With focused coding complete and theoretical coding actively being undertaken several early conceptual processes are emerging. The meta-concepts of treatment trajectory and biographies are being used to organise the emerging themes. Several processes appear to be pivotal in the experience of distress during treatment seeking. This talk will focus on the interplay between sexual self-schema, distress and treatment seeking. Other important processes include the perceived level of control the woman has over her body and other aspects of her life, as well as, the experience of hope and despair during the treatment seeking process. Distress is a common yet varied experience of women with genital pain. A better understanding of women’s experience of distress during the treatment seeking process will be helpful for health professional who support women with genital pain.