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Painful Sex and Vaginal Dryness

Painful Sex? Vaginal Dryness?
 
andy-warhol-hearts -c1979-84Recently, I have seen several peri-postmenopausal patients with similar complaints.  Starting after age 40, either the desire for sex wanes, or the desire is there, but sex is painful.  Painful sex ultimately leads to avoidance, and there begins a vicious cycle.  These are women in happy relationships, without depression or significant anxiety influencing the situation. (I have excluded the others for our purposes today.
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