444330663

Online ISBN: 9781444391855



  • Dyspareunia: Causes and Treatments;
  • due to psychological factors;
  • provoked vestibulodynia PVD;
  • Cognitive - behavioral therapy (CBT);
  • “due to combined factors”


The causes and treatment of dyspareunia are approached from the empirically validated biopsychosocial perspective. Physical conditions most commonly associated with deep and superficial dyspareunia (including provoked vestibulodynia) are reviewed, in addition to psychophysical, sexual, and psychosocial correlates and consequences of persistent painful intercourse. A concurrent multidisciplinary treatment approach is recommended that targets the assessment and treatment of organic pathology while simultaneously addressing muscular retraining, sexual dynamics and dysfunction, psychological distress, and pain management through concurrent physical therapy and cognitive-behavioral therapy.