Mindfulness and Management of Low Desire and Vulvovaginal Pain

Obstet Gynecol Clin North Am. 2024 Jun;51(2):273-284. doi: 10.1016/j.ogc.2024.02.002. Epub 2024 Mar 11.

Abstract

Mindfulness is defined as present-moment, nonjudgmental awareness. By reducing self-criticism, and depression, and increasing self-compassion, attention, and interoceptive awareness, mindfulness has been found across a variety of systematic reviews and meta-analyses to significantly improve sexual desire, sexual pain, and sex-related distress. It helps individuals connect with their bodies, fostering a deeper understanding of sensations and desires while reducing the focus on negative, judgmental, and catastrophic sex-related and pain-related thoughts. By teaching individuals to focus on bare sensations, mindfulness has also been found to significantly reduce vulvovaginal pain intensity with improvements retained a year later.

Keywords: Attention; Mindfulness; Provoked vestibulodynia; Sexual desire; Sexual dysfunction.

Publication types

  • Review

MeSH terms

  • Dyspareunia / psychology
  • Dyspareunia / therapy
  • Female
  • Humans
  • Libido
  • Mindfulness*
  • Pain Management / methods
  • Sexual Dysfunctions, Psychological / psychology
  • Sexual Dysfunctions, Psychological / therapy
  • Vulvodynia / psychology
  • Vulvodynia / therapy