Patient's question:
Please ask the expert:I had an imaging test showing that both fallopian tubes are almost blocked. I am preparing to undergo laparoscopic surgery. My mycoplasma test results are not good either, and I frequently suffer from candidal vulvovaginitis. Previously, my menstrual flow was 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 around my period, my sex life with my husband is usually painful. I feel it's due to excessive dryness in my vagina. Do people normally secrete fluid during intercourse to make it more lubricated? Am I lacking estrogen? How can I regulate it, or what medication could help? Thank you.
Doctor's answer:
Hello, the reasons for vaginal dryness cannot be explained in a few sentences. It involves a very broad 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. It is usually low estradiol levels or possibly elevated prolactin and androgen. The latter two may also have other clinical symptoms (the cause can sometimes be complex, such as if the prolactin increase is very large, it is necessary to rule out a pituitary tumor). If estradiol is simply low, appropriate supplementation with estrogen can be done. Ethinyl estradiol was once the first choice of 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 such as sheep placenta and 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 and nutritional supplements, it has a relatively significant effect on improving vaginal dryness. Regardless of the reasons, improving sexual life skills is essential, and sometimes it plays a major role. Sexual coordination requires the joint efforts of both partners. The woman should correct the idea that sexual affairs are dominated by men and actively cooperate with a positive attitude, including actively implying the stage information of sexual needs, hoping for the parts and intensity of sexual stimulation, appropriate sexual fantasy, etc. Do not involve irrelevant distractions during sexual activity to avoid distracting attention and reducing excitement; the man should avoid being impatient