Sexual Assault Nurse Examiner (SANE) A Practice Exam

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What are common changes in the vaginal area of elderly women due to decreased estrogen?

  1. Increased vaginal elasticity

  2. Pain during intercourse and increased risk of infections

  3. More lubrication production

  4. Thickening of the vaginal wall

The correct answer is: Pain during intercourse and increased risk of infections

The correct answer highlights the significant impact of decreased estrogen levels in elderly women, which can lead to pain during intercourse and an increased risk of infections. As estrogen levels decline, women may experience vaginal atrophy—thinning and dryness of the vaginal tissues. This condition can result in discomfort or pain during sexual activity, commonly known as dyspareunia. Additionally, the lack of estrogen can decrease the natural lubrication produced by the body, making the vaginal environment more susceptible to irritation and infections. Understanding this aspect of menopause is critical for healthcare providers in order to address the needs and concerns of aging women, ensuring they receive proper education, support, and potential treatment options for managing these symptoms.