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Reuters Health - Postmenopausal women who experience problems like vaginal dryness, painful intercourse or urinary incontinence may want to see a gynecologist instead of a primary care provider for help, a recent study suggests. For the study, researchers asked 90 primary care providers and 29 gynecologists multiple choice questions about how to recognize vulvovaginal atrophy and surveyed participants about how often they assessed patients for these issues and what barriers stopped them from doing this. Overall, gynecologists got correct answers to knowledge questions about vulvovaginal atrophy 77 percent of the time on average, compared to 63 percent for primary care providers, researchers report in Menopause. This makes sense, given how much more often gynecologists give women pelvic exams that would show changes in the vulva and vagina and any development of atrophy, and because gynecologists are more familiar with hormones that might be prescribed to relieve some symptoms of vulvovaginal atrophy, said lead study author Dr. In addition, primary care providers were less confident in their ability to advise patients on symptoms and recommend treatments.
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Menopause and sexuality

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Sex and Menopause, Sexual Side Effects of Menopause | The North American Menopause Society, NAMS

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How to Make Sex Better After Menopause

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Even if, as the saying goes, the brain is a woman's most important sex organ, we can't deny the role our bodies play—especially as we get older. Satisfying sex depends on several things: presence of desire, arousal, absence of pain, and an ability to reach orgasm. After menopause, libido declines, and changes in our bodies can make it difficult to get aroused, painful to have intercourse, and impossible to climax. It's little wonder that many women become dissatisfied with sex, and some avoid intimacy entirely.
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