Vaginismus? Vulvodynia? What?

People ask all the time about the difference between Vulvodynia and Vaginismus, so here’s a brief explanation: Vulvodynia is chronic unexplained pain in the vulva that lasts for over 3 months. The pain can be described as burning, stinging, rawness, or even itching. It can occur with intercourse, but frequently women will have pain with …

Continue Reading

Is My Low Sex Drive Treatable?

If you have been to the gynecologist and the answer to that question was “Oh just try having a glass of wine” or “Desire is something that fades with time- join the club”, then you might feel like the answer is no. But in reality, that is simply not the case. Sex drive is multifactorial, …

Continue Reading

Can Lasers Improve Your Sex Life?

People always ask me that. Here at Maze Women’s Health, we have been using the MonaLisa Touch® for over a year. It is a great option for treating post-menopausal vaginal atrophy. Vaginal atrophy is caused by decreasing levels of estrogen which happens as we age. It causes the skin in the vagina to become thin …

Continue Reading

Why You Should Consider MonaLisa Touch

MonaLisa Touch is a laser treatment for postmenopausal vaginal atrophy, which is the thinning of the walls of the vagina caused by decreased estrogen levels. This can often cause vaginal dryness and burning as well as pain during intercourse.  MonaLisa Touch is a simple procedure that is relatively painless and is performed in 3 sessions …

Continue Reading

What is Vulvodynia?

Vulvodynia is an unexplained pain at the vaginal opening for greater than 3 months.  Other terms are vulvar vestibulitis, vestibulodynia, or vulvar vestibulitis syndrome. Some studies show that as any as 16% of women have suffered from vulvodynia at some point in their lives, but it is difficult to estimate, because many women don’t report …

Continue Reading

Can a UTI Cause Chronic Vulvar Pain?

I was recently asked if a urinary tract infection could lead to chronic vulvar pain. A urinary tract infection is when bacteria invades the urinary tract, and causes such symptoms as burning with urination, frequency of urination and the feeling of an urgent need to urinate. Although a urinary tract infection(UTI) does not cause any …

Continue Reading

The Benefits of Starting HRT Early

There is a lot of misinformation out there about postmenopausal hormone replacement, based on old, misinterpreted studies. The North American Menopause Society (NAMS) has put out a great informational video about the safety and timing of hormone replacement. They recommend seeking treatment sooner rather than later, as it is safer to start HRT earlier, and …

Continue Reading

Transdermal vs. Oral Estrogen for Menopause

For the treatment of menopausal symptoms, I have always preferred using the estrogen patch as opposed to oral estrogen (oral conjugated equine estrogens). With the patch, which allows a continuous delivery of estrogen, you don’t see the same fluctuations of estrogen as you do with the oral pill.  The absorption through the skin bypasses the …

Continue Reading

Sex After Menopause

Sex after menopause can be wonderful. The kids have all grown up, no worries about contraception, finally you and your partner have time to spend on each other. But many women develop physical symptoms that make sex uncomfortable, difficult or even impossible after menopause, and their sex life comes to a grinding halt. But there …

Continue Reading