A 53-year-old female comes to the office complaining of vaginal dryness, itchiness, and irritation. She also states that sexual intercourse is painful. She says she previously enjoyed intercourse with her husband, and would like to have pleasurable sex with him again. The patient is postmenopausal and has vaginal atrophy. She was previously given topical estrogen vaginal creams, but she did not like the “messiness” of them. What alternative treatment would you suggest to help relieve her vaginal atrophy?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 53-year-old female comes to the office complaining of vaginal dryness, itchiness, and irritation. She also states that sexual intercourse is painful. She says she previously enjoyed intercourse with her husband, and would like to have pleasurable sex with him again. The patient is postmenopausal and has vaginal atrophy. She was previously given topical estrogen vaginal creams, but she did not like the “messiness” of them. What alternative treatment would you suggest to help relieve her vaginal atrophy?