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Wow, that’s fascinating. I hadn’t thought about it but you’re right, most Americans who are exposed to nudity are NOT seeing normal bodies at beaches or out in public – it’s either porn or models/movie stars in magazines or in highly produced movies/tv shows. I remember several years ago when Lena Dunham did some of her first nude scenes on the show Girls, it was one of the first times I had ever seen a “normal” woman naked like that. It sounds like Europe is operating from a better place from a body image perspective, but interesting that the association with pain and sex is still there. I’d think starting being sexually active later would help a little in being more emotionally ready to deal with issues that come up, but on the other hand it gives anxieties or issues like vaginismus more time to potentially get a foothold in terms of your relationship to your vagina.