Do Ask, Do Tell

Menopause is so out of the closet, women discuss hot flashes and mood swings over five oclock cocktails with nary a blush. But as a new survey shows, some menopausal symptoms still remain taboo.

Nearly 25 percent of the menopausal and postmenopausal women questioned by researchers as part of an initiative known as REVEAL (REvealing Vaginal Effects At mid-Life) admitted to experiencing vaginal dryness and pain, especially during intercourse, yet only about half of them worked up the nerve to broach the subject with their doctors or other health care provider. The number one reason they kept it to themselves? You guessed it nearly 50 percent were simply too embarrassed to share and 23 percent felt it wasnt an appropriate topic to discuss, even with a health care professional.

Vaginal dryness, medically referred to as dyspareunia, occurs when the thin film of lubrication that continually coats the vaginal wall disappears due to age-related hormone loss. It leads to itching, burning and bleeding and its often exacerbated by the shrinking and thinning of vaginal tissue, especially around the vaginal opening and the lower third of the vagina. While its not something that seems to stop women from having sex altogether -- 72 percent of the women surveyed who experienced dryness engaged in sex at least once a month, and an impressive 34 percent engaged in sex at least once weekly many reported pain and bleeding during intercourse and said they had less sex because of it.

For more information, see www.Revealsurvey.comMost of the more than 1000 women who participated in the REVEAL survey had resigned themselves to the fact that dryness and pain down there is something that comes with the territory once you reach a certain age -- but experts say not so. Prescription creams, such as Premarin Vaginal Cream, offer relief by treating the estrogen loss that causes symptoms. Studies show regular use can actually restore vaginal elasticity and moisture in as little as three weeks and can help long term if used on a regular basis. Because it's applied locally, a limited amount of estrogen is absorbed into the bloodstream. Still, any type of hormone therapy carries risks--which you should discuss with your health care provider--and not all women are good candidates for this treatment. On the flip side, over-the-counter lubricants hold few health risks but only afford limited, temporary relief and dont address underlying hormonal imbalances. If you are waiting for your physician to ask if you are experiencing symptoms related to vaginal dryness, don't hold your breath; only 36 percent of health care professionals broach the subject with their patients. If you are experiencing discomfort or pain, speak up. For more information, visit www.RevealSurvey.com. You might also be interested in reading: Your Sexual Health After Menopause, Ask Anything
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