Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 I believe that most vaginal lubricants are water-based, and tend to dissipate rather quickly. One factor to consider, if fertility is an issue (as in trying to conceive), is that most vaginal lubricants have some spermicidal qualities to them. If a couple is interested in conceiving, or having infertility problems, a fertility-friendly lubricant like Pre-Seed should be used.Pam in El Paso From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of FullerSent: Tuesday, June 28, 2011 6:10 PMTo: nfpprofessionals Subject: vaginal dryness I have a client who is 5 months postpartum and breastfeeding, and she saw her doctor about extreme vaginal dryness. He recommended using vaginal lubrication on a daily basis. I have never heard of this recommendation before and obviously this complicates matters for practicing NFP, since she is determining fertility solely by her mucus pattern right now, since cycles have not come back. Do you guys have any thoughts about this? lauren fuller – NFP coordinator, Northwest family services. (w)| (f)| lfuller@...Equipping people with vital skills for a lifetime www.nwfs.org • www.talktothem.org • www.itslegit.org • www.lastingrelationships.org Like us on Facebook! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 Thanks Pam. If it dissipates quickly, would it even be effective at treating vaginal dryness if used outside of intercourse? > > I believe that most vaginal lubricants are water-based, and tend to > dissipate rather quickly. One factor to consider, if fertility is an issue > (as in trying to conceive), is that most vaginal lubricants have some > spermicidal qualities to them. If a couple is interested in conceiving, or > having infertility problems, a fertility-friendly lubricant like Pre-Seed > should be used. > > Pam in El Paso > > > > > > From: nfpprofessionals > [mailto:nfpprofessionals ] On Behalf Of Fuller > Sent: Tuesday, June 28, 2011 6:10 PM > To: nfpprofessionals > Subject: vaginal dryness > > > > > > I have a client who is 5 months postpartum and breastfeeding, and she saw > her doctor about extreme vaginal dryness. He recommended using vaginal > lubrication on a daily basis. I have never heard of this recommendation > before and obviously this complicates matters for practicing NFP, since she > is determining fertility solely by her mucus pattern right now, since cycles > have not come back. Do you guys have any thoughts about this? > > > > > lauren fuller - NFP coordinator, Northwest family services. > > (w)| (f)| > lfuller@... > > > NWFS-logo-for-email.jpg > > Equipping people with vital skills for a lifetime > > > > <http://www.nwfs.org/> www.nwfs.org . <http://www.talktothem.org/> > www.talktothem.org . <http://www.itslegit.org/> www.itslegit.org . > <http://www.lastingrelationships.org/> www.lastingrelationships.org > > <http://www.facebook.com/pages/Northwest-Family-Services/100856923303950> > Like us on Facebook! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2011 Report Share Posted June 29, 2011 Is it ecological breastfeeding or cultural? (pacifiers) Sincerely yours, Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...) Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com) (office) (cell) (FAX) pedullad@... “Our fundamental purpose is not to go out and help the poor. For us, this has only been a means. Our purpose is to maintain the Catholic faith within us, and to allow its diffusion to others through the instrument of charity.†Blessed Frederic Ozanam, a 19th century founder of the Society of Saint De vaginal dryness I have a client who is 5 months postpartum and breastfeeding, and she saw her doctor about extreme vaginal dryness. He recommended using vaginal lubrication on a daily basis. I have never heard of this recommendation before and obviously this complicates matters for practicing NFP, since she is determining fertility solely by her mucus pattern right now, since cycles have not come back. Do you guys have any thoughts about this? lauren fuller – NFP coordinator, Northwest family services. (w)| (f)| lfuller@... Equipping people with vital skills for a lifetime www.nwfs.org • www.talktothem.org • www.itslegi t.org • www.lastingrelationships.org Like us on Facebook! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2011 Report Share Posted June 30, 2011 Greetings,The recommendation to use a vaginal lubricant is a symptomatic solution and does not address the underlying problem. When a woman is breastfeeding her estrogen levels can become low enough to cause the vaginal epithelium to become thin, dry, and sensitive. She might benefit from a low dose bioidentical estriol cream applies transmucosally. There are some details about your case which you do not supply that would be useful in commenting helpfully. How old is the woman, how often is she feeding the baby, has she a history of vaginal dryness. If she uses a vaginal lubricant several times a day it will affect her cervical mucus observations, and she must take into account that for 1/2 hour following the use of the lubricant she will experience a smooth or lubricative (wet) sensation and should chart when she uses the lubricant. She may have to learn what is her basic infertile pattern with the use of the lubricant, though frankly I would not recommend using a lubricant. I would try a more curative approach, and would support the some of the suggestions by Darcy: " vitamin E 200 IU 2-3x/day (oral supplement or vag. suppository). Increase minerals and vitamin D. Eliminate polyunsaturated vegetable, fish and seed oils. Increase intake of saturated fats such as butter and coconut oil(3-5 Tbs/day). Coconut oil can also be used for lubricant. " She should only use an oil that she is not allergic or sensitive to. I am uncertain of Darcy's rationale for eliminating polyunsaturated fats from the diet, and would not support that suggestion. Could you, Darcy, provide your rationale for eliminating polyunsaturated fats???? Anything that is put in the vagina that changes the pH to that which is more hostile to sperm will have a more or less contraceptive affect. As well anything put into the vagina may disturb the vaginal flora, so one shold proceed with caution on that count. Using the Semen Elimination Technique (see Justisse Method User's guide) helps to deal with lubricants and seminal fluid that might confound observations following intercourse.Best Regards Geraldine Matus, HRHP, Ph.D CandidateDirector and Academic DeanJustisse-Healthworks for Womenwww.justisse.ca info@... 10303 - 65 AvenueEdmonton, AB. T6H 1V11-  1-1- (Fx)Behind every wise woman are many other wise women. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2011 Report Share Posted June 30, 2011 Thanks all for the suggestions! I will pass on the Vit E and other nutritional suggestions. My first suggestion was using alternate dry days, but apparently, her Dr. recommended using a vaginal lubrication on a daily basis, and not just for intercourse. In terms of breastfeeding, our method recommends charting regardless of the breastfeeding pattern once the woman is past 12 weeks postpartum. 5 months is pretty close to the time when baby’s sleeping/eating habits change anyway. lauren fuller – NFP coordinator, Northwest family services. (w)| (f)| lfuller@...Equipping people with vital skills for a lifetime www.nwfs.org • www.talktothem.org • www.itslegit.org • www.lastingrelationships.org Like us on Facebook! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 6, 2011 Report Share Posted July 6, 2011 Dr. Pedulla, Keeping it impersonal, I would respond to your points arguing for the fact that we have a moral norm...I just don't see it. Of course we have a moral mandate to feed our children and meet their needs. But perhaps there is a reason why it is NOT spelled out as to the " how " . I don't see the obviousness that you do, in a statement as basic as " love thy neighbor " . I don't have anything further to add to this topic, so I will be done after this post. Best regards, > > > > thanks for the clarifying remarks, and I'm glad you seem to give EBF the attention it deserves. I think in the future we ought probably on this list and in our consultations with clients distinguish between ecological breastfeeding (EBF) as what's best for both mom and baby, and cultural breastfeeding (CBF) which means anything else. It need not be inherently pejorative or condemning, but is no less important than any other historical data a client gives us. > > > > > > Don't you agree? > > > > > > Sincerely yours, > > > > > > Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPh > > Interventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning Researcher > > Medical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@) > > Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com) > > (office) > > (cell) > > (FAX) > > pedullad@ > > > > > >  " Our fundamental purpose is not to go out and help the poor. For us, this has only been a means. Our purpose is to maintain the Catholic faith within us, and to allow its diffusion to others through the instrument of charity.†Blessed Frederic Ozanam, a 19th century founder of the Society of Saint De > > > > > > > > Re: vaginal dryness > > > > > > > > > > > > > > Dr. Pedulla, > > > > The email discussion had already addressed a lot of the questions you already asked as to whether or not the dryness was constantly uncomfortable or not. I am aware that breastfeeding suppresses hormone activity and that it can result in a dry mucus pattern, but I see it just as often result in a pattern of  " patches†of mucus, as well as a constant mucus pattern. I do agree that constant dryness indicates infertility, but the question was one of introducing a substance that might make true dryness difficult to discern. I received excellent suggestion s for that, and my client was grateful to receive them. > > > > With respect, ecological breastfeeding IS on my radar screen. The organization I work for wholeheartedly supports and encourages breastfeeding, but we offer our own recommendations with regards to breastfeeding and fertility. There is a difference in agreement here in terms of effectiveness and philosophy, one that you and I have previously discussed, and I thought, agreed to disagree. I am personally grateful that there are a variety of NFP options available for couples today, with each one placing a focus in a different area. This can only be beneficial for couples who have various circumstances that may make one method more difficult to apply than another. I hope to contribute to the growing trend among NFP Providers to treat all methods with the respect they deserve, and to work towards unity and growth for the NFP movement in general. > > > > > > > > LAUREN FULLER †" NFP coordinator, Northwest family services. > > (w)| (f)| lfuller@ > > > > > > > > > > Equipping people with vital skills fo r a lifetime > > > > www.nwfs.org • www.talktothem.org • www.itslegit.org • www.lastingrelationships.org > > Like us on F acebook! > > > Quote Link to comment Share on other sites More sharing options...
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