Testoryl people do is avoid it and they don't know there's a solution around it we're definitely as a sex therapist help people to address some of the behavioral component of this challenge but please tell us is there any medical treatment for for this condition definitely um there is formerly we call it dyspareunia and it's often associated with different kind of you know ob gyn type issues it can be caused by uterine fibroids endometriosis or sometimes a woman's anatomy is such that it might lead to more pain and then you know this can be very distressing so for me as a psychiatrist i encounter this when patients come to me and they're
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