Re: Vaginal dryness in a 17-year-old
From: Efrain Ramirez (eramirezt@coqui.net)
Thu Jul 27 09:59:55 2006
Both you and Stephen are correct..
Ef
At Wed, 26 Jul 2006, Joanne Bulley, MD wrote:
>
>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
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
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