A Canadian pilot study has found that acupuncture has positive effects on provoked vestibulodynia (PVD), a distressing genital pain condition affecting women. Eight women with PVD (mean age 30) underwent ten one-hour acupuncture sessions with needle placement according to an individual TCM diagnosis. Analysis of the results showed significant decreases helplessness (a measure on the Pain Catastrophising Scale) and pain with manual genital stimulation. It also revealed strong (though nonsignificant) effects for improved ability to have intercourse and sexual desire. Qualitative analvsis of patient interviews showed overall positive effects of acupuncture and revealed an improvement in perceived sexual health, reduced pain and improved mental well-being in the majority of participants. (J Sex Med. 2009 Nov 12.)