25 years old sexually active married female complaints of vaginal dryness & discomfort during sexual intercourse even after arousal since 3 months On local examination-No eruptions, no discharge B/l fornicial tenderness absent Cervix healthy, no inflammation Appetite- decreased Thirst- normal Stool- incomplete evacuation




Dyspareunia/kamshitata There may be number of reasons;some of those may be physiological and some of those may be psychological. 1.The physical factors may often include hormone in sufficiencies. 2.Psychological factors can be varied and complex.They may include issues that are as difficult as a history of physical or sexual abuse,or simpler issues about body awareness and acceptance. 3.A lack of sexual interest can be conditional on the personal situation, such as a stressful job or family problems,or it may reflect problems between you and your partner,or some learned experiences from your past. 4.counselling of both


Tnx Dr G Prasad

Dyspareunia is not KAMSHITALTA Causes-- atropic dermatitis, endometriosis, vestibulitis, skin diseases such as lichen, fungal, yeast, sclerosis etc ,STD and sexually abuse transmission So confirm the cause then treat Sitz bath and use vaginal lubricants

अशोक घृत 5 ग्राम सुबह-शाम खाने के साथ दे चिकित्सा दो महीने तक चलेगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Needs pathological investigation and hormonal essay.

Thanks@Dr. Siya Ram Sir

Guavas bananayellow figs raisins apricots dates ginger carrots pomegranates sprouts kalijeeri alkaline diet beetroot coriander juice saunf,sitzbath,bhindi . With bhindi nothing to be eaten... pineapple with black pepper citrus fruit lemongrass decoction.no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages.... thought distraction...some inward anxiety... leading to all this....needs counselling calmness symphony musiclime juice...water sipping sunshine walk prayers sweet potato.... coconut water...once in a month...cold pressed coconut oil massage and in naval...jeera...under strict supervision of Doctor

Too much heat,starch carbs.... sulpha if tolerant turmeric powder... apricots carrots pomegranates no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages.... prayers cold pressed coconut oil massage and in naval lime juice citrus fruit water sipping sunshine walk palak beetroot coriander juice cabbage... under strict supervision of Doctor

Ospemiphene acts like oestrogen . and help relieve pain. Treatment of underlying cause like any infection,stress etc. Dhanwantram tail to apply Pain relievers..

Rx No doubt Lycopodium

Sepia and Lyco are the indicated medicine

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