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-- Welcome to sex all right some Dr.
-- have a sex is supposed to be pleasurable.
But for some people into course can be painful it's -- this -- And there are things you can do to fix it doing now with more -- chief medical officer for body logic can be done to Jennifer Landon.
OK you know as I said in the intro you know sex is supposed to be fun should do -- exposed like -- and there are people that are in terrible terrible pain.
Yeah and which is -- known known gynecological condition known as -- -- and so explain exactly because it's a very confusing especially for men they don't understand.
What is this -- I'm so glad we're talking about this because this is an important topic that lots of women ask me questions about at my web take a -- quiz dot com they're always asking me about vaginal pain.
-- -- And things sometimes it happens over time sometimes they've always had it.
So what does this all about what it can be about multiple different things multiple different things can cause that's.
So one of the biggest things we come across all the time is arm it's.
So as we age of course that's what I'm most people are familiar with as we age we go through menopause we lose our estrogen.
And what a lot of women tell me as they're surprised that sex starts to hurt.
They're vagina gets dry but not only dry this held actually shrink and the the China becomes smaller -- a club course that's going to be cause payment sacks.
But for a lot of women.
If it's really not -- relevant.
Yes I mean there are women and even in their twenties that Alia that complain that this the Rooney so you know -- -- tell me a bit more about those categories.
-- So one of the big things that I look for in younger women is are they on birth control pills or not.
Women -- -- on birth control pills have a much higher incidence of just turning up payments acts as we were talking about.
And the reason why again -- -- because just like the birth control pill is really good at controlling -- -- because it blocks testosterone.
The problem with that is it can block testosterone so well that it can cause vaginal dryness.
And the vaginal tissues can even lose their one best they can become thinner.
And -- that is something common that we see in women who go on birth control pills not not everywhere and certainly.
But if a woman has vaginal dryness and -- -- at -- and she's on the birth control -- the first thing I do.
Is Debra trial off the birth control -- how often do you think this is a problem for one.
You know it's probably less than 10% of the time but probably more than five -- mean it's not uncommon.
But it's the couple.
The condition -- seen this.
Over the years that a lot of women feel embarrassed to talk about.
Oh yes unfortunately.
There is a lot of shame a lot of embarrassment.
And women don't want to talk to their doctors about it.
Especially their male doctors because like you said male doctors don't have the same parts they don't really understand what we're going through so it can be very uncomfortable and therefore it.
Maybe this statistics are rescue.
Effort because you know this is not a topic I mean I think more -- more I think a lot of doctors and gynecologists like yourself.
Are now really focusing on problems like this you know people have more help than you know and I'm too long ago this was not it.
-- the topic that you go to a male gynecologists to talk about especially UN that you know 2034 year old me.
Right well that's why I think it's such an important.
And thing for doctors to ask your patient said that the -- the patient knows that you're open to it.
Aside from hormone deficiencies.
-- and the other reasons yes there are several.
So one of them is called -- the which basically means pain in the Volvo or pain in the best of -- in the vestibule as the opening of the vagina.
That's for a lot of women get pain when they have painful sex right at -- opening of the the China.
And there are tests that their doctor can do to determine if this is the problem.
So what do you do about that one thing you don't do is chronic steroids there are a lot of doctors who prescribed steroids on an ongoing basis for this problem and that is not the answer battle -- -- -- a vaginal skin.
One of the things that.
We don't know all the answers to this regular -- but one of the things that has been associated with that.
Is chronic yeast infection right so one of the things we want to do is -- our patients prevent yeast infections so how do we do.
One -- -- diet.
Eating a low sugar diet avoiding simple carbohydrates the white foods like white bread white potatoes white rice.
And also -- keeping the vagina.
Dry if the vagina as moist from working out or from being in the pool get the bathing suit off right away get the workout clothes off right away -- get the area dry.
The other thing is to use -- by -- Pro I -- -- are good bacteria that help balance the -- count.
It's normal for us to have a certain amount of east and her -- it's just not normal for it to get out of control and if we use things like -- -- objects we can either take them orally or we can even use vaginal probe by products they sell gels -- capsules to put inside the vagina that will help balance that used count down with the good bacteria in the probe by -- And so those are some good ways to prevent these infections.
So that we don't have chronic yeast infections that can lead to -- -- to LaDainian -- but it.
If you do you think you have a steadily getting your -- beginning it's important to go to somebody who's really trained in that area -- our specialists that -- that women can seek out.
With which gets -- to one aspect other surgical.
Methods of dealing with with -- this -- -- LaDainian.
Yes absolutely there are specialists and one of my friends doctor Andrew Goldstein he has done very successful surgeries with women that they have considered.
And allowed them to actually have sex again and what they do is they actually remove a portion of that vestibule -- that has been affected.
And by what ever chronic condition has happened to yes you can but if you -- ultimately need surgery at but it can be very successful.
We know with -- I'm glad that you brought up that point they are doctors nowadays and and that's why.
I always tell women you know -- You know because I get some emails a lot of times and you know it seems to be like them -- my doctor 200 times and I'm not getting the answers.
There are specialists that -- do this and and and again they know this.
Issues of infection.
Issues of anatomy some times that these violators to -- the -- depending on what you are.
If this is coming after multiple deliveries of you have dissension and bladder or the -- Of the rectum -- surgical techniques so you know you -- will get an answer from somebody who concentrates on that.
Another one convention is -- -- that's one that a lot of doctors don't necessarily identify and a lot of women don't realize they have.
Sebastien is -- is the involuntary contraction of the muscles in the vagina there are many many muscles throughout the -- as you're well aware.
And what can happen as women can contract them without knowing they're doing -- out.
And that can make sex very painful especially because over time.
You contract a muscle on I think contraction all the time it gets -- just like if we think we're -- -- exercise on her -- on our other muscles.
So that's something though that you can and a woman can actually diagnose herself or certainly her doctor -- -- feeling inside and if you feel muscles that feel tight like a tight rubber band underneath the vaginal U cosa.
That can be a sign of that and I had patients who literally have not been able to have sex their entire lives because they've suffered from pageant has -- But they can get over it.
By specifically the most common way to help with that is on vaginal physical therapy or actual specialists in this type of physical therapy.
Who help women with the -- leader anyway.
And -- out and now it seems as if it votes I -- some studies using Botox to relax and -- spasm of those muscles and patience and probably killed.
Last word for you.
There's -- -- but the mental.
Health to all of us at the end of the day when in this were some women with a -- Talking about the mental health -- There's absolutely.
An issue with the mental health and you know it's almost hard to say which came first the vaginal pain for the mental anguish because these women very frequently wind up with anxiety disorders depressive disorders.
Or they have an anxiety disorder depressive disorder in -- -- -- vaginal pain hit so hard to -- which comes first but they usually come together.
So it is important to address.
What's going on mentally and emotionally as well so counseling can be very very helpful.
And looking at what are the stress yours whether it's relationships -- whether it's lifestyle structures.
What's going on in her life that need be calm pounding the pain.
And also trying to help the woman.
T -- her level of shame and guilt about the pain because sometimes they have so much -- with nothing of the participate in sex with their partner.
At that can drive them into a depression and anxiety so there's a lot to work on there mental health wise as well I'm glad to -- All right well thank you so much for being here thank you working people find it -- they love you and they want to find you.
They appreciate that.
The harm on quiz dot com.
All right thank you so much for and be there again and again have a sex questions send me an email to a document if Rogers dot com I'm -- many thanks for watch.
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