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Aging changes in the female reproductive system

Sexual Health TipsSolve A Sexual ProblemSafe Sex & STDs

Hot flashes, mood disturbances, and sleep disturbances are also common symptoms that occur during menopause. The causes of these changes are not well understood, but they are also related to the decreasing amount of estrogen produced by the ovaries.

Osteoporosis risk is greater in older women. This is, in part, caused by decreased estrogen levels.

PREVENTION and TREATMENT

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Adequate lubrication (with a water-soluble lubricant) can help prevent painful sexual intercourse. A topical estrogen (applied inside the vagina) is sometimes recommended to help maintain the structure of the vaginal tissues. Sexual changes are most frequently related to factors other than simple aging.

Estrogen replacement (such as pills or patches) can prevent or reduce many of the symptoms associated with menopause, including vaginal atrophy and hot flashes. It also decreases the risk of complications such as osteoporosis. However, hormone replacement therapy (HRT) may have side effects such as vaginal bleeding, and it has been associated with a somewhat increased risk of breast cancer and heart disease. Each woman should discuss the pros and cons of estrogen replacement with her own health care provider.

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