A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:
a. "No, it is part of the aging process."
b. "Water-soluble vaginal lubricants may provide relief."
c. "You need to be evaluated for a sexually transmitted disease."
d. "You may have vaginal scar tissue that is producing the discomfort."
ANS: B
Loss of lubrication, with resulting discomfort in intercourse, is a symptom of estrogen deficiency. It is part of the aging process, but the use of lubrication will help relieve the symptoms. This is a normal occurrence with the aging process and does not indicate an STD. It is caused by loss of lubrication with the decrease in estrogen. Scar tissue problems would have occurred earlier.
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