Genitopelvic Pain / Penetration Disorder By Allison Conn, MD, Baylor College of Medicine, Texas Children's Pavilion for Women; Kelly R Hodges, MD, Baylor College of Medicine, Texas Children's Pavilion for Women Reviewed / Revised Mar 2021 | Modified Sep 2022 View Patient Education Etiology Symptoms and Signs Diagnosis Treatment Key Points Genitopelvic pain / penetration disorder involves involuntary contraction of the pelvic floor muscles when vaginal entry is attempted or completed (levator ani syndrome, or vaginismus), pain that occurs during deep penetration (dyspareunia) or that is localized to the vestibule (provoked vestibulodynia), anxiety about penetration attempts, or difficulty having intercourse.