Introduction. Provoked vestibulodynia (PVD), a recurrent, localized vulvo-vaginal pain problem, carries a significant psychosexual burden for afflicted women, who report impoverished sexual function, and decreased frequency of sexual activity and pleasure. Interpersonal factors such as partner responses to pain, partner distress, and attachment style are associated with pain outcomes for women, and sexuality outcomes for both women and partners. Despite these findings, no treatment for PVD has systematically included the partner.Aims. This study pilot-tested the feasibility and potential efficacy of a novel cognitive-behavioral couple therapy (CBCT) for couples coping with PVD.Methods. Couples (women and their partners) in which the woman was diagnosed with PVD (n=9) took part in a 12-session, manualized CBCT intervention and completed outcome measures pre-and post-treatment.Main Outcome Measures. The primary outcome measure was women's pain intensity during intercourse using a numerical rating scale. Secondary outcomes included sexual functioning and satisfaction for both partners. Exploratory outcomes included pain-related cognitions, psychological outcomes, and treatment satisfaction, feasibility and reliability.Results. One couple separated before the end of therapy. Paired t-test comparisons involving the remaining 8 couples demonstrated significant improvements in women's pain, and sexuality outcomes for both women and partners. Exploratory analyses indicated improvements in pain-related cognitions, as well as anxiety and depression symptoms for both members of the couple. Therapists' reported high treatment reliability, and participating couples' reported high participation rates and treatment satisfaction indicate adequate feasibility.Conclusions. Treatment outcomes along with treatment satisfaction ratings confirm the preliminary success of CBCT in reducing pain and psychosexual burden for women with PVD and their partners. . While these women do not report significant differences in relationship satisfaction when compared to control women [12], qualitative studies suggest that women with vulvodynia report that the pain can have a damaging effect on the couple's relationship, and fear losing their partner because of the pain [13]. Recent research also highlights the significant positive correlation between intimacy and sexual function and satisfaction for women with PVD [14], and the influence of attachment styles on pain and sexuality outcomes for both women and partners [15].Despite the growing evidence for the bidirectional associations between PVD and romantic relationship factors, current treatments typically focus solely on the woman, and no empirically-tested treatment has systematically included the partner.Fueled by a biopsychosocial, multidimensional understanding of pain, there is a recent increase in the number of studies that have examined cognitive, affective, and behavioral factors related to PVD, and their associations with sexuality outcomes in afflicted women and their partners...