Dyspareunia is associated with menopausal changes in the vaginal tissue. As the hormones begin to change in menopause, the tissue of the vagina begins to atrophy and thin causing painful intercourse. In women prior to menopause, painful intercourse can be associated with candidiasis. Other Indications Need for Vitamin A, E, and Zinc Reference: Weatherby, D. (2004). Signs and Symptoms Analysis from a Functional Perspective. Jacksonville, OR: Bear Mountain Publishing
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