An older female patient asks the home care nurse what can be done to help with painful intercourse. What recommendations should the nurse make to the patient? Select all that apply.
1. Avoid intercourse.
2. Decrease the frequency of intercourse.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
5. Tolerate the problem because it is a normal part of aging.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
Explanation: 1. Avoiding intercourse does not resolve the problem for the patient.
2. Decreasing the frequency of intercourse does not resolve the problem for the patient.
3. It is not uncommon for an elderly female to report painful intercourse, which is related to a decrease in vaginal lubrication as well as the lack of elevation of the labia during sexual arousal. Vaginal lubricants can be very effective in reducing the pain experienced during intercourse.
4. The older female might be advised to use her hand to guide her partner's penis into the vagina.
5. Although this is a normal change of aging, patients do not have to tolerate the discomfort.
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