Vaginal Aging. An honest Dialogue.

About this episode

Dr. Duncan Turner and nurse practitioner Sophie Mengele discuss the impact of low estrogen on vaginal health and various treatment options for painful intercourse across different life stages.

Painful Intercourse Across the Lifespan: Estrogen, Vaginal Atrophy, and Rejuvenation Options Dr. Duncan Turner and nurse practitioner Sophie Mengele discuss painful intercourse across life stages and how low estrogen affects vaginal tissues. They note symptoms can be multifaceted and occur in teens through geriatrics, including patients on oral birth control who may have suppressed estrogen peaks and benefit from vaginal estrogen or vaginal rejuvenation treatments, which may also help reduce recurrent vaginal infections. They cover postpartum discomfort related to lactation, low estrogen, and healing after lacerations, describing gentle laser options like MonaLisa and Forna V and the use of estriol or weak estradiol cream. For perimenopausal and menopausal patients, they explain that systemic HRT may not fully address pelvic needs and encourage local vaginal estriol/estradiol and DHEA. They describe low-estrogen changes (thinner mucosa, reduced blood supply, collagen, and elasticity) and how fractional CO2 laser and radiofrequency create micro-injury to stimulate healing and potentially improve symptoms including urinary issues. 00:00 Podcast Welcome 00:21 Infections Can Overlap…

People in this episode

Host: Duncan Turner

Guest: Sophie Mengele

Topics covered

• vaginal aging
• painful intercourse
• low estrogen
• vaginal atrophy
• rejuvenation options
• menopause care
• postpartum discomfort

Keywords

• vaginal health
• painful intercourse
• low estrogen
• vaginal rejuvenation
• menopause
• postpartum
• laser treatment

Mentioned in this episode

Organizations: MonaLisa, Forna V

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