How effective is cognitive behavioral therapy for dyspareunia?
Cognitive behavioural therapy (CBT) is effective for many women with dyspareunia, especially when anxiety, negative sexual experiences, or fear of pain play a role.
Detailed Medical Explanation
CBT addresses unhelpful thought patterns, anxiety, and avoidance behaviours associated with painful sex. Multiple randomised trials and systematic reviews support its use, showing improvements in pain, distress, and sexual function. CBT is often combined with medical and physiotherapy treatments for best outcomes. NHS: CBT.
Clinical Context
CBT is particularly valuable when dyspareunia is linked to sexual trauma, relationship issues, or longstanding anxiety about intercourse.
Evidence-Based Approaches
NICE guidelines recommend CBT and psychosexual therapy as part of a multidisciplinary approach for persistent or complex dyspareunia. NICE Guidance.