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Menopause brings with it the most noticeable vaginal and vulvar changes, not to mention the ones women are most likely to bring to the attention of their doctors, Faubion says. Vaginal infections or diseases include yeast infection , vaginitis , sexually transmitted infections STIs and cancer. Vaginal changes that happen with aging and childbirth include mucosal redundancy, rounding of the posterior aspect of the vagina with shortening of the distance from the distal end of the anal canal to the vaginal opening, diastasis or disruption of the pubococcygeus muscles caused by poor repair of an episiotomy , and blebs that may protrude beyond the area of the vaginal opening. Journal of Women's Health. The correct term for the female external genitals is vulva , as discussed in chapter 6, which includes the clitoris, labia majora, and labia minora. Saliva also works well as a lubricant and can enhance foreplay. Temple University Press.

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