How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. SH Your Own Question

Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8703
Experience:  Doctor of Medicine
28323552
Type Your Medical Question Here...
Dr. SH is online now

My partner and I are old I 70 he much older .We enjoy

Customer Question

My partner and I are old I 70 he much older .We enjoy lovemaking very much .Twice in recent times I have experienced soreness and later some blood which appears to come from the vagina walls .My natural lubrication seems to be more than adequate . Is my internal skin thinning with age . Is there any treatment .We do not wish to retire gracefully for a while yet . I enjoy my multiple whatsits too much .
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. SH replied 1 year ago.
Hi there.
Thank you for your question.
I will be helping you out with your queries.
At your age, with the symptoms that you are describing, you are most likely having what is called as vaginal atrophy. Vaginal atrophy is basically thinning of the vaginal wall or mucous membrane due to less amount of estrogens at this age.
The cornerstone of treatment is estrogen therapy which is usually given in the form of topical estrogen preparations to apply inside the vagina.
Before going to estrogen therapy using the following over-the-counter products may help you with your symptoms:
--> vaginal moisturizer: There are several brands of moisturizers available such as Replens, Vagisil Feminine Moisturizer etc. These function to restore some moisture to your vaginal area. You may have to apply the moisturizer every two to three days. The effects of a moisturizer generally last a little longer than those of a lubricant.
--> Water-based lubricant (glycerin-free versions of Astroglide, K-Y Intrigue, others) to reduce discomfort during intercourse. Choose products that don't contain glycerin because women who are sensitive to this chemical may experience burning and irritation.
Various estrogen preparations that can be used in your case, which are not over-the-counter and will require a prescription, include:
--> Vaginal estrogen cream: This particular cream as applied at night before going to bed with an applicator.
--> Vaginal estrogen ring are inserted by your doctor, which is basically a soft ring that releases consistent amounts of estrogen and needs to be replaced every three months, which is why it is very convenient to use i.e. you do not have to worry about applying the topical creams daily.
-->Vaginal estrogen tablet can also be used.
--> Oral hormone replacement therapy is sometimes started if the above measures are not successful.
Let me know if you have more questions.
I would appreciate it if you rate me by clicking on one of the rating options below.
Kind regards
Expert:  Dr. SH replied 1 year ago.
Just a correction. By you, I mean your partner. Sorry for the error.
This session is open for any number of further questions.
I would appreciate it if you rate me by clicking on one of the rating options as that is the only way I am credited here.
Kind regards
Expert:  Dr. SH replied 1 year ago.
This session is open for any number of further questions.
I would appreciate it if you rate me by clicking on one of the rating options as that is the only way I am credited here.
Kind regards

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.