Vagifem and oral sex

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My mammogram, bone density, and a pap smear a year ago were all normal. My only real problems now seem to be diminished interest in sex, vaginal dryness, and a vaginal discharge with a very unpleasant odor when my husband and I do have sex. Intercourse is painful and I have a constant awareness of that part of my body. Between these two vaginal treatments I have stuff running out of me all the time and do not feel sexy at all.
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Ask the doctor: Does vaginal estrogen have the same risks as oral or patch estrogen?

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Menopause, Sex, and Vaginal Health: Ask Dr. Pat | Women's Voices For Change

Readers recently submitted questions about female sexuality to Dr. Susan Kellogg , a professor of obstetrics and gynecology at the Drexel University College of Medicine in Philadelphia; a professor of human sexuality at Widener University in Chester, Pa. Kellogg is also the co-founder of the Pelvic and Sexual Health Institute of Philadelphia, where she is the director of vulvar and sexual medicine, and a member of the editorial board of The Journal of Sexual Medicine. Some questions have been edited.
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Women's Voices For Change

Without estrogen replacement, one third of women experience symptoms of atrophic vaginitis including dryness, irritation, itching and or dyspareunia. Local application of estrogen has been shown to relieve these symptoms and improve quality of life for these women. In addition, local estrogen therapy may have a favorable effect on sexuality, urinary tract infections, vaginal surgery, and incontinence. This review examines the effects of vaginally applied estrogen on the vaginal epithelium, urethra and endometrium. An accompanying review examines the systemic effects of vaginally applied estrogen.
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Sickle cell disease in newborns and children: What families should know and do. Do vaginal estrogens that are used for vaginal dryness have the same risks as estrogens taken orally or by skin patch? Hormone therapy HT — estrogen given alone or with progesterone or a progestin to protect the uterine lining, or endometrium — is the most effective treatment for postmenopausal hot flashes and vaginal symptoms.
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