Good in Bed - Profile

Lauri Romanzi, M.D.

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Commented on Painful Intercourse
It is unlikely, but not impossible, that prolapse was masking a sexual discomfort condition. Other possibilities include but are not limited to scar pain where the uterus was disconnected from the vagina, menopausal dryness severe enough to make sex painful,...
Commented on Hysterectomy
PART 3 RESPONSE: You may benefit from a consultation with a menopause specialist with specific skills in female sexual function evaluation and management. It may be possible to restore a hormone balance that will rejuvenate your sexuality....
Commented on Hysterectomy
RESPONSE PART 2: The defined medical terminology for removal of the entire uterus along with tubes and ovaries is "total hysterectomy with bilateral salpingoophorectomy". If by total hysterectomy you mean that the tubes and ovaries were removed along with the...
Commented on Hysterectomy
PART 1 RESPONSE Your gynecologic organs include the uterus, the opening of which is the cervix, the uterine tubes and the ovaries. The ovaries produce the vast majority of your body's estrogen and at least half of your body's testosterone...
Commented on Vaginal Dryness
If your wife is not yet menopausal, this post-orgasm dryness reflex is most unusual, particularly since she has normal, robust lubrication up to the point of orgasm. Short of durable lubricants (for instance, silicone-based), which she prefers to avoid, it's...
Commented on Painful Sex
Hello Tyler, Even though your wife had a clot in the past, that does not completely rule out the use of low dose vaginal estrogen, which would restore and rejuvenate the vagina and vulvar skin back to pre-menopausal sensitivity and...

Recent Actions from Lauri Romanzi, M.D.

Comment Threads

Tyler commented on Painful Sex
Dr. Romanzi, thank you for making time to respond. We will follow up on your suggestion...Tyler...
Hilda Hutcherson commented on Vaginal Dryness
I have seen women with the same complaint. It is possible that after your wife experiences orgasm, she is completely satisfied and it is difficult for her to remain aroused and focused on sex. (Most men experience something similar after ejaculation.) The lack of arousal will cause a decrease in her vaginal lubrication. So if you continue to have intercourse for more than a few minutes, her vagina will become dry. Lubrication after her orgasm will allow you to have pain-free sex until you have been satisfied. Try using your fingers to apply, or you can apply to your penis...
crazyd commented on Hysterectomy
I am so sorry. I understand more than you might expect. I can't add anything to the medical advice given. But let me add something else. Men and Women (and particularly women) have or don't have sex for a lot of reasons beyond self pleasure. Sometimes it has nothing to do with feeling any physical pleasure but is emotional or mental in nature. Sex is had for money, for love, for commitment, for self esteem, power and control attention, closeness, intimacy, giving, and SO many other reasons good and bad. I suspect the surgery may have also affected your self...
Madeleine Castellanos, M.D. commented on Hysterectomy
As Lauri mentioned above, not having the hormones you used to have before the surgery will significantly impact your sensation in your breasts and genitals, your level of sexual desire, as well as your ability and intensity of orgasm. Some women find that hormone replacement of testosterone is very helpful, while others do well with just estrogen replacement. If you had a hysterectomy that young, there may be reasons why hormones may not be recommended (usually just estrogen). Either way - you need to tell your Gynecologist how important this is to you so that they can work with you...