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Patient: 76-year-old female, who reports going into menopause early (early 40s).
Chief Complaint: Painful intercourse that started 10 years ago; also difficulty initiating urination in social situations.
Past Medical History: Osteopenia, thyroid condition, low back pain.
Physical Therapy Treatment: Progressive stretching with vaginal dilators; manual therapy to pelvic floor and urethral tissues; urinary voiding schedule; relaxation techniques; hip stretches; core muscle strengthening.
Results: Patient is able to resume intercourse with 0 pain. 0 urinary hesitation or urgency with 3 hour urinary intervals, 1 void at night. 13 visits!