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Questionnaire: MAY 2011

Survey on vaginal dryness

To shed some light on the common problem of vaginal dryness, please take a few minutes to complete this anonymous questionnaire, whether or not you are affected.
The comment boxes are limited to 150 characters so please keep your answers brief, if applicable.

Survey on vaginal dryness.
Please tick the answers that best describe your personal experience.
1. Are you:
Pre-menopausal
Menopausal
Post menopausal
2. Where do you live?
3. Have you experienced vaginal dryness?
Yes (please go to question 4)
No (please go to question 13)
4. Have you discussed your vaginal dryness with a health professional?
Yes (please go to question 6)
No (please go to question 5)
5. What has stopped you from seeking professional advice?
Embarrassment – I couldn’t talk to my doctor about that
Convenience – I’d rather look on the internet than make a doctors appointment
I think it’s something that I should just put up with as it’s part of ageing
I don’t want to be prescribed hormones
I sought advice from my friends instead
Other (please specify below)
6. Did you find your conversation with a healthcare professional
Great – really helpful and I felt much better for discussing the issue
Fine - not embarrassing or uncomfortable at all
A little embarrassing, but much better than I thought
Uncomfortable and embarrassing
Other (please specify below)
Other(please specify below)
7. Has vaginal dryness negatively affected any of the following (tick all that apply)
Your self image
Your self confidence
Your relationships
Your sense of wellbeing
Other (please specify below)
8. Have you taken any treatments for vaginal dryness?
Yes, I use HRT
Yes, I use vaginal estrogen (cream, vaginal tablet, pessary or ring)
Yes, I use vaginal moisturiser
Yes, I use lubricant
9. If you have ever used vaginal moisturisers or lubricants, have you ever experienced:
Messy feeling
Clumping (lumpy discharge)
Unpleasant odour
Discolouration (e.g. black / grey discharge)
None of the above
10. Have any of the experiences in question 8 above, stopped you from using moisturisers / lubricants?
Yes
No
11. Do you experience discomfort from vaginal dryness: (tick all that apply)
All the time – I can always feel it
During sex
During specific activities other than sex (please specify below)
12. Has your vaginal dryness led you to avoid sex with your partner?
Yes
No
13. How important do you feel your sex life is to your relationship?
Not important
Fairly important
Essential
14. What do you think are some key the difference between a vaginal moisturiser and a lubricant? (tick all that apply)
No difference
Lubricants help with pain during sex, moisturisers don’t
Moisturisers offer longer lasting moisture, lubricants are for the spur of the moment
Lubricants are more effective at instantly relieving vaginal dryness
Lubricants are more natural
Moisturisers contain estrogen
Other (please specify below)
Thank you, in advance, for your help.

Page last updated: 6 December 2011

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