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Perhaps the woman doesn't really want it anymore, for one reason or another. And for those couples, the introduction of an ED drug can throw them seriously out of sync. " That leads to what is perhaps the biggest complicating factor: the reality that a woman's postmenopause genital health can put her physically at odds with her partner's newfound, drug-assisted prowess. As women age, their hormonal balances change. Reduced estrogen levels often mean less sexual desire but also decreased vaginal elasticity and lubrication, and thus more potential for sex to be painful.

Cohen22 analyzed 281 cases of severe globe injury sustained in Vietnam and sub- sequently treated at Fitzsimons Army Medical Cen- ter (FAMC) between 1967 and 1970.]