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These changes could make certain types of sexual activity, such as vaginal penetration, painful or less desirable.

Most people do return to the kind of sex life they enjoyed before surgery. Or, your doctor might suggest a form of vaginal estrogen.

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In this model, desire le to arousal then to plateau, which is followed by orgasm and resolution. In addition to talking with your doctor, sometimes it is useful to talk with other women who have had this surgery.

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Here, too, talking with a doctor, nurse, or social worker with training in dementia care may be helpful.