INTRODUCTION: Non-medical and non-surgical treatments for provoked @entity2411 target @entity458 muscle factors that maintain the condition. AIM: The goal of the study was to compare the effects of cognitive-behavioral therapy (CBT) and physical therapy (PT) on @entity158 and psychosexual outcomes in @entity1 with provoked @entity2411 . METHODS: In a clinical trial, 20 @entity1 with provoked @entity2411 were randomly assigned to receive CBT or comprehensive PT. @entity1 were assessed before treatment, after treatment, and at 6-month follow-up by gynecologic examination, structured interviews, and standardized questionnaires measuring @entity158 , psychological, and sexual variables. MAIN OUTCOME MEASURES: Outcome measurements were based on an adaptation of the Initiative on Methods, Measurement, and @entity158 Assessment in Clinical Trials recommendations. The primary outcome was change in intercourse @entity158 intensity. Secondary outcomes included @entity158 during the @entity2708 swab test, @entity158 with various sexual and non-sexual activities, and sexual functioning and negative @entity158 cognitions. RESULTS: The two treatment groups demonstrated significant @entity158 during sexual intercourse, with 70% and 80% of @entity1 in the CBT and PT groups demonstrating a moderate clinically important decrease in @entity158 (>= 30%) after treatment. @entity1 in the two groups also had significant improvements in  @entity158 during the gynecologic examination, the percentage of painful intercourse attempts, the percentage of  activities resulting in @entity158 , and the ability to continue intercourse without stopping because of @entity158 . Psychological outcomes, including @entity158 catastrophizing and perceived control over @entity158 , also showed improvement in the two groups. Significant improvements in sexual functioning were observed only in @entity1 who  completed CBT. Few between-group differences were identified other than the PT group showing earlier improvements in some outcomes. Nearly all improvements were maintained at the 6-month follow-up. CONCLUSION: The results of the study suggest that CBT and PT can lead to clinically meaningful improvements in @entity158 and areas of psychosexual functioning.

Effectiveness of Cognitive-Behavioral Therapy and Physical Therapy for Provoked XXXX : A Randomized Pilot Study.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'Participants'] @entity2708 :: ('3635', 'Species') :: ['cotton'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological, sexual, and pelvic floor'] @entity2411 :: ('MESH:D056650', 'Disease') :: ['vestibulodynia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['decreases in vulvar pain', 'Pain', 'pain']
@entity2411 :: (MESH:D056650,Disease) :: ['Vestibulodynia']
