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Ribes G, Cour F. J Clin Diagn Res. Vaginal dyspareunia is pain related to friction. Oxford Textbook of Psychopathology. However, they can go through all stages of the sexual cycle including arousal and orgasm.

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Among the frequent organic causes are hymenal abnormalities, genital herpes, obstetric trauma and atrophic vaginitis.

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Vaginal dryness was found to increase with age after menopause. This issue needs to be addressed. Hope you enjoy! Anxiety may inhibit arousal and strategies to alleviate anxiety by employing distraction techniques are helpful. Integration of cognitive, behavioural and systemic therapy. Behavioral therapy is aimed at initially improving nonsexual affectionate behavior with an eventual goal of introducing mutually acceptable sexual behavior. Due to increase in life expectancy and more than one consecutive sexual partner, the couple expect being sexually active even after 65 years of age.

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