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Genito-Pelvic Pain/Penetration Disorder

Genito-pelvic pain/penetration disorder (GPPPD) is characterized in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), by at least one of the following symptoms persisting for 6 months or more: difficulty with vaginal penetration, genital or pelvic pain during penetration attempts, fear that penetration may be painful, or a tensing of the pelvic floor muscles during attempted penetration. The pain of GPPPD may be superficial or deep, and its intensity can be mild, moderate, or severe. In some cases, GPPPD is lifelong, whereas in others, it is acquired after a period with no difficulties. The most common subtype of GPPPD is provoked vestibulodynia (PVD), characterized by burning pain concentrated at the vulvar vestibule (vaginal opening).

GPPPD encompasses and collapses the previous DSM-IV sexual pain ...

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