dress these issues. MDs and Naturopathic Physicians can provide vaginal estrogen and DHEA, in the forms of creams and supposi- tories, which can help regenerate the vagi- nal mucus membrane, tissue pliability and restore natural secretions. Recent research in the Lancet and Menopause medical journals has shown vaginal estrogens do not appear to raise a women’s risk for breast cancer, uterine cancer, stroke, or deep vein clots. This is good news for women wanting to explore the benefits of this hormonal option.
A non-hormonal therapy involves using
safe vaginal lubricants which can help mois- turize the vagina, but only if they’re the right osmolality. Osmolality is a measure of the concentration of substances in a liquid. The osmolality of vaginal secretions is 260-360 osm/Kg. High osmolality lubricants inserted into the vagina pull fluids through and from the vaginal membrane tissue, increasing liquid in the vaginal vault but can dry and damage the tissue. High osmolality (osm/Kg) lubricants include: Replens 1491, Astroglide 4,500, KY personal lubricant 2,200, and KY
Warming 8,600 (yikes!). I strongly recom- mend avoiding these products because they also make women and men more suscep- tible to sexually transmitted infections.
My favorite recommendation for
vaginal moisturizing internally and topically (anywhere), is coconut oil. Its osmolality is at 180-340 osm/Kg and is ph compatible at 3.5-5.5, but because it’s oil it can’t be used with latex products such as condoms. It has a high flash point, for cooking that is. I suggest women keep a glass jar of it bedside. Cold coconut oil is solid and slip- ping a scoop of it up into the vagina makes it a great lubricant as it melts. If it’s warm it liquefies and can be applied liberally to both partners. Be certain that you and your partner aren’t allergic to it.
Two commercial low osmolality products that are less likely to cause vaginal irritation and may be used with condoms include: Good Clean Love Naked (194osm/ Kg) and Sliquid Organics Natural (106osm/ Kg). Good Clean Love Naked is available online and at most “Stop & Shops” in the condom section. Sliquid Organics Natural is also sold online.
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Healthy Vagina and Urinary Tract There are other ways women can en-
sure a healthy vulvovaginal and urinary tract environment. Women’s probiotics (taken by mouth) that include Lactobacillus reuteri and rhamnosus improve vaginal ph and help prevent infections. Using gentle body prod- ucts such as Dove or Kiss my Face Olive Oil bar soaps, instead of any liquid washes and hypoallergenic detergents, lessen chemical irritation to the vulvovaginal tissue. Always rinse well after washing and partners should use the same gentle products.
Women having healthier vaginas and
urinary tracts can revitalize their physical experience of sex, but many women are still affected and concerned about having less desire and sex drive. I’m not a therapist, but I’ve had the privilege of listening and learn- ing from my patients in the past 28 years. There are older couples in my practice who are happy with their intimate lives. I’ve ob- served letting go of past sexual expectations and being communicative and respectful of shared physical changes are inherent to co- creating a new sexual intimacy.
There’s one last interesting study to
mention. Brain scans during female orgasm showed women had to be comfortable and have their feet kept warm before they felt like having sex. I would suggest couples learn how to share foot massages or perhaps for women to have a pair of cozy, comfy “bed” socks on hand.
Every woman, man, established couple and new partners make this journey through mid-life and beyond in their own way. May yours bring you good health, the wisdom of maturity, and fulfilling relationships; whether or not that involves sexual intimacy is up to you.
Dr. Michelle J. Pouliot ND. New Hartford Naturopathic Health Center LLC. 860.238- 7983.
drpouliot.com. See spotlight on page 14.
· Certified Shamanic & Shapeshifting Practitioner · Registered Yoga Teacher: Gentle, Mixed, Shamanic · Certified Hypnotherapist & Regressionist · Spiritual Counselor, Mentor, Reader · Host “The Sacred Journey” TV Show · Workshops, Children’s Circles, Energy Healing · CT Justice of the Peace: Nature Inspired Ceremonies · International Retreats & Cruises: Shamanism, Yoga, & Psychic Development
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58 Natural Nutmeg - 10BEST Awards/Essential Living Guide 2020
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