Inclusion Criteria:  WSW who have a PFD (pelvic organ prolapse, urinary incontinence, fecal incontinence) Age >18 Able to provide consent Able to read/write in English  Exclusion Criteria:  WSW who have not been sexually active in the past 6 months Incarcerated patients Pregnant or lactating patients Unable to consent with study procedures or guided discussions Unable to speak English No sexual activity in the past 6 months