{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T15:21:24Z","timestamp":1779290484549,"version":"3.51.4"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":1372,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,4,3]],"date-time":"2019-04-03T00:00:00Z","timestamp":1554249600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["MOP-142273"],"award-info":[{"award-number":["MOP-142273"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"name":"BC Women\u2019s Hospital and the Women\u2019s Health Research Institute"},{"DOI":"10.13039\/100014823","name":"VGH and UBC Hospital Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014823","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Mentored Clinician Scientist Award"},{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Transitional Open Operating","award":["MOP-142273"],"award-info":[{"award-number":["MOP-142273"]}]},{"name":"BC Women\u2019s Hospital and the Women\u2019s Health Research Institute"},{"name":"VGH and UBC Hospital Foundation"},{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Pelvic pain and vulvar pain are common conditions in women. In this study, we sought to characterize the clinical picture of patients with concurrent pelvic pain and provoked vestibulodynia (PVD).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To analyze the association between sexual\/clinical characteristics and a diagnosis of PVD among women with pelvic pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cross-sectional analysis of a prospective registry at a tertiary referral center for pelvic pain and endometriosis, involving consecutive non-menopausal sexually active patients 18\u201349 years-old seen by a single gynecologist from January 2016\u2013December 2017. The sample was divided into 2 groups: pelvic pain with PVD; and pelvic pain alone (without PVD).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Superficial dyspareunia and deep dyspareunia on a 11-point numeric rating scale, and the sexual quality-of-life subscale of the Endometriosis Health Profile-30 (0\u2013100%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 129 patients that met study criteria: one third with pelvic pain and PVD (n\u00a0= 42) and two-thirds with pelvic pain alone (without PVD) (n\u00a0= 87). Women with pelvic pain and PVD had significantly more severe superficial dyspareunia \u22657\/10 (OR\u00a0= 12.00 (4.48\u201332.16), P &amp;lt; .001), more severe deep dyspareunia \u22657\/10 (OR\u00a0= 4.08 (1.83\u20139.10), P\u00a0= .001), and poorer sexual quality of life (Endometriosis Health Profile-30 \u226550%) (OR\u00a0= 4.39 (1.67-11.57), P\u00a0= .002), compared with the group with pelvic pain alone. Women with pelvic pain and PVD also had more anxiety, depression, and catastrophizing, more frequent tenderness of the bladder and pelvic floor, and more common diagnosis of painful bladder syndrome. On the other hand, there were no significant differences between the 2 groups in terms of dysmenorrhea, chronic pelvic pain, abdominal wall allodynia, positive Carnett test for abdominal wall pain, functional quality of life, endometriosis, and irritable bowel syndrome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In the pelvic pain population, PVD may be associated with more negative impact on dyspareunia, sexual quality of life, and bladder\/pelvic floor function, but it may not significantly impact abdominopelvic pain or day-to-day function in general.<\/jats:p>\n               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A.","family":"Bedaiwy","sequence":"additional","affiliation":[{"name":"BC Women\u2019s Center for Pelvic Pain and Endometriosis , Vancouver, British Columbia \u00a0 Canada"},{"name":"Women\u2019s Health Research Institute , Vancouver, British Columbia \u00a0 Canada"},{"name":"Department of Obstetrics and Gynaecology , Vancouver, British Columbia \u00a0 Canada"},{"name":"University of British Columbia , Vancouver, British Columbia \u00a0 Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie A.","family":"Sadownik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Vancouver, British Columbia \u00a0 Canada"},{"name":"University of British Columbia , Vancouver, British Columbia \u00a0 Canada"},{"name":"BC Centre for Vulvar Health , Vancouver, British Columbia \u00a0 Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori A.","family":"Brotto","sequence":"additional","affiliation":[{"name":"Women\u2019s 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