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Case Study:  Again, tubaligation brought her into premature menopause and let her experienced PMS, perimenopaues and menopause sysmptoms.
Reader: 3/12/2011>
Dr Lin, I am writing for both myself and my wife of 33+ years. She had began to experience peri-menopausal symptoms beginning several years ago with the typical hot flashes, night sweats, insomnia, and mood swings. Between the bouts of symptoms our sex life remained largely unchanged...very satisfying. Her doctor recommended an over-the-counter vitamin combination that focused on vitamin B to help with the symptoms - which it did for a few years. In the last year she has weaned from the vitamins as the symptoms have eased off to almost non-existent. However, during that time she has developed a vaginal dryness so significant that it discourages intercourse. Her interest in sex has waned dramatically although mutual masturbation has supplemented our need for intimacy. She opposes lubricants as they seem to cause discomfort for her. I, on the other hand, find myself more mentally aroused than physically. I have frequent nocturnal erections, although not as firm as a couple of years ago. During our foreplay and intimacy I can maintain an erection, but again, usually not as firm as it once was. It almost never has the sensation of being so hard it almost hurts that it once had. In researching your site I encountered a description your posed of being mentally aroused more frequently than physically able to support - this is how I feel. I do not experience headaches, pains, dizziness or many of the other symptoms you describe. We are in average to good physical health otherwise with no illnesses or medications. She had a tubal ligation after our last child some 25 years ago (although no sign of perimenopaus emerged until about 5-6 years ago). She has not used birth control since having children, and has not had any surgeries since childbearing. I have never had any surgeries. We both work and have mostly evenings together, but find that either or both are too fatigued for intimacy (I am probably more often interested than she, but out of consideration for her, do not press the point). We are very much in love and engage in some intimacy probably once to twice a week on average, though I would like it to be more regular - it used to be. What do you suggest to enhance her natural lubrication and encourage her libido (unless of course they are closely related)? What do you suggest to boost my testosterone (presuming this is part of the problem) and rejuvenate my physical arousal to match my mental?
If I can provide any additional information, please let me know.
Thank you for your recommendations.
Dr. Lin: 3/13/2011>
Tubaligation lets her experience premature menopause as described in She has experienced a combination of PMS and menopause symptoms as described in. and
. Currently, her problems are the menopause systems. yes, She will need 010) and ArgiNOx (1-018), plus FishOil(1000 mg each meal)  Vitamin D3 2000 IU to help you gradually rejuvenate your neuro-endocrine function and  boost your prostaglandin E-1/E-3 and Nitric Oxide production for healing.