Chronic gynaecological pain is a major medical problem that affects 20-30% of women at
different moments of their life. This largely neglected issue has a significant impact on the
sexual and conjugal life of women suffering from it as well as on their psychological health.
Furthermore, this kind of pain is not well understood, often misdiagnosed or even totally
ignored. Also, treatment is limited and not extensively studied. This study aims at better
understanding and treating gynaecological pain. The focus of the study will be provoked
vestibulodynia, pain at the entry of the vagina. The efficacy of specialized pelvic floor
physiotherapy will be compared to a topical cream (lidocaine) applied to the vulva. The
treatment efficacy will be assessed in 234 women (aged from 18-45 years old) suffering from
provoked vestibulodynia recruited in 4 hospitals (CHUS, Jewish General Hospital,
Royal-Victoria Hospital, CHUM St-Luc).