What is Vulvodynia?

Vulvodynia is an unexplained pain at the vaginal opening for greater than 3 months.  Other terms are vulvar vestibulitis, vestibulodynia, or vulvar vestibulitis syndrome. Some studies show that as any as 16% of women have suffered from vulvodynia at some point in their lives, but it is difficult to estimate, because many women don’t report …

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Can a UTI Cause Chronic Vulvar Pain?

I was recently asked if a urinary tract infection could lead to chronic vulvar pain. A urinary tract infection is when bacteria invades the urinary tract, and causes such symptoms as burning with urination, frequency of urination and the feeling of an urgent need to urinate. Although a urinary tract infection(UTI) does not cause any …

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9 Benefits of Bioidentical Estrogen

Postmenopausal hormone replacement is more than just resolving hot flashes. Estrogen affects everything from your skin to your brain. This is a great article highlighting some of the important effects of estrogen. If you are postmenopausal and struggling with these symptoms, schedule an appointment with your provider to see if you are a good candidate …

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The Benefits of Starting HRT Early

There is a lot of misinformation out there about postmenopausal hormone replacement, based on old, misinterpreted studies. The North American Menopause Society (NAMS) has put out a great informational video about the safety and timing of hormone replacement. They recommend seeking treatment sooner rather than later, as it is safer to start HRT earlier, and …

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Transdermal vs. Oral Estrogen for Menopause

For the treatment of menopausal symptoms, I have always preferred using the estradiol patch as opposed to oral estrogen (oral conjugated equine estrogens). With the patch, which allows a continuous delivery of estrogen, you don’t see the same fluctuations of estrogen as you do with the oral pill.  The absorption through the skin bypasses the …

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Sex After Menopause

Sex after menopause can be wonderful. The kids have all grown up, no worries about contraception, finally you and your partner have time to spend on each other. But many women develop physical symptoms that make sex uncomfortable, difficult or even impossible after menopause, and their sex life comes to a grinding halt. But there …

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Early Menopause Associated with Higher Heart Disease Risk

Deciding whether to start hormone replacement therapy (HRT) after menopause can be very confusing. But this article suggests that if you have gone through early menopause, HRT may be recommended to reduce your risk of heart disease. According to the study, it appears that women that have gone through menopause by the age of 45 …

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Why does tensing your body during sex cause more pain?

Tensing your body during sex can either be a means to generating pleasure or a reaction to experiencing pain. If you’re interested in the pleasure aspect, read our blog on that topic. However, if you’re tensing your body because sex is painful, read on. This is something many women have experienced. Sometimes it is a …

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Menopause… the truth is really out there.

As a clinician, I find nothing more frustrating these days than the difficulty women are having finding help for their menopausal/ perimenopausal symptoms. This is not an obscure disease; this is a normal life stage. I have women that have seen 3 or 4 other providers before coming to see me, for what I would …

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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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