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Dr. Pfeiffer
Dr. Pfeiffer, Doctor
Category: OB GYN
Satisfied Customers: 5987
Experience:  Ob/Gyn Doctor
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I am 58 years old, and have started having intercourse after

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I am 58 years old, and have started having intercourse after 3 years ( divorce) I noticed some pain on the inside of my labia minor and when I looked with a mirror I noticed some excoriation there. What can I use to heal this and how can I prevent it in the future. I am also experiencing some odorless clear discharge.
Dr. Pfeiffer :

hello

Dr. Pfeiffer :

this is common in menopausal women.

Dr. Pfeiffer :

it happens as the vulva and vaginal tissue atrophy (shrink), become less elastic and dry

Dr. Pfeiffer :

the reason it happens is the lack of estrogen.

Dr. Pfeiffer :

the best treatment is vaginal estrogen replacement to help make the vaginal tissue more robust.

Dr. Pfeiffer :

an alternative to that (non-hormonal) is an OTC product called replens

Dr. Pfeiffer :

Replens is marketed as a vaginal moisturizer, but studies have shown improvement in the vaginal mucosa similar to estrogen..just not as profound.

Dr. Pfeiffer :

As for the discharge...this too is likely caused by the lack of estrogen...and it might require a short course of antibiotics to make it go away such as Flagyl or clindamycin.

Dr. Pfeiffer :

So...I'd recommend an exam to have the discharge evaluated and antibiotics prescribed.

Dr. Pfeiffer :

you can take that opportunity to discuss vaginal estrogen.

Customer:

What can I do to heal these now?

Dr. Pfeiffer :

you can use simple neosporin on the areas you can see

Dr. Pfeiffer :

refrain from intercourse until you are healed.

Dr. Pfeiffer :

the estrogen would help minimize this from happening again.

Customer:

what about the excoriations, how do I heal them?

Dr. Pfeiffer :

that's what I'm talking about.

Dr. Pfeiffer :

on the areas you see the excoriations you can use simple neosporin.

Dr. Pfeiffer :

keep the area clean and dry..

Dr. Pfeiffer :

and they will heal just fine.

Dr. Pfeiffer :

just refrain from intercourse until you are healed up.

Customer:

what about the excoriations? how do I heal them?

Dr. Pfeiffer :

are you able to see my answers above?

Dr. Pfeiffer :

on the excoriated areas you can see..you can use simple neosporin.

Dr. Pfeiffer :

keep the area clean and dry...and they will heal just fine.

Dr. Pfeiffer :

just refrain from intercourse until you're healed up.

Customer:

thank-you

Dr. Pfeiffer :

you're very welcome.

Dr. Pfeiffer :

if you have other questions please come back and ask.

Dr. Pfeiffer :

and...please take the time to rate my service as good/excellent.

Dr. Pfeiffer :

thank you

Dr. Pfeiffer :

Dr. Pfeiffer

Dr. Pfeiffer :

thank you

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