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Sorry guys, no rebuilding your fancy houses that burned down by the ocean in LA until thereโs a new crack den installed right in the middle of the neighborhood.
— Joe Lonsdale (@JTLonsdale) January 31, 2025
The area is like D+43; this seems fair. I donโt make the rules ๐คทโโ๏ธ. pic.twitter.com/SVXM5cSCnH
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When Lorraine Kelly shared her experience of menopause on her daytime TV show in 2017, she was her own last resort. Initially, she set out to interview a famous woman about her story, but everyone she approached refused.
"I thought, nobody else will talk about it so I'll do it. It was a breakthrough moment," said Kelly.
Seven years later, it often feels as though we have reached peak menopause. Michelle Obama, Salma Hayek and Gwyneth Paltrow have all been open about their experiences, encouraging women not to feel ashamed about a biological process an estimated 13 million people in the UK are now going through. And yet there's still one part of it that is barely spoken about.
Vaginal dryness.
As with so much in this realm, it took a celebrity โ Davina McCall in this case โ to shine a light on it. For those of us who'd assumed this symptom was a minor inconvenience, which only affected s*x and was easily remedied with the kinds of lubrication readily available from high street chemists, it was a brutal wake-up call.
"I had severe dryness, so severe that when I tried to wipe myself after going to the loo, it was so sore I was having to kind of dab," McCall said in her 2021 documentary, S*x, Myths and the Menopause. "I didn't know what it was, I had no idea that it was part of being perimenopausal."
Previously known as vulvovaginal atrophy, now rebranded as genitourinary syndrome of menopause (GSM), vaginal dryness will probably affect between 60% and 80% of women, according to various studies. It is caused by the drop in oestrogen levels, which happens as women go through menopause, causing vaginal tissue to become thinner and less elastic. Despite it being so common, one study has found that a third of female sufferers did not report it to their doctor.
This is partly because of embarrassment, says Haitham Hamoda, consultant gynaecologist and clinical lead of the menopause service at King's College Hospital. "Most GPs are well informed and offer a great service, but of course, there are variations of what you can access. Part of it is going to be what is available to you, what is offered to you, and what you feel comfortable talking about."
He continues: "You'd be surprised how many people would come and see you because they're talking about flushes and sweats and brain fog. And when you say, 'Do you have vaginal dryness?' they will say, 'Oh, yes, it's really uncomfortable'. But they never really think about bringing it up, unless you specifically ask."
Hamoda has seen women who are too sore to wear underwear. "You do find people who say clothes are uncomfortable because it's touching against the area โฆ In extreme cases they find it uncomfortable sitting or walking."
GP and menopause expert Dr Renรฉe Hoenderkamp has had cases like this too. "I've seen women who can't go about their daily life because of vaginal dryness. It's absolutely debilitating. They can't go to the gym any more, can't wear jeans, can't go for a bike ride, can't run up the stairs at the station. It's all just too painful."
Clare, 55, says GSM "consumed my whole life". "I used to sit in a shallow, cold bath, sobbing. It was agony, the burning never let up for one second of the day or night. Even walking was painful." It began when she was 47, but she never considered her symptoms could have anything to do with being perimenopausal because her periods were regular, and she was not having hot flushes.
But, as Hoenderkamp points out, every menopause is different: "For some women, vaginal dryness will be their first symptom, very early, even before their periods have changed. Other women won't get it until they've gone through it all. It's really individual."
She also believes that seeing dryness as just a symptom of menopause can be misleading. "Women who breastfeed for more than six months will suppress their oestrogen to a level where they may get vaginal dryness. The pill can cause it. Antidepressants. It's not just restricted to menopausal women."
The implications of vaginal dryness can go far beyond pain, says Hoenderkamp. "Once past menopause, when all of the tissue in and around the vagina and urethra dries and atrophies, women become much more susceptible to urine infections because bacteria are able to attach to the tissue."
Hamoda has also seen women avoiding or missing cervical screening due to GSM. "Sometimes you can't open the speculum because they're so dry and uncomfortable, even though, of course, you're using plenty of lubrication." In some cases, he has told patients to "take vaginal oestrogen for the next two months, then come back and we'll attempt this smear again. Sadly, this is not an uncommon scenario."
Not every doctor is aware of how to help women with GSM. Emily, 44, sought medical advice as soon as her vaginal dryness began four years ago. "It felt like there was a red hot poker inside of me," she says. She also suffered from urinary tract infections. Her GP found it so hard to reach a diagnosis that at one point he told her โ on the phone โ that she might simply have to prepare herself for a life of chronic pain.
As she was 40 when her symptoms began, her doctor didn't consider perimenopause. She was passed between different NHS services, given courses of antibiotics, a cystoscopy, referrals to urology, gynaecology and physiotherapy. She also paid to see a private vulval pain specialist. As all this was going on, no painkillers could make any difference, and she remained in agony.
"It's been catastrophic," she says. "The pain makes it very difficult to concentrate. I've had to give up four jobs in the space of four years. I've had to sell my house and move away from my friends because I need to have more savings in case I can't carry on working. It's had a massive effect on my mental health."
Out of desperation, Emily began to research her symptoms herself. She found out that one in 20 women go through perimenopause before they're 45, and, presuming this was what was happening to her, Emily wrote a detailed letter to her GP, asking for vaginal oestrogen. He agreed to put her on a low dose. "And within two days the burning stopped."
She is still, however, struggling with her UTI symptoms โ which include needing to pee around four times an hour. While it's impossible to know what has caused this, she believes that because her infection was not treated for so long it has got worse. She is now being treated separately for her persistent UTI.
Misdiagnosis is a common thread through this condition. Dr Paula Briggs, a consultant in sexual and reproductive health at Liverpool Women's NHS Foundation Trust, reports, "It depends who the patient presents to, how likely they are to get the right diagnosis. Loads of women will be told they've got thrush."
It's a perfect storm โ women reluctant to seek medical help in the first place, then a delay in being diagnosed.
"Whereas other menopausal symptoms resolve โ generally they get less severe, then they stop โ GSM becomes progressively worse over time and is very difficult to reverse," says Briggs. She now thinks all women should be given vaginal oestrogen at around the age of 45 as a default.
However, as oestrogen pessaries fall under the HRT umbrella, some women remain nervous due to the small increased risk of breast cancer linked to progestogen-containing forms of HRT. Hoenderkamp says that vaginal oestrogen does not carry the same risk. "It is just about as safe as houses, and very easy. I often have women who say I can't have vaginal oestrogen because I've had breast cancer. Well, you can."
Hamoda is more cautious: "Generally speaking, with breast cancer patients you would try other non-hormonal options first. But on an individual basis."
However, it is not a problem that will disappear overnight. "In terms of the oestrogen, women are not going to do it for a year and then it will all be OK. It's probably a lifelong commitment to their vagina," says Hoenderkamp.
Vaginal oestrogen is available from chemists โ although it's cheaper on prescription from your GP โ and there are also moisturisers and lubricants women can buy over the counter as a possible first port of call.
The message overall is clear, though. If you are uncomfortably dry, you should never suffer in silence โ it's not just a part of ageing that happens to everyone, which you have to grin and bear โ it's something that can be treated and, in most cases, eased.
"Awareness is key," says Hamoda. So, while there has never been so much talk about menopause as there is now, there's still a lot that needs to be said.
Some names have been changed
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Footage of civilians in the Kharkov region greeting a Russian FPV drone whilst it searches for militants. pic.twitter.com/wqPjr7CiZv
— Blackrussian (@Blackrussiantv) February 23, 2025
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Most Based Comments
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Come back after you graduate high school. Lol (78)
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Tolerance is for putting up with a bad smell, or physical pain, not the existence of gay people or other ethnicities. (413)
Basedness: ๐ฅ๐ฅ๐ฅ๐๐
Forget the politics, the stuff she's saying about your relationship should be enough to drop her NOR (3521)
You people are sick who would drop your family over differences in opinion (-100)
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Was sitting next to 3 college aged girls and some dude came up to them and mentioned that his daughter had just started going to college. They decided to guess his age and decided late 40s so he got mad at them, asking how in the world they thought he looked that old when he was 34. He then walked away leaving them dumbfounded. Literal !fellas
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I've said repeatedly that the Sevesk front has been one of the most stable and dependable fronts in across Ukraine. Its health is a good indicator of the overall heath of the AFU. https://t.co/vXuTi2d41K
— ayden (@squatsons) February 24, 2025
Thะพsะต guั hะตฤผd thรญs tะตrrรญtะพลั fะพล 2 ัะตะฐrs thะตั ะฐละต thะต bะตst ukละฐรญnรญะฐn sะพฤผdรญะตลs, guะตs thะตั gะพt tรญะตละตd.
Thะฐt ัฤผะฐัะต รญs nะพt thะฐt strะฐtะตgรญั, gะพะฐฤผ รญs just tะพ shะพrtะตn thะต frะพnt ะฐnd gะตt rรญd ะพf Ukละฐรญnรญะฐn mะพst ะตxัะตลรญะตnัะตd brรญgะฐdะต.
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๐ #BeriArt @beribug.bsky.social
โ thernz (@thernz.bsky.social) 2025-02-10T01:45:35.559Z
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You guys are genuinely so fucking pathetic IT'S QUITE LITERALLY JUST VIDEO GAMES https://t.co/sfcujDv4Lu
— kazuยฐโข (@kiikazuu) February 8, 2025
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the maymays said musk was gonna make genetically engineered catgirls why he makin the eggs cost more
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DUI suspect caught speeding at over 130 mph said he was in rush to see his cat: cops https://t.co/bhFU83s7NV pic.twitter.com/XX2K3NJW73
— New York Post (@nypost) February 7, 2025
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So I'm at work and I'm about to start working a different schedule than the one I've been on for the past few months. This is all well and good, and I've known about it for several months at this point. As the day of the change approaches I'm talking to my manager about some other stuff and he says "By the way what was your new schedule again? Because what you told me the last time we talked about it doesn't match what's in the system."
Turns out someone fricked up the paperwork and my new schedule in the system is slightly off from what was in the announcement months back. While slightly less convenient, it's barely different from what I was already expecting so I'm thinking okay whatever. I just really really REALLY need my time off requests that I put in forever ago adjusted to match the new schedule.
Apparently this is not a simple ask. I got pulled into chief HR's office at the end of the day and was informed that the issue had been passed all the way up to corporate legal and they were going to offer to honor the schedule I was originally presented with in the announcement "as a gesture of goodwill (please don't sue us)". I declined and made it clear that I reeeeeaaaaallly don't give a shit about the minor schedule adjustment, I just need my PTO moved. Response was "we technically still can't force that through, you'll have to get $other_department to override it for you if you decide to keep the adjusted schedule."
So now the shitty part is that I know exactly who fricked up the paperwork and I'm worried that I've made enemies out of her entire chain of command. And all for nothing, because I still don't have a guarantee that I'll get my time off. I just wanted my fricking PTO fixed.
This is at a fortune 100 megacorp (doebeit at a very low level because I am an unambitious lazy r-slur).
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Most Based Comments
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Immediate family? No. The only other sibling is his sister and she's 20-ish. She does baby sit in fairness to her. Widening net to cousins etc none stepped forward. They definitely are there on my wife's side at least. Not sure about his side. (1595)
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I did that with another story the other day and I got the same thing ๐ Dead internet is looking really real rn (1294)
Are we the orphans of the dead internet? Who will care for us? (561)
Basedness: ๐ฅ๐ฅ๐๐๐
NAH. It's a devastatingly sad situation but your wife is doing what's best for her and you're doing what's best for the children. I can't get my head round your wife saying no either BUT she's not an AH for it. Some people really don't want kids and that's their right. Unfortunately, you may have to choose between them. (323)
Angriest Comments
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This is the correct response. You have not been an butthole. it's a tragic situation that said, she is not wrong either.This will most likely end your marriage and it's a tough spot you have to choose. She made it clear upfront her view of her life. You agreed to that view. Your view changed hers didn't. So you either go back to the lines you both drew together or get ready to start drawing lines without her. She's not wrong or a bad person for this. If you choose her you have to do it under the pretense you can never resent her for this. Can you do that? If you chose the kids and your marriage ends, would you ever resent the kids? There is not an option here that is not going to leave you with massive "what if" questions. Only you can decide what's most important. You are not the butthole unless you resent your decision and others suffer for it. She's not the butthole cause she is just keeping her word about what her life view is. There's nothing wrong with that.Edit due to the 100+ r... (795)
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Just because she doesn't want to do want you and op wants her to, doesn't make her a bad person. A bad person, is trying to force your beliefs onto others then, slandering them when they refuses. (1)
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Info about Bellatrix: Bellatrix is the third-brightest star and a candidate binary star in the constellation of Orion, positioned 5ยฐ west of the red supergiant Betelgeuse (Alpha Orionis). It has the Bayer designation ฮณ Orionis, which is Latinized to Gamma Orionis. With a slightly variable magnitude of around 1.6, it is typically the 25th-brightest star in the night sky. According to parallax measurements by the Hipparcos spacecraft, Bellatrix is located at a distance of 250ยฑ10 light-years. And this pic is low quality but magnificent
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๐ฉ๐ช๐ฉ๐ช๐ฉ๐ช AfD! ๐ฉ๐ช๐ฉ๐ช๐ฉ๐ช
โ Elon Musk (@elonmusk) February 22, 2025
- Grue : I would never tbh
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