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QUESTION 1:
Hello My friends,

I am glad to had discovered this nice site, I am Brazilian, and just married with an American man , I am 60 years old, and he 62, I have a question about sex at the Menopausa, because I had been without it for many years, and as I know the women in this cycle suffers from dryness, and problems on their elasticity sexual organs, I would like to know if I could take a hormone in cream progesterone, I have make many researches about it and is said not be damaged to our breasts' health, I have one historical of breast's cancer from my mother, I thought it would be advisable to ask a pro opinion.

Thank you so much for your attention to this matter.  Happy New Year

QUESTION 2:
Dear Friends,

I am just married on my sixties, my husband has 62 years but very active, I feel desire for him, but always when we are to have our sexual intercourse, he did not get, because in spite of I am lubricated outside, he has he has the sensation I am dry inside, I feel discomfort and pain, when he tries to complete it, it would be a case to make a hormonal reposition for at least six months, my doctor in Brazil, said that as I have one historical of breast cancer with my mother, I could only use medicines with a chemical component called tibolona, could you help me in this subject? I am feeling bad because I am getting to be a complete woman for my husband. Thank you so much.

Ask Health & Fitness' Dr. Julio Mora Answers:

Dear “Newly Married At 60:”

First, congratulations on your recent marriage and we wish you years of happiness, now and in the future.

It is not uncommon for menopausal women to experience vaginal dryness.  Dyspareunia (pain or discomfort during intercourse) is due to decreased estrogen secretion, thinning of the vaginal mucose and decreased vaginal lubrication. Treatment options include a vaginal ring (estradiol); estrogen vaginal cream; or systemic hormone replacement, providing that these medications are not contraindicated in that particular patient. Testosterone propionate in a vanishing cream base is also effective if estrogen is contraindicated. The patient can also use unscented cold cream or water soluble gel at the time of coitus.

A patient should discuss with her ObGYN the pro and cons of each treatment to determine which one to follow. 

Again, thanks for writing.

Julio C. Mora, MD

Newborn60 Thank you so much for your attention and kindness, in fact my masthologist precribed for me before coming to the USA the hormones I was used to taken whose component is tibolona, but unfortunately I am not findind them here, anyway I appreciated your nice answer, and I am glad to be in this site.
Have a lovely day,
newborn60
Tue Jan 17, 2012, 6:20:35 PM EST

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