http://www.womenshomehealth.com/

Tessa Krantz, Aventura, FL (2025)

09/09/2024

Join the group panel discussion on Restoring Vaginal Discomfort September 10th, 1pm EST.

Join myself, Dr. Tessa Krantz MD, Dr. Sarah De La Torre, and a patient Remi Pennington. Hosted by Maryon Stewart, Femmar Founder & CEO.

The panel is free in the online community www.femmar.com/community

Join the discussion, receive some expert advice and let’s improve the lives of menopausal women together

**nalhealth **naldrynessrelief

10/18/2023

⁣⁣
🔥𝐓𝐫𝐢𝐠𝐠𝐞𝐫𝐬 𝐟𝐨𝐫 𝐁𝐥𝐚𝐝𝐝𝐞𝐫 𝐅𝐥𝐚𝐫𝐞𝐬 🔥⁣⁣
⁣⁣
Bladder Wall Flares Triggers Include: ⁣⁣
⁣⁣
🔹 𝐃𝐈𝐄𝐓 – Certain foods and drinks can trigger bladder irritation. This can include foods high in acids, alcohol and/or caffeine.⁣⁣
⁣⁣
🔹 𝐕𝐈𝐓𝐀𝐌𝐈𝐍𝐒 & 𝐒𝐔𝐏𝐏𝐋𝐄𝐌𝐄𝐍𝐓𝐒 – Multivitamins contain Vitamins C and B6, can irritate the bladder. Supplements containing cranberry and acids, such as apple cider vinegar⁣⁣
⁣⁣
🔹 𝐇𝐎𝐑𝐌𝐎𝐍𝐄𝐒 – Decrease in estrogen with birth control, Lupron use, perimenopause or menopause can reduce the integrity of the bladder wall which makes it more vulnerable to irritation.⁣⁣
⁣⁣
🔹𝐂𝐇𝐄𝐌𝐈𝐂𝐀𝐋 𝐄𝐗𝐏𝐎𝐒𝐔𝐑𝐄 – Smoking and va**ng can be a trigger⁣⁣
⁣
🔹𝐔𝐓𝐈 –This can be a trigger which can be frustrating and difficult to identify the flare vs the infection⁣⁣
⁣
🔹𝐒𝐓𝐑𝐄𝐒𝐒- Physical stress and mental stress can lead to flares.⁣⁣
⁣
🔹𝐀𝐋𝐋𝐄𝐑𝐆𝐈𝐄𝐒 – Both seasonal and food allergies are often found in patients with IC/BPS and, due to the presence of abundant mast cells in the bladder wall, IC flares are triggered during seasonal allergy season

10/14/2023

𝐂𝐚𝐮𝐬𝐞𝐬 𝐨𝐟 𝐏𝐚𝐢𝐧 𝐃𝐮𝐫𝐢𝐧𝐠 𝐒𝐞𝐱⁣⁣
🔷There are many causes of pain during s*x. It is important to figure out the cause before discussing treatments available.⁣⁣
⁣⁣
Here’s a list of some common causes:⁣⁣
⁣⁣
🔷𝐕𝐚𝐠𝐢𝐧𝐚𝐥 𝐃𝐫𝐲𝐧𝐞𝐬𝐬⁣⁣
— Vaginal Dryness commonly occurs with menopause and is called Genitourinary Syndrome of Menopause⁣⁣
— Lack of estrogen causes changes in the va**na and a lack of adequate va**nal lubrication with s*xual arousal⁣⁣
⁣⁣
🔷𝐇𝐲𝐩𝐞𝐫𝐭𝐨𝐧𝐢𝐜 𝐏𝐞𝐥𝐯𝐢𝐜 𝐅𝐥𝐨𝐨𝐫 𝐃𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐬⁣⁣
— Many times any pelvic pain condition can act as a trigger and cause this ⁣⁣
— Additional triggers include the demands of pregnancy and delivery. Often I see injuries to the pelvic floor musculature with traumatic delivery, va**nal surgery or other trauma may also be causes of the pain ⁣⁣
⁣⁣
🔷𝐏𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦⁣⁣
— Up to 30% percent of women have dyspareunia 12 months postpartum⁣⁣
— This may be due to perineal pain after a delivery or other etiologies ⁣⁣
⁣⁣
🔷𝐈𝐧𝐭𝐞𝐫𝐬𝐭𝐢𝐭𝐢𝐚𝐥 𝐂𝐲𝐬𝐭𝐢𝐭𝐢𝐬⁣⁣
— Bladder pain can also cause dyspareunia ⁣⁣
— This condition is also associated with many disorders that can cause pain with s*x⁣⁣
⁣⁣
🔷𝐕𝐮𝐥𝐯𝐚𝐫 𝐏𝐚𝐢𝐧 𝐃𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐬⁣⁣
—v***ar pain disorders are the most difficult to assess as most are a diagnosis of exclusion and people are not fully evaluated⁣⁣
— it is important to rule out yeast and dermatological conditions⁣⁣
— Other causes include:⁣⁣
🔹𝐕𝐮𝐥𝐯𝐨𝐝𝐲𝐧𝐢𝐚⁣⁣
🔹 𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐍𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚⁣⁣
🔹 𝐕𝐚𝐠𝐢𝐧𝐢𝐬𝐦𝐮𝐬⁣⁣
⁣⁣
🔷𝐈𝐧𝐚𝐝𝐞𝐪𝐮𝐚𝐭𝐞 𝐋𝐮𝐛𝐫𝐢𝐜𝐚𝐭𝐢𝐨𝐧⁣⁣
— The most common cause is lack of estrogen ⁣⁣
— Other causes include, inhibited arousal, meds including antihistamine, anticholinergocs⁣⁣
⁣⁣
🔷𝐄𝐧𝐝𝐨𝐦𝐞𝐭𝐫𝐢𝐨𝐬𝐢𝐬⁣⁣
— This most commonly causes deep pain with penetration⁣⁣
⁣⁣
🔷𝐀𝐛𝐮𝐬𝐞⁣⁣
— Intimate Partner Violence, s*xual assault, PTSD are associated with dyspareunia ⁣⁣
⁣⁣
🔷𝐕𝐚𝐠𝐢𝐧𝐢𝐭𝐢𝐬⁣⁣
— Vaginal infections, STIs, & pelvic inflammatory disease
*x *xualhealth **nalhealth

10/12/2023

𝐕𝐚𝐠𝐢𝐧𝐚𝐥 𝐄𝐬𝐭𝐫𝐨𝐠𝐞𝐧 𝐏𝐫𝐞𝐩𝐚𝐫𝐚𝐭𝐢𝐨𝐧𝐬⁣
⁣
🔹𝐋𝐨𝐰-𝐝𝐨𝐬𝐞 𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐞𝐬𝐭𝐫𝐨𝐠𝐞𝐧 🧬 is the most effective treatment for Genitourinary Syndrome of Menopause. This includes moderate-severe symptoms of va**nal atrophy/dryness not responsive to nonhormonal intervention. As well as treatment for urgency symptoms, and to prevent urinary tract infections.⁣
⁣
🔹This restores the normal va**nal pH, microflora, thickening of the epithelium, and increased va**nal secretions. This decreases va**nal dryness. It also reduces the incidence of urinary tract infections and overactive bladder symptoms.⁣
⁣
🔹𝐏𝐫𝐞𝐩𝐚𝐫𝐚𝐭𝐢𝐨𝐧𝐬: The preparations of va**nal estrogen are 𝐜𝐫𝐞𝐚𝐦, 𝐬𝐮𝐩𝐩𝐨𝐬𝐢𝐭𝐨𝐫𝐢𝐞𝐬, 𝐚𝐧𝐝 𝐚 𝐫𝐢𝐧𝐠.⁣
⁣
🔹 A systematic review of over 4000 participants found that creams, inserts, and rings were all similarly effective in relieving symptoms of va**nal atrophy/dryness⁣⁣⁣⁣⁣⁣
**naldryness **nalhealth **naldrynesstreatment

10/11/2023

You may be wondering should I use lubrication and if so, what type of lubrication should I use?⁣⁣
⁣⁣
◾️There are many reasons you may want to use lubrication. For all women, lubrication can make s*xual in*******se more pleasurable and enjoyable. However, if you have va**nal dryness from conditions such as Genitourinary Syndrome of Menopause (GSM) or any conditions such as Vaginismus, Vulvodynia, or Chronic Pelvic Pain, lubrication can help to decrease pain during in*******se.⁣⁣
⁣⁣
◾️ When should I use lubricant? Lubricant should be applied before s*xual in*******se. It can also be integrated into foreplay.⁣⁣
⁣⁣
◾️What are the types of lubrication? There are four types: water-based, silicone, oil, and natural.⁣
⁣⁣
◾️𝘞𝘢𝘵𝘦𝘳-𝘣𝘢𝘴𝘦𝘥 — These are the most commonly used and are good for sensitive skin. They are water soluble so they rinse off in plain water aka rinse off of sheets. These are safe to use with latex and non-latex condoms. They can not be used in water. Water-based lubrication may also dry up quickly so you may require to reapply it.⁣⁣
⁣⁣
◾️𝘚𝘪𝘭𝘪𝘤𝘰𝘯𝘦-𝘣𝘢𝘴𝘦𝘥 — These are not absorbed by the skin like water and typically do not require reapplication. They are hypoallergenic. The consistency is different than the water-based. They are also safe to use with latex condoms and can be used in water. They are not typically recommended for use with s*x toys or other products that contain silicone because the formula may dissolve the surface. They also are not as easy to wash off of sheets.⁣⁣
⁣⁣
◾️𝘖𝘪𝘭-𝘣𝘢𝘴𝘦𝘥 — Oil-based lubrication may be a good option because they are long-lasting and typically do not require reapplication. It should not be used with latex condoms as they can increase the likelihood of breakage. They can also stain your sheets.
⁣⁣
◾️𝘕𝘢𝘵𝘶𝘳𝘢𝘭 — Natural lubricants avoid chemicals such as parabens & glycerin. These may be helpful if you have sensitive skin. ⁉️Any questions /comments⁉️ **nalhealth **e *x *xhealth *x *xhurts

10/10/2023

🔥🔥𝐓𝐫𝐢𝐠𝐠𝐞𝐫𝐬 𝐟𝐨𝐫 𝐅𝐥𝐚𝐫𝐞𝐬 🔥🔥⁣
⁣
🔶𝐒𝐓𝐑𝐄𝐒𝐒- Physical and mental stress plays a large role in exacerbating flares. ⁣
⁣
🔶𝐃𝐑𝐈𝐕𝐈𝐍𝐆- Long car drives can trigger flares. The vibration experienced in a car⁣
can trigger pelvic floor muscle spasms.⁣
⁣
🔶 𝐓𝐑𝐀𝐕𝐄𝐋𝐈𝐍𝐆- long flights can trigger pelvic floor muscle spasms, this can be due to the vibrations, positioning in sears, and increased stress.⁣
⁣
🔶 𝐏𝐄𝐍𝐄𝐓𝐑𝐀𝐓𝐈𝐕𝐄 𝐈𝐍𝐓𝐄𝐑𝐂𝐎𝐔𝐑𝐒𝐄 - Certain positions can trigger a flare. Symptoms may worsen the first 24-48 hours after in*******se, with increased levels of frequency, urgency or pain.⁣
⁣
🔶 𝐄𝐗𝐄𝐑𝐂𝐈𝐒𝐄 – Exercise workouts that involve the pelvic area can trigger muscle spasms. This is often seen with bike rides. Running or the stair master may provoke pain. ⁣

***atalk

04/26/2023

Interstitial Cystitis & Autoimmune Disorders
⁣
🔹Clinical associations have been found between IC and generalized autoimmune diseases, such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and Sjogren's syndrome (SS) ⁣
⁣
🔹Current research is lacking to demonstrate evidence of a causal role of an autoimmune pathogenesis. However, indirect evidence does support a possible autoimmune nature of interstitial cystitis. Clinical associations have been found between IC and generalized autoimmune diseases, such as 𝐬𝐲𝐬𝐭𝐞𝐦𝐢𝐜 𝐥𝐮𝐩𝐮𝐬 𝐞𝐫𝐲𝐭𝐡𝐞𝐦𝐚𝐭𝐨𝐬𝐮𝐬 (𝐒𝐋𝐄), 𝐫𝐡𝐞𝐮𝐦𝐚𝐭𝐨𝐢𝐝 𝐚𝐫𝐭𝐡𝐫𝐢𝐭𝐢𝐬 (𝐑𝐀) 𝐚𝐧𝐝 𝐒𝐣𝐨𝐠𝐫𝐞𝐧'𝐬 𝐬𝐲𝐧𝐝𝐫𝐨𝐦𝐞 (𝐒𝐒) ⁣
⁣
🔸𝐒𝐣𝐨𝐠𝐫𝐞𝐧 𝐬𝐲𝐧𝐝𝐫𝐨𝐦𝐞(𝐒𝐬) is an autoimmune disease that frequently affects the lacrimal gland and salivary gland causing the patient to have dry mouth and dry eyes. Genitourinary manifestation include frequency, urgency, and va**nal dryness have been reported but not extensively studied. In Ss, autoantibodies to the muscarinic M3 receptor on exocrine cells are important to the pathogenesis. Muscarinic M3 receptors are also expressed on detrusor smooth muscle cells, where they mediate cholinergic contraction of the urinary bladder⁣
⁣
⁣
🔸Passive transfer of SS IgG with inhibitory anti-M3R activity has demonstrated to produce a paradoxical increase in contractile responses of detrusor strips to cholinergic stimulation. Cystometry of whole bladders revealed a corresponding decrease in bladder wall compliance and phasic detrusor contractions upon filling, replicating the urodynamic features of an overactive bladder.⁣
⁣
A clinical trial in China is currently under investigation to see if certain antimuscarinic medication helps resolve these urogynecologic symptoms.⁣
⁣
van de Merwe, Joop P. "Interstitial cystitis and systemic autoimmune diseases." Nature Clinical Practice Urology, vol. 4, no. 9, Sept. 2007, pp. 484

04/23/2023

Good morning! I often get told a patient was diagnosed with interstitial cystitis by cystoscopy. Here’s information to clarify how interstitial cystitis is diagnosed.⁣
⁣
🧡💛𝐈𝐧𝐭𝐞𝐫𝐬𝐭𝐢𝐭𝐢𝐚𝐥 𝐂𝐲𝐬𝐭𝐢𝐭𝐢𝐬 (𝐈𝐂/𝐁𝐏𝐒) is defined by the Society for Urodynamics and Female Urology (SUFU) as “An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes.”⁣
⁣
💜💜𝘗𝘢𝘪𝘯 (including sensations of pressure and discomfort) is the hallmark symptom of IC/BPS. ⁣
⁣
🧡🧡Typical 𝘴𝘺𝘮𝘱𝘵𝘰𝘮𝘴 reported include not only suprapubic pain (or pressure, discomfort) related to bladder filling but pain throughout the pelvis, including the urethra, v***a, va**na, re**um, as well in extragenital locations such as the lower abdomen and back. Pain that is worsened with specific foods or drinks, and/or worsened with bladder filling, and/or improved with urination is specific to the definition of IC/BPS.⁣
⁣
🔹𝘊𝘺𝘴𝘵𝘰𝘴𝘤𝘰𝘱𝘺 𝘪𝘴 𝘯𝘰𝘵 𝘢 𝘳𝘦𝘲𝘶𝘪𝘳𝘦𝘮𝘦𝘯𝘵 𝘧𝘰𝘳 𝘥𝘪𝘢𝘨𝘯𝘰𝘴𝘪𝘴. “Cystoscopy and/or urodynamics should be considered when the diagnosis is in doubt; these tests are not necessary for making the diagnosis in uncomplicated presentations”, “𝘊𝘺𝘴𝘵𝘰𝘴𝘤𝘰𝘱𝘺 𝘴𝘩𝘰𝘶𝘭𝘥 𝘣𝘦 𝘱𝘦𝘳𝘧𝘰𝘳𝘮𝘦𝘥 𝘪𝘯 𝘱𝘢𝘵𝘪𝘦𝘯𝘵𝘴 𝘪𝘯 𝘸𝘩𝘰𝘮 𝘏𝘶𝘯𝘯𝘦𝘳 𝘭𝘦𝘴𝘪𝘰𝘯𝘴 𝘢𝘳𝘦 𝘴𝘶𝘴𝘱𝘦𝘤𝘵𝘦𝘥.”⁣
-American Urologic Association guidelines

⁉️Questions

04/22/2023

𝘕𝘰𝘵 𝘢𝘭𝘭 𝘱𝘦𝘭𝘷𝘪𝘤 𝘧𝘭𝘰𝘰𝘳 𝘢𝘯𝘥 𝘴𝘦𝘹𝘶𝘢𝘭 𝘥𝘺𝘴𝘧𝘶𝘯𝘤𝘵𝘪𝘰𝘯 𝘤𝘰𝘯𝘥𝘪𝘵𝘪𝘰𝘯𝘴 𝘢𝘳𝘦 𝘨𝘺𝘯𝘦𝘤𝘰𝘭𝘰𝘨𝘪𝘤 𝘤𝘰𝘯𝘥𝘪𝘵𝘪𝘰𝘯𝘴. ⁣
⁣
𝗪𝐡𝐚𝐭 𝐢𝐬 𝐚 𝐓𝐚𝐫𝐥𝐨𝐯 𝐂𝐲𝐬𝐭?⁣
Fluid-filled nerve root cysts found most commonly at the sacral level of the spine⁣
⁣
𝐂𝐚𝐮𝐬𝐞𝐬⁣
Shock or trauma of the spine, or exertion, can cause spinal fluid in the cysts to build up. Cysts may become symptomatic from falls, automobile accidents , heavy lifting, childbirth, epidurals, weight lifting.⁣
⁣
𝐒𝐲𝐦𝐩𝐭𝐨𝐦𝐬⁣
🔸Most Tarlov cysts cause no symptoms. ⁣
⁣
🔸However, if these cysts press against the roots of the nerves, they can cause symptoms⁣
including:⁣
🔹Lower back pain⁣
🔹Sciatica ⁣
🔹Loss of bladder control ⁣
🔹 Inability to empty bladder⁣
🔹Headaches ⁣
🔹Constipation⁣
🔹Sexual dysfunction⁣
🔹Some loss of feeling or control of movement in the legs and/or feet⁣
🔹 Swelling or pressure over the sacrum⁣
🔹Vaginal, re**al, pelvic and/or abdominal pain⁣
🔹Restless leg Syndrome⁣
🔹PGAD (Persistent Ge***al Arousal Disorder)⁣
🔹Painful in*******se⁣
⁣
For more information go to: ⁣
⁣
https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Tarlov-Cyst⁣
⁣
https://www.tarlovcystfoundation.org/info/⁣
⁣
Ref:⁣
https://www.ninds.nih.gov/health-information/disorders/tarlov-cysts (Images)
*xhurts *xualhealth *xualhealthmatters

03/02/2023

Sexual Health is an important part of your health. Sexual health is a state of physical, emotional, mental, and social well-being in relation to s*xuality.
*xpositiveeducation *xualhealth *xmed *xeducati̇on *xhurts *x

02/11/2023

𝗪𝐡𝐚𝐭 𝐢𝐬 𝐩𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐧𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚?⁣
This is a condition that causes pain, discomfort or numbness to the lower body, ge****ls or perineum.⁣
⁣
𝗪𝐡𝐚𝐭 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐰𝐨𝐮𝐥𝐝 𝐈 𝐡𝐚𝐯𝐞?⁣
Classic symptoms are:⁣
🔹 sharp or burning pain⁣
🔹 more sensitivity ⁣
🔹 pins-and-needles feeling⁣
🔹 swollen feeling⁣
You may commonly feel worst when you sit down ⁣
⁣
𝗪𝐡𝐚𝐭 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭𝐬 𝐚𝐫𝐞 𝐚𝐯𝐚𝐢𝐥𝐚𝐛𝐥𝐞?⁣
1️⃣ 𝐋𝐢𝐟𝐞 𝐒𝐭𝐲𝐥𝐞 𝐂𝐡𝐚𝐧𝐠𝐞𝐬: prolonged sitting and bike riding can make an impact on pudendal nerve pain. Things to avoid include prolonged sitting, try to stand and take walking breaks, use a standing desk and doughnut for sitting. Preventing constipation, exercises like squatting, piriformis stretches, stair master⁣
And ab crunches can help.⁣
⁣
2️⃣ 𝐏𝐞𝐥𝐯𝐢𝐜 𝐅𝐥𝐨𝐨𝐫 𝐓𝐡𝐞𝐫𝐚𝐩𝐲- Finding a good pelvic floor therapist is important for any medical management steps to be taken⁣
⁣
3️⃣ 𝐌𝐞𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 𝐚𝐧𝐝 𝐂𝐫𝐞𝐚𝐦𝐬- these may be helpful especially in combination with pelvic floor therapy⁣
⁣
4️⃣𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐁𝐥𝐨𝐜𝐤𝐬- This is a type of nerve block that involves injecting an anesthetic near the pudendal nerve ⁣
⁣
5️⃣𝐁𝐨𝐭𝐨𝐱- pelvic floor botox it is to aid in relaxing the pelvic floor muscles that could be contributing to muscle spasms producing pain⁣
⁣
6️⃣𝐀𝐦𝐧𝐢𝐨𝐭𝐢𝐜 𝐢𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧 𝐚𝐥𝐥𝐨𝐠𝐫𝐚𝐟𝐭𝐬 𝐚𝐧𝐝 𝐏𝐑𝐏 𝐢𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧𝐬 are being performed currently at a few institutions. Amniotic injection allograft are believed to work by tiny micro-vesicles found in the amniotic fluid, release micro RNA’s (miRNA) that target and mediate pain following injury or disease. Platelet-rich plasma (PRP) is another promising approach in tissue regeneration to the pudendal nerve.⁣
⁣
7️⃣𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐃𝐞𝐜𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧- This is a surgical approach to attempt to decompress the pudendal nerve. A few providers perform this ⁣
⁣
8️⃣𝐒𝐩𝐢𝐧𝐚𝐥 𝐜𝐨𝐫𝐝 𝐬𝐭𝐢𝐦𝐮𝐥𝐚𝐭𝐢𝐨𝐧 𝐨𝐫 𝐃𝐨𝐫𝐬𝐚𝐥 𝐂𝐨𝐥𝐮𝐦𝐧 𝐒𝐭𝐢𝐦𝐮𝐥𝐚𝐭𝐢𝐨n is a procedure in a lead with electrodes at the end are placed on top of certain parts of the spinal are then attached to a small device similar to a pacemaker

02/02/2023

𝐕𝐮𝐥𝐯𝐚𝐫 𝐏𝐚𝐢𝐧 & 𝐈𝐧𝐭𝐞𝐫𝐜𝐨𝐮𝐫𝐬𝐞 𝐓𝐢𝐩𝐬⁣
⁣
I always recommend to my patients being prepared is key to v***ar pain and in*******se. Consider scheduling a date in the calendar. And do something relaxing before like a massage or meditation and breathing exercises.⁣
⁣
🔸Consider asking your provider for a topical anesthetic cream to apply prior to In*******se⁣
🔸 Do not use any spermicides or contraceptive creams, this can irritate the v***a⁣
🔸 Use a lubricant, consider water based, look at the ingredients, items such as glycerin and parabens can cause allergies, consider a natural lubricant with less chemicals.⁣
🔸 Empty the bladder before and after in*******se, a full bladder can cause more discomfort ⁣
🔸 Rinse the v***a with cool water after⁣
In*******se⁣
🔸Use a frozen gel pad or ice pack and apply for 15 min after in*******se. Consider doing this prior or sometimes a sitz bath prior to In*******se helps as well⁣
🔸 Remember also constipation can worsen painful so consider a 25g fiber diet to prevent any constipation

Tessa Krantz

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