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Those with clinically significant (pain \u22654\/10 on a visual analogue scale) were matched with those reporting minimal pain (pain &amp;lt;3\/10) and underwent a gynecological exam including a cotton-swab test. Descriptive analyses, multiple regressions, and bivariate correlations were conducted to address each of the study aims, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>(i) Findings from the gynecological examination (ii) Numerical rating scale for the VPI; (iii) Visual analogue scale of pain during intercourse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of women in both pain groups had normal physical findings in the gynecological exam. Greater sexual distress and pain catastrophizing at 12- and 24-month postpartum were significantly associated with greater pain during intercourse at each time-point, respectively. Greater pain catastrophizing at 12 months postpartum was significantly associated with greater pain during the cotton-swab test at that time-point. Lower relationship satisfaction at 12 months postpartum was associated with greater VPI ratings at 24 months postpartum. Pain during intercourse and the VPI were moderately and positively correlated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>Addressing psychosocial variables may interrupt the maintenance of postpartum pain. Following an initial assessment, self-reported pain intensity may be a suitable proxy for repeated examinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths &amp; Limitations<\/jats:title><jats:p>This study is the first to describe the physical findings and psychosocial predictors of pain during intercourse and the VPI at 12- and 24-month postpartum. The homogenous and small sample may limit generalizability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There were no observable physical indicators of clinically significant postpartum pain during intercourse. Psychosocial variables were linked to women\u2019s greater postpartum pain during intercourse and VPI ratings.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2021.11.004","type":"journal-article","created":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T04:49:31Z","timestamp":1638766171000},"page":"116-131","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparing Self-Reported Pain During Intercourse and Pain During a Standardized Gynecological Exam at 12- and 24-Month Postpartum"],"prefix":"10.1093","volume":"19","author":[{"given":"Meghan A.","family":"Rossi","sequence":"first","affiliation":[{"name":"Department of Psychology and Neuroscience, Dalhousie University , Halifax, NS , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ella","family":"Vermeir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dalhousie University , Halifax, NS , 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