ꯚꯦꯖꯤꯅꯦꯜ ꯑꯗꯨ ꯁꯨꯃꯍꯠꯄꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯔꯥ? ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ (Vaginal Dryness) ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ

ꯚꯦꯖꯤꯅꯦꯜ ꯗ꯭ꯔꯥꯏꯅꯦꯁ ꯑꯁꯤ ꯅꯨꯄꯤ ꯀꯌꯥꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯦꯛꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯂꯦꯞꯄꯥ, ꯐꯃꯐꯝ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯑꯃꯁꯨꯡ ꯑꯟꯗꯔꯋꯦꯌꯔ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛ ꯈꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯨꯒꯅꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯀꯤꯕꯥ ꯅꯠꯔꯒꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯚꯦꯖꯤꯅꯦꯜ ꯗ꯭ꯔꯥꯏꯅꯦꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯅꯥ ꯇꯩꯁꯤꯜꯂꯤ, ꯃꯗꯨ ꯑꯀꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯔꯥ ꯏꯂꯥꯁ꯭ꯇꯤꯛ ꯑꯣꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯁꯦꯂꯤꯚꯥꯒꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯩꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯇꯤꯁꯨꯁꯤꯡꯕꯨ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯊꯝꯃꯤ꯫

ꯑꯗꯨꯕꯨ ꯚꯦꯖꯤꯅꯦꯜ ꯗ꯭ꯔꯥꯏꯅꯦꯁ (vaginal dryness) ꯊꯣꯛꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯇꯤꯁꯨ ꯑꯁꯤ ꯁꯨꯃꯍꯠꯄꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯁꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯏꯟꯇꯔꯀꯣꯔꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯍꯟꯊꯔꯀꯄꯅꯤ . ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯑꯁꯤ ꯅꯨꯄꯤꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ꯫ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯅꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ, ꯏꯁ꯭ꯠꯔꯣꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯗ꯭ꯔꯥꯏꯅꯦꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯠꯔꯣꯐꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯦꯅꯣꯄꯣꯖ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ, ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯚꯦꯖꯦꯅꯥꯏꯜ ꯗ꯭ꯔꯥꯏꯅꯦꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤꯅꯤ, ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯆꯝ ꯆꯝꯕꯥ (inflammation and itching): ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ (vulva)ꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯦꯟꯁꯟ ꯑꯃꯥ꯫
• ꯁꯦꯛꯁꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯏ ꯊꯣꯀꯄꯥ: ꯁꯨꯃꯗꯣꯛꯂꯕꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯛꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯐ꯭ꯔꯤꯛꯁꯟ (friction)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯀꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTIs) ꯅꯠꯠꯔꯒꯥ ꯌꯦꯔꯨꯝ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ꯫
• ꯁꯦꯛꯁꯇꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ: ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯁꯦꯛꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯦꯖꯤꯅꯦꯜ ꯄꯦꯏꯟ (Soreness) ꯂꯩꯕꯥ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯍꯪ ꯈꯔꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

• ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫
• ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ (Pelvic Exam): ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯂꯥꯂꯍꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯚꯦꯖꯤꯅꯦꯜ ꯗꯤꯁꯆꯥꯔꯖ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯗꯤꯁꯆꯥꯔꯖꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯄ꯭ꯔꯦꯁꯛꯔꯤꯄꯁꯟ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄ꯭ꯔꯦꯁꯛꯔꯤꯄꯁꯟ ꯈꯛꯇꯗꯥ ꯂꯧꯒꯗꯕꯅꯤ .

• ꯂꯣ-ꯗꯣꯖ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ: ꯃꯈꯣꯌ ꯑꯁꯤ ꯀ꯭ꯔꯤꯝ, ꯇꯦꯕꯜ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯥꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯊꯥꯗꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯩ꯫ ꯀ꯭ꯔꯤꯝ ꯑꯃꯁꯨꯡ ꯇꯦꯕꯜ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯖꯩ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯖꯩ꯫ ꯔꯤꯡ ꯑꯁꯤ ꯊꯥ 3 ꯐꯥꯎꯕꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫
• ꯑꯣꯁ꯭ꯄꯦꯃꯤꯐꯦꯟ (Osphena): ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯅꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯃꯤꯠꯀꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫
• ꯗꯤꯍꯥꯏꯗ꯭ꯔꯣꯏꯄꯤꯌꯥꯟꯗ꯭ꯔꯣꯁ꯭ꯇꯦꯔꯣꯟ (DHEA): ꯃꯁꯤꯁꯨ ꯚꯦꯖꯤꯅꯦꯜ ꯁꯄꯣꯖꯤꯇꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯅꯣꯄꯣꯖ (menopouse)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯁꯨ ꯌꯥꯏ꯫

ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯥꯎꯟꯇꯔ (ꯑꯣ.ꯇꯤ.ꯁꯤ.)ꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄ꯭ꯔꯦꯁꯛꯔꯤꯄꯁꯟ ꯌꯥꯑꯣꯗꯅꯥ ꯐꯥꯔꯃꯥꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯄꯔ ꯃꯥꯔꯀꯦꯠꯇꯥ ꯌꯣꯅꯕꯥ ꯌꯥꯒꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫

1. ꯚꯦꯖꯤꯅꯦꯜ ꯃꯣꯏꯁꯆꯔꯥꯏꯖꯔꯁꯤꯡ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯥꯌꯗꯥ ꯃꯣꯏꯁꯆꯔꯥꯏꯖꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯦꯛꯁꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯁꯦꯃꯈꯤꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯩꯁꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯃꯤ꯫ (ꯑꯦꯛꯁ: ꯔꯤꯞꯂꯦꯟꯁTM, ꯂꯨꯚꯦꯅꯥ®)

2. ꯚꯦꯖꯤꯅꯦꯜ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇꯁꯤꯡ: ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯛꯁꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ . ꯃꯈꯣꯌꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯁꯦꯛꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯐ꯭ꯔꯤꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯄꯦꯏꯟ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯗꯥ ꯂꯥꯀꯏ: ꯏꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ, ꯁꯤꯂꯤꯀꯣꯅꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯏꯂꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ꯫ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯑꯦꯁ꯭ꯠꯔꯣꯒ꯭ꯂꯥꯏꯗ®, ꯀꯦ.ꯋꯥꯏ.® ꯖꯦꯂꯤ)

ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?

• ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ: ꯍꯀꯆꯥꯡ ꯐꯖꯅꯥ ꯍꯥꯏꯗ꯭ꯔꯦꯠ ꯇꯧꯕꯅꯥ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯃꯩꯁꯥꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯨꯃꯁꯤꯡ: ꯍꯋꯥꯏ-ꯆꯦꯡꯋꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯂꯤꯚ ꯑꯣꯏꯂꯒꯨꯝꯕꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯨꯃꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯛꯁꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯄꯥꯅꯒꯤ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯏꯂꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯗꯣꯃꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯀꯟꯗꯣꯝ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯏꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯏ .
• ꯐꯣꯔꯞꯂꯦ: ꯅꯍꯥꯛ ꯑꯅꯤꯕꯨ ꯋꯥꯈꯜ ꯇꯥꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯁꯦꯛꯁꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯝ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯧꯕꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯁꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯍꯅꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯔꯇꯅꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫

ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗ꯭ꯔꯥ?

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯣꯛꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯛꯀꯗꯕꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯛꯁ ꯂꯥꯏꯐ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯔꯇꯅꯔꯒꯥ ꯂꯩꯅꯕꯥ ꯃꯔꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯒꯤ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯂꯩꯔꯕꯗꯤ .