{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:59:12Z","timestamp":1790405952751,"version":"4.1.0"},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Genito\u2010pelvic pain\/penetration disorder (GPPPD) may present as unconsummated marriage and receive less attention when pregnancy is prioritized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>A 39\u2010year\u2010old woman and her husband presented after 5\u2009years without penovaginal intercourse despite fertility treatment. Clinical history supported GPPPD. Primary care included biopsychosocial assessment, psychoeducation, and couple support. Stepwise care included paced breathing, pelvic floor relaxation stretches, lubricant, graded insertion, and vaginal dilation. Intercourse was achieved after 8\u2009months, patient\u2010rated overall satisfaction rose from 0 to 85\/100, and she had a child.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Family physicians may support couples with GPPPD using biopsychosocial, stepwise care when specialist services are limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70177","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T08:20:31Z","timestamp":1789114831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Genito\u2010Pelvic Pain\/Penetration Disorder Presenting as an Unconsummated Marriage Managed in Japanese Primary Care"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9168-9218","authenticated-orcid":false,"given":"Hisashi","family":"Yoshimoto","sequence":"first","affiliation":[{"name":"Department of Family Medicine, General Practice and Community Health, Institute of Medicine University of Tsukuba  Tsukuba Japan"},{"name":"Kitaibaraki Center for Family Medicine  Kitaibaraki Japan"},{"name":"Research and Development Center for Lifestyle Innovation University of Tsukuba  Tsukuba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1454-1356","authenticated-orcid":false,"given":"Sayaka","family":"Ohsawa","sequence":"additional","affiliation":[{"name":"Tsuchiura Rehabilitation Hospital  Tsuchiura Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Isono","sequence":"additional","affiliation":[{"name":"Department of General Medicine HITO Medical Center  Shikokuchuo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoko","family":"Komori","sequence":"additional","affiliation":[{"name":"Takahashi Clinic  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7430-2787","authenticated-orcid":false,"given":"Shoji","family":"Yokoya","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, General Practice and Community Health, Institute of Medicine University of Tsukuba  Tsukuba Japan"},{"name":"Kitaibaraki Center for Family Medicine  Kitaibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1675805"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14518"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdad146"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2005.00382.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmh509"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/01614576.1976.11074483"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2015.120"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034292"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1981.tb01309.x"}],"container-title":["Journal of General and Family 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