Guest guest Posted June 21, 2006 Report Share Posted June 21, 2006 From my experience with clients there is condition called atrophic vaginitus, that can occur during pre menopause or even during breastfeeding, where the over-the-counter lubricants just don't help. One pre menopause woman, still in fairly regular cycles, said she tried everything and was relieved to have her Dr. tell her she had an actual condition where the vaginal tissue was thinning and friable, due to lack of estrogen. She commented that she felt she produced an good amount of her own natural lubricant, arousal fluid, but intercourse was still extremely painful. Dr. Hilgers prescribed Estriol Vaginal Cream to be used on days Peak +3 to Peak +12 of her cycle and it brought great relief. I believe this is a bio-identical hormone preparation so he prefers it to the Premarin Cream that is widely prescribed but derived from horse urine. It did not alter her mucus observations or her ability to determine sensation as it was a very small amount used at bedtime and only in the post ovulatory time. Perhaps one of the NFP Medical Consultants or a compound pharmacist can speak to this with greater detail in regards to your client. Theresa McGuire RN, CFCP Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2006 Report Share Posted June 21, 2006 I would suggest specifically the KY “Silk-E” or a silicone-based lubricant such as Sliquid. They work much better and for longer than traditional jellies, and usually do not have glycerin, which can promote yeast infections. Vaginal dryness I know this has come up before, but I need some help….. I have a client who has been experiencing “extreme vaginal dryness” for the last 3 months. She also has been diagnosed with diabetes and pre metabolic syndrome- or maybe with metabolic syndrome. She has tried KY Jelly and monostat- both over the counter obviously. Neither has helped. Her doctor recommended the birth control pill. She wants to know all her options before she goes back to the doctor in 2 weeks. Paige ly " The jackal may follow the Tiger, but Cub when thy whiskers are grown, Remember the Wolf is a hunter- go forth and find food of thine own. " Rudyard Kipling- The Second Jungle Book Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2006 Report Share Posted June 21, 2006 She is still ovulating. She is in her 20s. What are her best options? Paige ly " The jackal may follow the Tiger, but Cub when thy whiskers are grown, Remember the Wolf is a hunter- go forth and find food of thine own. " Rudyard Kipling- The Second Jungle Book From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of hannaklaus@... Sent: Wednesday, June 21, 2006 3:30 PM To: nfpprofessionals Subject: Re: Vaginal dryness If this lady is still ovulating, giving her estrogen is going to alter her mucus signs... always best to inquire about menstrual status before jumping in, a. Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org Re: Vaginal dryness Sounds like she would likely benefit from estrogen supplementation. That can be achieved apart from contraceptives. It can be used in cream form, perhaps she should consult either an NFP only physician, or perhaps a Naturopath. a > I know this has come up before, but I need some help... > > I have a client who has been experiencing " extreme vaginal dryness " for > the > last 3 months. She also has been diagnosed with diabetes and pre > metabolic > syndrome- or maybe with metabolic syndrome. > > She has tried KY Jelly and monostat- both over the counter obviously. > Neither has helped. > > Her doctor recommended the birth control pill. She wants to know all her > options before she goes back to the doctor in 2 weeks. > > > > Paige ly > > " The jackal may follow the Tiger, > > but Cub when thy whiskers are grown, > > Remember the Wolf is a huner- > > go forth and find food of thine own. " > > Rudyard Kipling- The Second Jungle Book > > > > " Dear young people, in such a world is it hard to believe? Yes! It is hard. There is no need to hide it. It is hard, but with the help of grace it can be done. " Pope II, World Youth Day 2000 in Rome ----------------------------------------- Catholic Financial Services Send and Receive all online Payments And Donations No Merchant Account Required! https://www.catholicfs.org/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2006 Report Share Posted June 21, 2006 astroglide Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org Re: Vaginal dryness Sounds like she would likely benefit from estrogen supplementation. Thatcan be achieved apart from contraceptives. It can be used in cream form,perhaps she should consult either an NFP only physician, or perhaps aNaturopath.a> I know this has come up before, but I need some help...>> I have a client who has been experiencing "extreme vaginal dryness" for> the> last 3 months. She also has been diagnosed with diabetes and pre> metabolic> syndrome- or maybe with metabolic syndrome.>> She has tried KY Jelly and monostat- both over the counter obviously.> Neither has helped.>> Her doctor recommended the birth control pill. She wants to know all her> options before she goes back to the doctor in 2 weeks.>>>> Paige ly>> "The jackal may follow the Tiger,>> but Cub when thy whiskers are grown,>> Remember the Wolf is a huner->> go forth and find food of thine own.">> Rudyard Kipling- The Second Jungle Book>>>>"Dear young people, in such a world is it hard to believe? Yes! It ishard. There is no need to hide it. It is hard, but with the help of graceit can be done." Pope II, World Youth Day 2000 in Rome-----------------------------------------Catholic Financial ServicesSend and Receive all online Payments And DonationsNo Merchant Account Required!https://www.catholicfs.org/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2006 Report Share Posted June 21, 2006 Here is a web page on understanding the effects of personal lubricants on sperm function. If this client wishes to get pregnant, she may be intersted in this. Quite a few good references listed indicating that there may be "a deleterious effect of personal lubricants on sperm function such as motility, including a decreased ability of sperm to penetrate cervical mucus after exposure to lubricants. Several studies show that: KY Jelly, Astroglide and Replens killed SPERM EQUIVALENTLY TO CONTRACEPTIVE JELLIES." http://www.helpconceive.com/hc_underEffects.html hannaklaus@... wrote: astroglide Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org ----- Original Message ----- From: Paige ly To: nfpprofessionals Sent: 6/21/2006 5:18:20 PM Subject: RE: Vaginal dryness She is still ovulating. She is in her 20s. What are her best options? Paige ly "The jackal may follow the Tiger, but Cub when thy whiskers are grown, Remember the Wolf is a hunter- go forth and find food of thine own." Rudyard Kipling- The Second Jungle Book From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of hannaklaus@... Sent: Wednesday, June 21, 2006 3:30 PM To: nfpprofessionals Subject: Re: Vaginal dryness If this lady is still ovulating, giving her estrogen is going to alter her mucus signs... always best to inquire about menstrual status before jumping in, a. Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org Re: Vaginal dryness Sounds like she would likely benefit from estrogen supplementation. That can be achieved apart from contraceptives. It can be used in cream form, perhaps she should consult either an NFP only physician, or perhaps a Naturopath. a > I know this has come up before, but I need some help... > > I have a client who has been experiencing "extreme vaginal dryness" for > the > last 3 months. She also has been diagnosed with diabetes and pre > metabolic > syndrome- or maybe with metabolic syndrome. > > She has tried KY Jelly and monostat- both over the counter obviously. > Neither has helped. > > Her doctor recommended the birth control pill. She wants to know all her > options before she goes back to the doctor in 2 weeks. > > > > Paige ly > > "The jackal may follow the Tiger, > > but Cub when thy whiskers are grown, > > Remember the Wolf is a huner- > > go forth and find food of thine own." > > Rudyard Kipling- The Second Jungle Book > > > > "Dear young people, in such a world is it hard to believe? Yes! It is hard. There is no need to hide it. It is hard, but with the help of grace it can be done." Pope II, World Youth Day 2000 in Rome ----------------------------------------- Catholic Financial Services Send and Receive all online Payments And Donations No Merchant Account Required! https://www.catholicfs.org/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2006 Report Share Posted June 22, 2006 --- Paige ly wrote: > She is still ovulating. She is in her 20s. What > are her best options? You might have done this already, but things I ask about: Undergarments detergents softening agents use of sanitary products bath soap diet drinking enough water marital status avoiding, achieving timing in her cycle (what do her charts look like?) types of cycle The key is finding out WHY there is vaginal dryness. Is it subjective only? Has she had previous procedures on her cervix? Taking medications? vitamins? I think perhaps Mucinex or " Tussin " products could even help without causing hormonal upset, etc. I always ask questions. Never outgrew being a 3 y/o I suppose! Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.