Peter Attia· MD
Um, and Emily Nagowski talks a lot about it in her book as well. Um, and then there's a sort of potentially less traumatic but still pain that can, you know, sort of present itself in sexual encounters like it just hurt. Like, you know, um, I see this a lot in my cancer survivors. >> I was just about to ask you about cancer, by the way. So, >> yeah. So, I see this a lot. Cancer I often see sort of a twofold hit. there is the sort of a psychosocial of I'm mad at my body and I you know there's all those sort of complex feelings and there's the sort of like physiologic aspect of you know chemotherapy radiation and how that impacts pain and lubrication of the vagina and you know comfort of hormone use although you know we really feel you know quite quite confident that you know local estrogen uh treatment of the vagina um is completely safe um for almost all um cancer survivors. Um Dr. Dr. Tammy Rowan talks a lot about this um with um the you know iswish and menopause society sort of re you know encouraging not only patients but also doctors to feel comfortable prescribing local estrogen in this patient population. Um physical therapists pelvic floor physical therapists can be incredibly helpful. Um I think every woman you know if you're sort of making a centinarian plan and you're seeing a physical therapist to keep your posture and your muscles healthy health healthy I think you should see a pelvic floor physical therapist. They're, you know, great in terms of increasing the tone of the pelvic floor. We know that strength of contraction can lead to better quality orgasms.