Awoman age 49 years has sought care from her primary care provider because of "intimacy problems." upon questioning, the woman reveals that she is experiencing sexual desire, but that intercourse causes her significant pain. in the absence of sexual activity, the woman states that she does not have any significant vaginal discomfort. what would the clinician recognize that this client is most likely experiencing? dyspareunia vulvodynia vaginismus a sexually transmitted infection (sti)