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Try magnesium citrate first if you can tolerate magnesium.. Start on half a pill and work your way up to a higher dose... Or an epsom salt bath /soak, might move the bowels but goes right to the muscles to cause them to relax, calcium causes muscle contractions. Multi vitamin, mineral supplements, kegal or core exercise, Deep breathing to help you relax and reduce anxiety from pain, progesterone cream to reduce estrogen dominant symptoms of menopause, daily walks to refresh you and strengthen core muscles. Read more of the earth clinic vaginal atrophy pages.
Magnesium
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( I used progesterone for 6 months and then added phytoestrogen and then added estradiol and then stopped them for a solid month while added full spectrum minerals and then used 1/8 tsp of progesterone cream for two weeks and none in the past three weeks............. And NOW
I add to this post that for three days with the use of witch hazel put into the vaginal cavity with my finger.... This morning is day three and my bladder is UP
(I put it on my finger and insert into cavity and rub around and then repeat 3-5 times in a row) ONLY if the bladder has dropped down .
The mag has also made the outer part of the vagina come back to life and the tissue in the muscle is full and well hydrated.