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Is There Still Sex in the City? By Candace Bushnell. Sometimes it can be fun to wonder what became of our fictional heroines.

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The onset of vaginal dryness as a result of menopause, surgery, removal of ovaries or cancer treatments can destroy what was once a healthy, satisfying sex life. Too many women either abandon sexual activity altogether, or put simply up with the pain. Many women, despite reassurances, are concerned about side effects from local vaginal estrogen or are advised by their physicians to not use a local vaginal estrogen.

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Not according to my gynecologist anyway. She was my first appointment upon my return to the city. Or else.

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Menopause doesn't have to be scary. I can feel that my skin is thicker. After suffering for over 25 years with lichen sclerosis and trying cream and ointment possible, I can finally do what most people take for granted.

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Women are often warned to expect vaginal dryness, burning, and other discomfort after menopause that can lead to pain during sexual intercourse. You may not realize, however, that childbirth, premenopausal changes, cancer therapies, and other conditions can also trigger changes in your vaginal tissue that may make sexual encounters painful and difficult to endure. Our talented physicians are dedicated to helping you live the best life possible, and that includes experiencing all the benefits of a healthy sex life.

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After menopause, your body produces less estrogen and progesterone, two of the hormones that are involved in reproduction. The lower levels of these hormones lead to a number of changes, including a thinning and drying of the tissues of your vagina. The dryness can lead to soreness, burning, or severe pain during intercourse.

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As a result, intercourse can become uncomfortable or painful and may even cause soreness and bleeding. Not surprisingly, these problems can lead to a loss of interest in sex. This condition -- painful sex -- is known as dyspareunia.

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Are you considering MonaLisa Touch? MonaLisa Touch is a fast, safe and painless treatment to promote vaginal revitalization in postmenopausal women suffering from vaginal atrophy, dryness, and incontinence. The laser delivers a specially-designed pulse that can penetrate deep into the vaginal tissue.

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What comes after cosmos and toxic bachelors? Middle age madness or MAM. The Mona Lisa. The latest youth-driven procedure is called the Mona Lisa, Bushnell explains.

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