VIBRating vs Traditional Therapy for Treatment of ENTry Dyspareunia

This randomized controlled trial (RCT) aims to evaluate the efficacy of a novel vibrating pelvic floor therapeutic device (the "Kiwi") compared to traditional vaginal dilators in improving sexual function outcomes in sexually active women aged 18 and older with genito-pelvic pain and penetration disorder (GPPPD). The primary objective is to determine whether the Kiwi device leads to higher Female Sexual Function Index (FSFI) scores after four weeks of use compared to traditional dilators. Secondary objectives include assessing improvements in: * Sexual distress (Female Sexual Distress Scale - Desire/Arousal/Orgasm, FSDS-DAO) * Pelvic pain (Vulvar Pain Assessment Questionnaire, VPAQ-screen subscale) * Overall symptom severity (Patient Global Impression of Severity, PGI-S) * Perceived improvement (Patient Global Impression of Improvement, PGI-I) Participants (n=60) will be randomized into two arms: 1. Kiwi device group - a commercially available vibrating pelvic floor therapeutic product. 2. Traditional dilator group - a standard graduated cylindrical vaginal dilator set. Participants will use their assigned device three times per week for 15 minutes per session over a four-week period. Data will be collected at baseline and at the end of the study using validated questionnaires. The study hypothesizes that participants using the Kiwi device will demonstrate greater improvements in FSFI scores compared to those using traditional vaginal dilators, reflecting enhanced sexual function and reduced symptom severity.