Aging female and vulva

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Consultant Gynaecologist Tania Adib tells us we can expect from our intimate health as we get older…. As the muscles in the vagina weaken, some women may experience a prolapse the dropping of the uterus, bladder, or rectum into the vagina. They can suggest pelvic floor exercises to help improve vaginal tone, or recommend treatments for a prolapse such as a supportive pessary or surgery.

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Around menopausechanges in the genital organs occur rapidly. Menstrual cycles stop, and the ovaries stop producing estrogen. After menopause, the tissues of the labia minora which surround the opening of the vagina and urethraclitoris, vagina, and urethra thin atrophy.

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The morphology and physiology of the vulva and vagina change over a lifetime. The most salient changes are linked to puberty, the menstrual cycle, pregnancy, and menopause. The cutaneous epithelia of the mons pubis, labia, and clitoris originate from the embryonic ectoderm and exhibit a keratinized, stratified structure similar to the skin at other sites. The mucosa of the vulvar vestibule, which originates from the embryonic endoderm, is non-keratinized.

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Aging changes in the female reproductive system result mainly from changing hormone levels. One clear sign of aging occurs when your menstrual periods stop permanently. This is known as menopause.

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In a non-aroused state, the walls of the vagina are collapsed against each other. The vagina changes: during sex, throughout the menstrual cycle, and with age and different life stages. People often use the term vagina to refer to the entire female genital region between the legs—but this is incorrect.

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When we think of aging, we think grey hair, crow's feet, and body parts heading south. We don't, somehow, necessarily imagine that our genitals join in with all the maturing fun. But guess what?

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It's not just your face that can give your age away, your vagina is getting older too. But a healthy vagina will continue to change as we go through life — this is totally normal. Key life transitions such as pregnancy and menopause will have an effect on your genitals, just as they do on the rest of your body.

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If you're not the kind of woman who regularly examines herself south of the border, you might not realize that, just like the rest of your body, your vagina is getting older. It's not that your vagina is celebrating your exact birthday. After all, "your body doesn't know that the calendar is changing," says Alyssa DweckMD, an assistant clinical professor of obstetrics and gynecology at the Ichan School of Medicine at Mount Sinai in New York and a practicing gynecologist in Westchester County.

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To develop a self-report questionnaire assessing the impact of vaginal dryness, soreness, itching, irritation, and pain on functioning and well-being in postmenopausal women. Items were refined after cognitive interview pre-testing and then field-tested among symptomatic postmenopausal women enrolled in a multiethnic cohort study in California. Additional evidence of construct validity was obtained via examination of correlations with other measures of related constructs.

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