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They generally grow on the lining of the cervix or uterus, particularly in menstruating individuals, and may cause ache and bleeding. If submit-hysterectomy pelvic ache is stopping you from enjoying intimacy, don’t be afraid to achieve out for assist - treatment choices can be found, and a pelvic ache specialist will help find the fitting one for you. Engaging in intercourse earlier than arousal: During sexual arousal, vaginal tissues secrete pure lubricants, which assist to stop dryness and damaging friction throughout intercourse. Douching: Douching can irritate and dry vaginal tissues. When the skin is dry it becomes extraordinarily susceptible to damage. Cancers that affect the reproductive system or urogenital tract can alter vaginal tissues and hormone levels, making them extra vulnerable to break. Childbirth may also cause vaginal tissues to stretch and tear, typically making them extra vulnerable to injury. The source of this bleeding tends to be extra varied in women who're now not menstruating. Any ladies receiving oestrogen therapy can also use intrinsa patch however it can be better to consult physician before utilizing as it has unintended effects like different medical remedy. All vaginal bleeding in postmenopausal ladies must be evaluated. If you are experiencing frequent spotting or bleeding and are involved, it's always a good suggestion to get evaluated by a well being care skilled.