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Against this backdrop, this study explored how couples make sense of sexuality and how their interactional processes shape the relational patterns through which they navigate intimacy in the presence of pain. Drawing on episodic interviews with nine Italian heterosexual couples (M age\u2009=\u200934\u00a0years) affected by dyspareunia associated with vulvodynia and\/or endometriosis, we conducted a reflexive thematic analysis through which four themes were co-constructed: \u201cBetween Body and Emotion: The Shifting Landscape of Sexuality\u201d; \u201cHe Holds Back, She Consents: Silent Sacrifices\u201d; \u201cTogether Alone: When Coping Is Delegated\u201d; and \u201cFrom Pain to Partnership: Reimagining Sexuality Together.\u201d Across narratives, couples described greater connection and intimacy when they were able to co-construct meanings and activate communicative spaces grounded in acknowledgment, mutual support, and negotiation. These findings underscore the importance of couple-centered clinical interventions that focus on interactive processes and promote reciprocity and a shared redefinition of sexuality. Adopting a relational and dialogical lens, the study highlights sexuality not as an individual function disrupted by pain, but as an evolving co-created process through which partners continually remake intimacy together.<\/jats:p>","DOI":"10.1007\/s10508-026-03507-0","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T21:05:37Z","timestamp":1786827937000},"page":"2341-2356","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Narratives on Sexuality in Vulvodynia and Endometriosis: A Qualitative Study on Italian Couples"],"prefix":"10.1007","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6999-4898","authenticated-orcid":false,"given":"Elena","family":"Fabbri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8928-4491","authenticated-orcid":false,"given":"Giulia","family":"Rasolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0481-3614","authenticated-orcid":false,"given":"Maria","family":"Rinaldi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4635-0084","authenticated-orcid":false,"given":"Giacomo","family":"Chiara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,15]]},"reference":[{"key":"3507_CR1","doi-asserted-by":"publisher","unstructured":"Alizadeh, A., & Farnam, F. 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As this was a qualitative, non-interventional study involving healthy adults in a non-clinical setting, approval from an ethics committee was not required under Italian regulations. All participants provided written informed consent after being fully informed about the aims and procedures of the research. Confidentiality and data protection were ensured in accordance with the General Data Protection Regulation (GDPR, EU 2016\/679). All recordings and transcripts were pseudonymized and stored securely on password-protected drives accessible only to the research team. The study complies with the Code of Ethics of Italian Psychologists. Beyond formal ethical requirements, particular attention was paid to the relational and emotional dimensions of the research process. Given the sensitivity of the topic, interviews were conducted with empathy and care, allowing participants to express personal experiences at their own pace and depth. The interviewers remained attentive to signs of emotional discomfort, offering the possibility to pause or withdraw at any time. Ethical reflexivity was also maintained within the research team through ongoing discussion of the emotional and relational implications of engaging with participants\u2019 narratives. In general, our study did not require ethical board approval because it did not contain human or animal trials.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}