A 65-year-old woman is speaking to her nurse at the primary care clinic. She states that it is very painful for her when she has sexual relations. She asks the nurse what she could do to alleviate the pain
Which of the following suggestions could the nurse make to the woman?
A) Decrease the incidence of sexual relations.
B) Use a water-soluble lubricant or estrogen cream.
C) While engaging in intercourse, have your partner thrust his penis upward.
D) Use a polyisoprene (non-latex) condom for intercourse.
Ans: B
With age, there is a thinning of the vaginal mucosa, which creates dryness and predisposes women to irritation and inflammation so using a water-soluble lubricant or estrogen cream may be helpful. The male partner should thrust downward instead of upward during sexual intercourse. Decreasing the incidence of sexual relations may lead to a "use it or lose it" principle. Use of a condom, latex or polyisoprene, will not decrease vaginal wall irritation.
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