Genito-Pelvic Pain / Penetration Disorder (GPPPD) is a sexual health condition where a woman experiences persistent or recurrent difficulty with vaginal penetration, pain during intercourse, fear or anxiety about pain, or involuntary tightening of pelvic floor muscles that prevents comfortable penetration.

Key Features

• Pain or discomfort during attempted vaginal penetration
• Fear or anxiety before, during, or after penetration
• Pelvic muscle tightening making penetration difficult or impossible
• Persistent symptoms lasting at least 6 months
• Causes significant distress and affects sexual well-being

Possible Symptoms

• Burning, stinging, sharp, or deep pelvic pain
• Difficulty engaging in intercourse or gynecological exams
• Avoidance of sexual activity due to pain
• Emotional distress, reduced confidence, or relationship strain

What Causes It?

GPPPD can result from multiple factors, including:

• Past painful experiences
• Pelvic or genital infections
• Hormonal changes
• Trauma or negative sexual experiences
• Pelvic floor muscle dysfunction
• Stress, anxiety, or relationship difficulties

Severity Types

• Mild: Occasional discomfort
• Moderate: Frequent distress and difficulty
• Severe: Extreme pain or inability to attempt penetration

Genito-Pelvic Pain / Penetration Disorder is a common and treatable condition. With supportive care, pelvic floor therapy, medical evaluation, and psychological intervention, most women experience significant improvement.