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While vaginal atrophy is the most common cause in this age group, other causes to consider include vulvodynia, vestibulodynia, and vaginismus. She says the condition is both "underdiagnosed and undertreated" in older women, thanks to a lack of communication between health care providers and their postmenopausal patients. Now — before I go on — I need to make the point that we should not jump to conclusions about the cause. A measly 13 percent of women in the study said their doctor or nurse had initiated a conversation about postmenopausal vaginal changes. You can ask to stop the exam at any time if it's too painful. These are some frequently prescribed strategies for managing dyspareunia:. Pelvic floor physical therapy.
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American College of Obstetricians and Gynecologists. Risk factors for dyspareunia after first childbirth. The condition the women have is officially known as vulvovaginal atrophy VVA , which refers to the thinning and weakening of vaginal tissues due to the drop in estrogen after menopause. Until vaginal penetration becomes less painful, you and your partner might find other ways to be intimate. You can help to pick the winner of the Movies for Grownups Readers' Choice award! A thorough medical history. Lead author Joelle Brown, an assistant professor with the Department of Epidemiology in UCLA's School of Public Health, said lab tests showed that the women who used petroleum jelly and baby oil were twice as likely to have vaginal infections compared with those who didn't.
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