title: Provoked vestibulodynia-women's experience of participating in a multidisciplinary vulvodynia program.
abstract: BACKGROUND
  Provoked Vestibulodynia (PVD) is the most common cause of pain with intercourse that affects reproductively aged women. The treatment outcome literature suggests that existing treatments, when administered individually, may have only limited benefits for improving pain, and that multidisciplinary approaches may be more effective for reducing pain and pain-associated distress. A program that offers education, group cognitive behavioral therapy, pelvic floor physiotherapy, and medical appointments was developed and implemented at our hospital site.
  
  
  OBJECTIVE
  To explore the experiences of women who participated in the Multidisciplinary Vulvodynia Program (MVP) in order to identify the perceived benefits of this program.
  
  
  METHODS
  Qualitative retrospective study. A semi-structured interview format was used to interview graduates of the MVP. Nineteen women, mean age 30.8 (20-54 years), participated in a one-on-one in-depth interview with a trained interviewer. The key question asked was "What has been the impact of the mvp on your life?" interviews were audio-recorded, transcribed, and qualitatively analyzed for major themes.
  
  
  METHODS
  Content analysis of interview transcripts.
  
  
  RESULTS
  Five main themes emerged and included: increased knowledge, gained tools/skills, perceived improved mood/psychological well-being, a sense of validation and support, and an enhanced sense of empowerment.
  
  
  CONCLUSIONS
  Overall, a multidisciplinary vulvodynia program was perceived as being beneficial for women with PVD.
authors.affiliation: Department of Obstetrics & Gynecology, University of British Columbia, Vancouver, Canada. leslie.sadownik@vch.ca
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Sadownik
authors.forename: Brooke N
authors.initials: BN
authors.lastname: Seal
authors.forename: Lori A
authors.initials: LA
authors.lastname: Brotto
mesh_terms: D000328:Adult; D001676:Biofeedback, Psychology; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D004414:Dyspareunia / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D033183:Interdisciplinary Communication; D007406:Interview, Psychological; D008875:Middle Aged; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D015397:Program Evaluation; D012017:Referral and Consultation; D012736:Sex Education; D056650:Vulvodynia / Q000628:therapy*; D055815:Young Adult