Sex Should Not Hurt…Here’s Why: Advice from Our Nurse Practioner

Intercourse should not hurt. I am surprised at how many patients I see who have been suffering for years with painful intercourse of some kind. There are many reasons why someone might be suffering from painful intercourse. For example, lack of lubrication, vaginal muscle tension, endometriosis, vaginal infections, and structural abnormalities are all possible reasons …

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In a Fight with Your Vagina

Imagine a friend who starts flaking on your plans with no real explanation.  After a continued pattern, you get fed up and decide that you are no longer going to make any plans with her and set yourself up for disappointment. There may have been positive memories of the past, times where you really enjoyed …

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When simple things become VERY, VERY AWFUL

It may be due to Vulvar and Vaginal Atrophy (VVA), a chronic and progressive medical condition that affects many menopausal women. Approximately 1 in 2 menopausal women in the United States experience VVA. VVA is caused by decreased estrogen production. Women may spend an average of one-third of their lives in this hypoestrogenic state. The …

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Out of the Box

Sigmund Freud was an Austrian neurologist and one of the most influential thinkers in the field of psychology today. Among his contributions to the field is the formulation of what are called ‘defense mechanisms’.  In lay terms, defense mechanisms are internal “security guards” inside of us whose goal is to protect us from experiencing pain and …

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MonaLisa Touch: Is It Right For You?

Millions of women experience changes in their vaginal health that interfere with their personal lives during the post-menopause years. These changes are the result of decreased estrogen. Problems include vaginal laxity, decreased lubrication, painful intercourse, urinary incontinence, pouty labia and fissures at the opening of the vagina. Many women suffer in silence. Those who seek …

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The Perk of Predictability

Sometimes unpredictability makes life more fun, adventurous, and interesting. But when it comes to sexual dysfunction, unpredictability can intensify the emotional pain and lead to continued avoidance and distance.  When you can’t trust that your body and mind will show up for sex the way you hope, it may make you want to say, why …

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Intrarosa- Treatment for Post-Menopausal Pain

There is a new drug out there for the treatment of post-menopausal pain with intercourse called Intrarosa. It was recently approved by the FDA and adds yet another treatment option for women that are experiencing the painful effects of postmenopausal vaginal atrophy. It is a daily use vaginal insert. This new treatment would be for …

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