Fishing for the right answers.

I recently met a woman complaining of a long history of painful intercourse. Several years ago she finally had the courage to tell her doctor about it. The doctor responded by recommending that she go see a therapist. The woman met with a therapist and was asked all the typical intake questions. When the therapist …

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YES! Hormonal contraception can cause painful intercourse.

I see many patients that come to the office complaining of painful intercourse and one of my first questions is: Are you taking birth control pills or any other form of hormonal contraception? And if so, for how long? Now, the information I’m about to provide includes all hormonal contraception like the nuvaring, patch, injections …

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Sex and Chinese food.

The other day I was talking to a patient who originally came in for the treatment of low desire and painful intercourse. A few months into her treatment, her relationship with her husband has transformed and she is feeling more satisfied in her marriage as a result. When we were discussing her progress, she said …

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What does low desire look like?

We see women all the time with “low desire.” Some practitioners are confused by “low desire” because how can you measure the absence of something? And how does a woman know if her low desire is a problem? Women who at one time had a strong desire for sex are more likely to be able …

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Estrogen replacement: horse urine vs yams.

Women have a lot of choices these days when it comes to estrogen replacement. There are many products on the market and oftentimes more choices lead to more confusion. Estrogen delivery systems include oral pills, transdermal patches, gels, rings and injections. Some estrogen products are made from the urine of pregnant horses and others are …

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