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Re: Vaginal dryness in a 17-year-old From: Joanne Bulley, MD (islesannie@yahoo.com) Wed Jul 26 22:08:44 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Ob: CNM inductions" Previous message: Raymond Stephen: "Re: Vaginal dryness in a 17-year-old" In reply to: Raymond Stephen: "Re: Vaginal dryness in a 17-year-old" Next in thread: Efrain Ramirez: "Re: Vaginal dryness in a 17-year-old" Reply: Efrain Ramirez: "Re: Vaginal dryness in a 17-year-old" Although this could be the culprit, I find that a big part of the teen vaginal dryness is that the young males become aroused and ready for intromission so fast that the young woman who is not familiar with the full sexual response ends up unaroused (from the vaginal point of view) and he enters when she is not ready. I do a lot of counseling young women on this issue and ask about the foreplay and what happens with her vagina and secretions. Invariably I see a light go off when we have this discussion. The guys of that age just are often erect with nearly no stimulation and don't want to do what is needed for her to be truly ready for intromission. Then it doesn't feel good - and she takes longer and longer until her body is saying "no way" because it never felt really good. Joanne At Wed, 26 Jul 2006, Raymond Stephen wrote: > >The progestagenic fraction of the patch is probably responsible. There >are some who get quite a lot of atrophy from progestational agents in >the OC and I would feel confident that that is the mechanism here; >especially as the particular progestational agent here is a metabolite >of norgestimate which is quite potent. > >Steve > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna >Meenan, MD >Sent: Thursday, 27 July 2006 6:27 AM >To: Multiple recipients of list OB-GYN-L >Subject: Vaginal dryness in a 17-year-old > >Precepting residents today. One of them saw a 17-yr-old with cc of vag >dryness, interfering with intercourse. Clinically dry on exam also. >She has regular menses, no other indicators of estrogen deficiency. Wt. >230. > >She is on Ortho-Evra for past 2 years. Have any of you ever seen this >in a young woman? Is the patch causing it? > >Anna Meenan, MD -- Joanne Bulley, MD Keene, NH, USA Next message: Garry E. Siegel, M.D.: "Ob: CNM inductions" Previous message: Raymond Stephen: "Re: Vaginal dryness in a 17-year-old" In reply to: Raymond Stephen: "Re: Vaginal dryness in a 17-year-old" Next in thread: Efrain Ramirez: "Re: Vaginal dryness in a 17-year-old" Reply: Efrain Ramirez: "Re: Vaginal dryness in a 17-year-old"

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