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The current mixed-methods study is the first to explore Black women’s ( N  = 153) cognitive (e.g., worry about being perceived as sexually unresponsive) and emotional (e.g., sadness) responses to sexual pain based on age and relationship status, and coping strategies. Findings indicated significant differences in younger and single Black women’s cognitive and emotional responses to sexual pain compared to older and coupled Black women. Qualitative responses revealed Black women engage in several proactive coping strategies to mitigate their sexual pain, including non-penetrative activities, foreplay, tools for increasing arousal, making physical adjustments, and intimacy and sexual communication.  Implications for sexual health providers are discussed.

Pursuing Pleasure Despite Pain: A Mixed-Methods Investigation of Black Women’s Responses to Sexual Pain and Coping