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  Vol. 301 No. 1, January 7, 2009 TABLE OF CONTENTS
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  Clinical Crossroads Update
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Update: A 60-Year-Old Woman With Sexual Difficulties

JAMA. 2009;301(1):94.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In a Clinical Crossroads article published in February 2007,1 Jennifer E. Potter, MD, discussed the impact of menopause on female sexuality, the pathophysiology of female sexual dysfunction, and the available treatment options. Ms B, a happily married 60-year-old postmenopausal woman, described the sexual relationship with her husband as an important part of her marriage. After reaching menopause at the age of 58 years, Ms B underwent bladder suspension surgery for incontinence and hysterectomy for uterine fibroids. Following these surgeries, she began experiencing vaginal dryness and noticed her desire for intimacy had decreased. She also found that it was more difficult for her to achieve an orgasm. At that time, Ms B was treated with esterified estrogen, 0.625 mg/d, and methyltestosterone, 1.25 mg/d. These hormones improved her symptoms but were discontinued because of concerns about adverse effects. She was later treated with an estradiol vaginal ring. While this helped her vaginal . . . [Full Text of this Article]

MS B

Anna A. Mattson-DiCecca, BA; Nadine R. Farag, BS; Risa B. Burns, MD, MPH



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