The self help treatment methods include educating oneself about the human anatomy, sexual function, and the normal changes associated with aging, as well as sexual behaviors and responses that may help a woman overcome her anxieties about sexual function and performance. Enhancing stimulation may include the use of erotic materials (videos or books), masturbation, and changes to sexual routines. Providing distraction techniques like erotic or non-erotic fantasies, exercises with intercourse, music, videos, or television can be used to increase relaxation and eliminate anxiety. Encouraging non-coital behaviors (physically stimulating activity that does not include intercourse), such as sensual massage, can be used to promote comfort and increase communication between partners. Minimizing pain by adopting sexual positions that allow the woman to control the depth of penetration may help relieve some pain. The use of vaginal lubricants can help reduce pain caused by friction, and a warm bath before intercourse can help increase relaxation.
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