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Cited by 44Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyPelvic floor disorders treatments

Body image in women with primary and secondary provoked vestibulodynia: A controlled study

Maillé, Delphine L., Bergeron, Sophie, Lambert, Bernard·2015·The Journal of Sexual Medicine
DOI 10.1111/jsm.12765
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Abstract

INTRODUCTION: Provoked vestibulodynia (PVD) is a women's genito-pelvic pain condition associated with psychosexual impairments, including depression. Body image (BI) has been found to be different in women with primary (PVD1) and secondary (PVD2) PVD. No controlled study has compared BI in women with PVD1 and PVD2 and investigated its associations with sexual satisfaction, sexual function, and pain. AIMS: The aims of this study were to (i) compare BI in women with PVD1, PVD2, and asymptomatic controls and (ii) to examine associations between BI and sexual satisfaction, sexual function, and pain during intercourse in women with PVD. METHODS: Fifty-seven women (20 with PVD1, 19 with PVD2, and 18 controls) completed measures of BI, sexual satisfaction, sexual function, pain during intercourse, and depression. MAIN OUTCOME MEASURES: The main outcome measures were (i) Global Measure of Sexual Satisfaction Scale, (ii) Female Sexual Function Index, and (iii) pain numerical rating scale. RESULTS: Controlling for depression, women with PVD1 reported more body exposure anxiety during sexual activities than women with PVD2 and controls F(2,51)=4.23, P=0.02. For women with PVD, more negative BI during sexual activities was associated with lower sexual satisfaction (β=-0.45, P=0.02) and function (β=-0.39, P=0.04) and higher pain during intercourse (β=0.59, P=0.004). More positive body esteem was associated with higher sexual function (β=0.34, P=0.05). CONCLUSIONS: Findings suggest that women with PVD1 present more body exposure anxiety during sexual activities than women with PVD2 and asymptomatic women. Body esteem and general attitudes toward women's genitalia were not significantly different between groups. Higher body exposure anxiety during sexual activities was associated with poorer sexual outcomes in women with PVD. Further studies assessing interventions targeting BI during sexual activities in this population are needed, as improving BI during sexual interactions may enhance sexual outcomes in women with PVD.

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Authors
Maillé, D. L., Bergeron, S., & Lambert, B.
Affiliations
  • Université de Montréal (CA)
  • Centre Hospitalier de l’Université de Montréal (CA)
Corresponding author
Maillé, Delphine L.
ORCID
Bergeron, Sophie
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2015-02-01
Volume
12
Issue
2
Pages
505-515
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/jsm.12765
OpenAlex
W1897747509
Cited by
44
References
78
Citations by year
2025: 6 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 9 · 2020: 6 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 1
FWCI
1.53
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Keywords
provoked vestibulodynia, body image, body esteem, sexual satisfaction, female sexual function, dyspareunia, depression
MeSH terms
Adult, Body Image, Coitus, Depression, Dyspareunia, Female, Follow-Up Studies, Humans, Personal Satisfaction, Surveys and Questionnaires, Severity of Illness Index, Sexual Partners, Case-Control Studies, Pain Threshold, Pelvic Pain, Vulvodynia

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