GynoFiles

Most painful sex is due to the Genitourinary syndrome of menopause, and we now have many strategies that work for this condition. Estrogen works to treat the vaginal changes that occur in menopause. For some women there are only minor symptoms, perhaps dryness, change in odor, or change in discharge. Other women from this syndrome have bladder symptoms, recurrent urinary tract infections, stress incontinence, painful sex, irritating dryness, external symptoms, or itching. Women who have these symptoms in menopause, and now is more accurately called genitourinary syndrome (GUSM) of menopause.  It is commonly caused by the lack of estrogen as women age, and then secondarily this the thinning and deterioration of the surface layers of the vaginal walls, the vulva, the urethra, even the anal region due to these menopausal changes. For the most part your gyno can tell by an examination but are even pap tests to determine if this is the diagnosis, although your gyno can usuall y...

Sex is definitely healthy and now and then it needs to be spiced up. So after you watch the 50 shades premier, and are thinking new sex moves, maybe you want to know your gyno's opinion on the medical considerations before you pick your passion. Sex toys are definitely one way to spice up your sex life, and sex toy stories.seem to be abounding. No need to wonder where to get them, as you can buy them at tea parties, in your spa catalogs, at your gyno's office or local pharmacy, women are enjoying options for sexuality that they never had before! Sex toys are often recommended by gynos. They can be very successful dilators, they can bridge gaps between partners or when your partner is on a trip, they can help with Kegel's exercise, just to name a few obvious benefits. Vaginal dilators are prescribed by gynecologists for chronic infections and vaginal pain with intercourse, for women with bladder pain conditions, for women with lichen sclerosus and for women with ...

Pap tests can be used to judge your sexual health. This is the test called a Maturation Index: this is not a cancer test, but it is a type of pap smear. It is done with the same collection technique of getting cells from the cervix with a swab and placing them in fluid or on a slide. It is an analysis of the vaginal wall cells from the upper third of the vagina. 100 cells are evaluated and the proportion of the parabasal cells (the lower most layer that sits on the top of what is called the basement membrane), the intermediate and the superficial cells. Prior to menopause, if you have a normal healthy vaginal wall you will have somewhere between 40-70/100 intermediate cells and about 40-60/100 superficial cells, and no parabasal cells. If you have early menopause, and a bit of estrogen, you may start having some parabasal cells when your maturation index is taken. Once women are fully in menopause, and the vaginal walls become atrophic, then they may have as many as 65/100 cells as ...