Table 3. Behavioral strategies to reduce pain.

Situation	Behavioral strategies
Intercourse	Use water-based lubricants Explore different coital positions Sitz bath or ice packs after intercourse Urinate immediately after intercourse
Physical activity	Avoid exercises that put pressure on the vulvar region or that produce friction (e.g., cycling) Avoid swimming pools or saunas/steam baths
Personal hygiene	Avoid scented products Do not wash the genital region more than once a day Do not shave the vulvar region
Clothing	Avoid tight underwear or trousers Remove wet clothing immediately after an activity Use cotton underwear (avoid synthetic fabrics) Wash your clothes with hypoallergenic products

Source: Adapted from Bornstein et al.6