Postmenopausal Dyspareunia

Postmenopausal dyspareunia is considered a major indicator for hormonal treatment (103). If nonhormonal vaginal lubricants, such as Replens, are not adequate, then estrogen-based creams or estradiol inserts in ring or tablet format are often recommended. In principle, systemic estrogen-based hormone replacement therapy may also be prescribed. Significant reduction of urogenital atrophy can be obtained through estrogen supplementation, which may, in turn, provide the context for improvements in sexual functioning (104). Presently, evidence from randomized controlled trials is tenuous regarding the benefit of hormone replacement for dyspareunic pain (105). Beyond alleviating symptoms of urogenital atrophy that may subsequently lead to sexual impairment, hormonal supplementation has not been found to substantially contribute to postmeno-pausal sexual functioning (104-106).

From PMS To PPD

From PMS To PPD

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