Patient's question:
Please ask the expert:I had an imaging test that showed both fallopian tubes are almost blocked. I am preparing to undergo laparoscopic surgery. My mycoplasma test results are not good, and I often suffer from candidal vulvovaginitis. My menstrual flow used to be very heavy, lasting about five or six days, but now it's almost gone in just two days.
I also have another question. Apart from the days between my periods, my sexual intercourse with my husband is usually painful. I feel it's because my vagina is too dry. Most people have lubricating fluid when they have sex, right? Is it possible that I'm lacking estrogen? How can I regulate it, or what medication could help improve the situation? Thank you.
Doctor's answer:
Hello, the reasons for vaginal dryness cannot be explained in a few sentences. It involves a very wide range, including psychological, physiological factors, sexual life factors, sexual technique factors, or other factors, etc. Sometimes these factors are interwoven and interconnected. If it is due to endocrine disorders, you can start from the test data of the hormones examined. Usually, it is low estradiol levels or possibly elevated prolactin and androgen hormones. The latter two may also have other clinical symptoms (the cause can sometimes be complex, such as if the prolactin increase is very large, you need to rule out a pituitary tumor). If estradiol is simply low, appropriate supplementation with estrogen can be done. Ethinyl estradiol was previously the first-choice medication, but it has been found to have a certain relationship with breast cancer, so its use should be under the guidance of a doctor, paying attention to low dosage and short-term use. Some people use animal hormone-containing preparations like sheep placenta extracts or placenta preparations, combined with vitamin E and traditional Chinese medicine (such as Tai Tai oral liquid, Mei Yuan Chun, etc.), which have a very good effect; the newly launched Tian Ci Su is a natural plant estrogen (soy isoflavones), although it belongs to health food and nutritional supplements, it has a relatively significant effect on improving vaginal dryness. Regardless of the reasons, improving sexual techniques is essential, and sometimes it plays a major role. Sexual coordination requires the joint effort of both partners. The woman should correct the idea that sex is primarily for the man and actively cooperate with a positive attitude, including giving stage-by-stage information about sexual desires, indicating the parts and intensity of sexual stimulation, appropriate sexual fantasies, etc., and not getting involved in irrelevant distractions during sexual activity to avoid distraction of attention and reduced excitement; the man should avoid being impatient