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0 -1.2 TD
[(similar )-67(to )-68(that )-68(experienced )-67(by )-68(adult )-68(women )-68(with )]TJ
/C2_0 1 Tf
-0.001 Tc 0 -1.2 TD
[<002A00480051004800550044004F004C005D004800470003>143<0039>60<0058004F005900520047005C0051004C004400110003>143<0039>60<0058004F0059004400550003>125<00530044004C00510003>125<00500044005C0003>125<004500480003>125<004F00440055>18<004A00480010>]TJ
/TT2 1 Tf
0 Tc 0 -1.2 TD
[(ly )45(undiscovered )45(in )45(young )44(girls, )45(because )45(they )45(don\222)18(t )]TJ
0 -1.2 TD
(use tampons and are rarely sexually-active. )Tj
0 -2.4 TD
[(Researchers )-40(have )-40(not )-41(investigated )-40(the )-40(prevalence )]TJ
0 -1.2 TD
[(of )-100(chronic )-100(non-sexual )-100(vulvar )-100(pain )-100(in )-100(the )-100(adoles)]TJ
(-)Tj
0 -1.2 TD
[(cent )-17(population, )-17(but )-18(a )-18(few )-18(have )-18(studied )-18(pain )-18(with )]TJ
-0.006 Tc 0 -1.2 TD
[(i)1(nt)1(e)1(rc)1(ourse)1(. )181(A)55( )125(c)1(ross-se)1(c)1(t)1(i)1(ona)1(l)1( )125(st)1(udy )125(of )125(251 )125(se)1(xual)1(l)1(y-)]TJ
0 Tc 0 -1.2 TD
[(active )-52(girls )-53(between )-53(the )-53(ages )-53(of )-53(12 )-53(and )-53(19 )-53(found )]TJ
0 -1.2 TD
[(that )119(20 )119(percen)1(t )119(reported )119(chronic )119(painful )120(intercourse )]TJ
T*
[(lasting )125(six )125(months )125(or )125(longer; )125(the )125(most )125(common )125(pain )]TJ
0 -1.2 TD
[(site )31(was )31(the )31(area )31(surrounding )31(the )31(vaginal )32(opening. )]TJ
0 -1.2 TD
[(Almost )-19(70 )-19(percent )-19(reported )-19(that )-19(symptoms )-19(began )]TJ
/C2_0 1 Tf
0 -1.2 TD
[<005A004C0057004B0003>-32<0057004B0048004C00550003>-32<00BF0055005600570003>-32<004C00510057004800550046005200580055005600480003>-32<004400570057004800500053005700110003>-31<002A004C0055004F00560003>-32<005A004B00520003>-32<0048005B>]TJ
/TT2 1 Tf
(-)Tj
/C2_0 1 Tf
0 -1.2 TD
[<005300480055004C004800510046004800470003>-44<0056004800590048005500480003>-44<00530044004C00510003>-44<005A004C0057004B0003>-44<00BF0055005600570003>-45<0057004400500053005200510003>-44<0058005600480003>-45<005A0048005500480003>]TJ
/TT2 1 Tf
T*
[(four )-132(tim)1(es )-132(more )-132(likely )-131(to )-132(report )-131(chronic )-131(painful )]TJ
0 -1.2 TD
[(intercourse. )138(An )83(earlier )83(study )83(of )83(172 )83(g)10(i)10(r)10(l)10(s)10( )93(a)10(n)10(d)10( )93(y)10(o)10(u)10(n)10(g )]TJ
-0.005 Tc 20.833 48.009 Td
[(women )-48(\(ages )-48(12-26\) )-48(who )-48(visited )-48(Swedish )-48(adoles)]TJ
0 Tc (-)Tj
0 -1.2 TD
[(c)5(e)5(n)5(t)5( )-52(h)5(e)5(a)5(l)5(t)5(h)5( )-52(c)5(e)5(n)5(t)5(e)5(r)5(s)5( )-52(f)5(o)5(u)5(n)5(d)5( )-52(t)5(h)5(a)5(t)5( )-52(3)5(4)5( )-52(p)5(e)5(r)5(c)5(e)5(n)5(t)5( )-52(r)5(e)5(p)5(o)5(r)5(t)5(e)5(d )]TJ
0 -1.2 TD
[(r)5(e)5(c)5(u)5(r)5(r)5(e)5(n)5(t)5( )38(v)5(u)5(l)5(v)5(a)5(r)5( )38(p)5(a)5(i)5(n)5( )38(p)5(r)5(o)5(v)5(o)5(k)5(e)5(d)5( )38(b)5(y)5( )38(i)5(n)5(t)5(e)5(r)5(c)5(o)5(u)5(r)5(s)5(e)5(.)5( )56(T)5(h)5(e )]TJ
0 -1.2 TD
[(f)5(o)5(l)5(l)5(o)5(w)5(i)5(n)5(g)5( )11(f)5(a)5(c)5(t)5(o)5(r)5(s)5( )11(i)5(n)5(c)5(r)5(e)5(a)5(s)5(e)5(d)5( )11(t)5(h)5(e)5( )11(r)5(i)5(s)5(k)5( )11(o)5(f)5( )11(v)5(u)5(l)5(v)5(a)5(r)5( )11(p)5(a)5(i)5(n)5(: )]TJ
0 -1.2 TD
[(r)5(e)5(g)5(u)5(l)5(a)5(r)5( )121(i)5(n)5(t)5(e)5(r)5(c)5(o)5(u)5(r)5(s)5(e)5( )121(b)5(e)5(f)5(o)5(r)5(e)5( )121(a)5(g)5(e)5( )121(1)5(6)5(,)5( )121(o)5(r)5(a)5(l)5( )121(c)5(o)5(n)5(t)5(r)5(a)5(c)5(e)5(p)5(t)5(i)5(v)5(e )]TJ
0 -1.2 TD
[(u)5(s)5(e)5( )53(f)5(o)5(r)5( )53(m)5(o)5(r)5(e)5( )53(t)5(h)5(a)5(n)5( )53(t)5(w)5(o)5( )53(y)5(e)5(a)5(r)5(s)5(,)5( )53(a)5(n)5(d)5( )53(a)5( )53(h)5(i)5(s)5(t)5(o)5(r)5(y)5( )53(o)5(f)5( )53(v)5(u)5(l)5(v)5(a)5(r )]TJ
/C2_0 1 Tf
0 -1.2 TD
[<004C>5<0055>5<0055>5<004C>5<0057>5<0044>5<0057>5<004C>5<0052>5<0051>5<000F>5<0003>5<004C>5<0057>5<0046>5<004B>5<004C>5<0051>5<004A>5<0003>5<0044>5<0051>5<0047>5<0003>5<00BF>5<0056>5<0056>5<0058>5<0055>5<0048>5<0056>5<00110003>]TJ
/TT3 1 Tf
0 -2.4 TD
[(Pr)18(egnancy and Postpartum)]TJ
/TT2 1 Tf
0 -1.2 TD
[(In )-29(a )-29(prospecti)1(ve )-29(longitudin)1(al )-29(study )-29(of )-29(vulvar )-29(pain )]TJ
19.95 0 Td
( )Tj
-19.95 -1.2 Td
[(d)8(u)8(r)8(i)8(n)8(g)8( )133(p)8(r)8(e)8(g)8(n)8(a)8(n)8(c)8(y)73(,)8( )133(q)8(u)8(e)8(s)8(t)8(i)8(o)8(n)8(n)8(a)8(i)8(r)8(e)8(s)8( )133(w)8(e)8(r)8(e)8( )133(a)8(d)8(m)8(i)8(n)8(i)8(s)8(t)8(e)8(r)8(e)8(d )]TJ
0 -1.2 TD
[(to )40(103 )40(pregnant )40(women )40(at )40(each )41(trimester )41(and )40(three )]TJ
0 -1.2 TD
[(months )-183(postpartum. )-164(The )-183(investigator )-182(found )-183(that )]TJ
T*
[(the )7(prevalence )7(of )6(vulvar )7(burning, )6(itching )7(and )6(pain )]TJ
0 -1.2 TD
[(increased )77(during )77(pregnancy )77(and )77(improved )77(postpar)]TJ
19.617 0 Td
(-)Tj
-19.617 -1.2 Td
[(tum, )-34(but )-34(that )-34(painful )-34(interc)1(ourse )-34(increased )-34(during )]TJ
0 -1.2 TD
[(pregnancy )50(and )49(remained )50(elevated )50(postpartum. )68(The )]TJ
/C2_0 1 Tf
0 -1.2 TD
[<00BF0055005600570003>-37<0056005700580047005C0003>-37<005700520003>-37<004C00510059004800560057004C004A0044005700480003>-36<0057004B00480003>-37<00530055004800590044004F00480051004600480003>-36<005200490003>-37<004A00480051004C00570044004F0003>]TJ
/TT2 1 Tf
T*
[(and )-15(pelvic )-15(pain )-15(in )-15(the )-15(second )-16(year )-15(after )-15(childbirth )]TJ
0 -1.2 TD
[(found )54(that, )55(at )55(an )54(average )55(of )54(14 )54(months )54(postpartum, )]TJ
0 -1.2 TD
[(18 )-19(percent )-19(of )-19(1)37(14 )-19(women )-19(reported )-19(current )-19(genital )]TJ
0 -1.2 TD
[(and/or )-140(pelvic )-140(pain )-140(lasting )-140(three )-140(months )-140(or )-140(more )]TJ
0 -1.2 TD
[(and )-180(26 )-180(percent )-180(reported )-180(an )-180(episode )-180(of )-180(resolved )]TJ
T*
[(pain. )-136(Nine )-136(percent )-136(continued )-136(to )-136(experience )-136(pain )]TJ
0 -1.2 TD
[(that )30(began )30(after )30(their )30(most )30(recent )31(childbirth. )31(Many )]TJ
0 -1.2 TD
[(factors, )-247(inclu)1(ding )-247(materna)1(l )-247(age )-247(and )-247(number )-247(of )]TJ
0 -1.2 TD
[(prior )-98(births, )-98(were )-98(assessed, )-98(but )-98(only )-98(a )-98(history )-98(of )]TJ
0 -1.2 TD
[(non-genital )100(chronic )100(pain )100(\(e.g., )100(migraine, )100(back )100(pain\) )]TJ
/C2_0 1 Tf
T*
[<0056004C004A0051004C00BF0046004400510057004F005C0003>26<00460052005500550048004F00440057004800470003>26<005A004C0057004B0003>25<0053004800550056004C005600570048005100570003>25<005300550048004A0051004400510046005C00100003>]TJ
/TT2 1 Tf
19.95 0 Td
( )Tj
-19.95 -1.2 Td
(or postpartum-onset genital or pelvic pain. )Tj
/TT3 1 Tf
/Span<>> BDC
0 -2.4 TD
(C)Tj
EMC
(onclusion)Tj
/TT2 1 Tf
0 -1.2 TD
[(R)5(e)5(c)5(e)5(n)5(t)5( )-125(e)5(p)5(i)5(d)5(e)5(m)5(i)5(o)5(l)5(o)5(g)5(i)5(c)5(a)5(l)5( )-125(s)5(u)5(r)5(v)5(e)5(y)5(s)5( )-126(h)5(a)5(v)5(e)5( )-126(s)5(h)5(o)5(w)5(n)5( )-125(t)5(h)5(a)5(t )]TJ
T*
[(v)5(u)5(l)5(v)5(o)5(d)5(y)5(n)5(i)5(a)5( )74(c)5(a)5(n)5( )74(o)5(c)5(c)5(u)5(r)5( )74(a)5(t)5( )74(a)5(n)5(y)5( )74(a)5(g)5(e)5(,)5( )74(a)5(l)5(t)5(h)5(o)5(u)5(g)5(h)5( )74(i)5(t)5( )74(i)5(s)5( )74(m)5(o)5(s)5(t )]TJ
19.95 0 Td
( )Tj
-0.005 Tc -19.95 -1.2 Td
[(likely )-3(to )-3(start )-3(in )-3(young )-3(adulthood. )15(The )-3(high )-3(preva)]TJ
0 Tc (-)Tj
T*
[(l)5(e)5(n)5(c)5(e)5( )-219(o)5(f)5( )-219(t)5(h)5(i)5(s)5( )-219(c)5(h)5(r)5(o)5(n)5(i)5(c)5( )-219(p)5(a)5(i)5(n)5( )-219(c)5(o)5(n)5(d)5(i)5(t)5(i)5(o)5(n)5( )-219(i)5(n)5( )-219(w)5(o)5(m)5(e)5(n)5(, )]TJ
19.95 0 Td
( )Tj
-19.95 -1.2 Td
[(b)5(o)5(t)5(h)5( )53(y)5(o)5(u)5(n)5(g)5( )53(a)5(n)5(d)5( )53(o)5(l)5(d)5(,)5( )53(s)5(h)5(o)5(u)5(l)5(d)5( )53(u)5(n)5(d)5(e)5(r)5(s)5(c)5(o)5(r)5(e)5( )53(t)5(h)5(e)5( )53(n)5(e)5(e)5(d)5( )53(f)5(o)5(r )]TJ
-0.005 Tc T*
(research on its etiology and potential risk factors.)Tj
0 Tc T*
(\()Tj
/TT1 1 Tf
-0.005 Tc 0.328 0 Td
[(Editor's )65(note: )65(If )65(you )65(would )65(like )65(to )65(r)37(eceive )65(the )65(r)37(efer)]TJ
0 Tc 19.289 0 Td
(-)Tj
-0.005 Tc -19.617 -1.2 Td
[(ences )103(for )103(this )103(article, )103(please )103(send )103(an )103(e-mail )103(to )103(gigi@)]TJ
T*
[(nva.or)37(g or call 301-949-51)74(14.)]TJ
/TT2 1 Tf
(\) )Tj
/C2_1 1 Tf
0 Tc <0084>Tj
ET
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