Vaginal Atrophy
Posted , 17 users are following.
I am suffering badly with vaginal Atrophy. Can anybody give advice please
0 likes, 340 replies
Posted , 17 users are following.
I am suffering badly with vaginal Atrophy. Can anybody give advice please
0 likes, 340 replies
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lindanb ruth49273
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I also have a severe case and am using estrace, which does make me bleed. It was quite a shock buying pads at my age!The doc said if it hurt to just use my finger, so you might try that. I also coat the outside of my vagina with either vagisil or lidocaine before putting anything in.
I get relief from epsom salt baths. I use a brand with moisturizers and also put in coconut oil. Before I get prescribed the lidocaine, I slathered on vagisil as well.
The initial diagnosis was a shock. She also told me I had an abrasion and that might be why I was bleeding. So be prepared for some mess but hopefully the estrogen will help. VA hits us at the core of our femininity, so don't be surprised if you find yourself depressed. It seems to me that as we get older our body attacks us in little ways. Menopause isbad enough: who knew your vagina could close shut?
beverly52803 lindanb
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At this stage of my life it could close and I wouldn't much care if it meant I would have no other gynecological issues. At this age I don't feel defined by my vagina. Although I loved sex, that ship has sailed and there are no partners on the horizon. I just want to enjoy good health during my remaining years.
ruth49273 lindanb
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ruth49273 lindanb
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beverly52803 ruth49273
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To all you ladies who never thought to do so (I hadn't) if you google "vaginal atrophy videos" you will find quite a few. The moderator has blocked the one I tried to post. Some are on the Mona Lisa laser, some not.
beverly52803 ruth49273
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Don't know how many of you have access to AARP, but their recent newsletter has an article on menopausal issue. Here's a little piece of it. :
And though menopause medications that can help alleviate discomfort — and perhaps prevent or delay the onset of chronic disease — have been around for decades in various forms, research indicates that just a small minority of menopausal women are receiving the medical care they deserve. A Yale University review of insurance claims from more than 500,000 women in various stages of menopause states that while 60 percent of women with significant menopausal symptoms seek medical attention, nearly three-quarters of them are left untreated.
“Doctors are not helpful,” says Philip M. Sarrel, professor emeritus of obstetrics, gynecology and reproductive services, and of psychiatry, at the Yale School of Medicine. “They haven’t had training, and they’re not up to date.”
“Nearly one-third of this country’s women are postmenopausal,” says gynecologist Wen Shen, an assistant professor in the Johns Hopkins School of Medicine Department of Gynecology and Obstetrics. “Many of them are needlessly suffering.”
Most medical schools and residency programs don’t teach aspiring physicians about menopause. Indeed, a recent survey reveals that just 20 percent of ob-gyn residency programs provide any kind of menopause training. Mostly, the courses are elective. And nearly 80 percent of medical residents admit that they feel “barely comfortable” discussing or treating menopause.
“Do most practicing ob-gyns have sufficient nuanced knowledge about menopause and how to treat its symptoms?” asks gynecologist JoAnn Pinkerton, executive director of the North American Menopause Society (NAMS). “I don’t think so.” Pinkerton surveyed more than 1,000 medical professionals (including doctors, physician assistants and nurse practitioners) regarding their knowledge of hormone replacement therapy (HRT) for menopause symptoms. Only 57 percent of physicians were up to date on their information, according to the survey’s results.
Every woman’s menopause experience is different, and many cruise through the natural decline in estrogen without significant discomfort. But for too many women who are experiencing serious symptoms, the response of the average doctor is simply, “There’s nothing we can do.”
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Incredible to me that the AMA wasn't ready for this. It was no secret that huge numbers of baby Boomers were about to turn 65. 10,000 a day!!!
ruth49273 beverly52803
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beverly52803 ruth49273
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wendy62425 beverly52803
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Beverly.....
I cannot believe some doctors would say " there is nothing we can do". When a women is experiencing these horrible symptoms! Thank you for the article. Doctors need training and need to do research for all of us!! Atrophic Vaginitis is real and we need qualified doctors help....that care.
wendy
beverly52803 wendy62425
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This is why I have been advocating for women to complain to their insurance companies if they don't cover necessary meds or procedures like Mona Lisa. I did, but need to go further with it. It is absurd to get free birth control, but have to pay hundreds for one tube of hormone cream. I do believe Viagra is covered for men.
Also, bringing your representatives up to date wouldn't hurt. This should definitely be on their radar. Of course, this applies to Americans. I have no idea what is covered in the UK or Canada.
ruth49273 beverly52803
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Also the cream is supposed to go high up in to the vagina which is where the applicator tube does go but there seems to be at a lot at the entrance of vagina
beverly52803 ruth49273
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I don't use an applicator. Just a pea sized amount of estradiol squeezed on a fingertip and put at the vag opening. Maybe in your case the cream slides down eventually.
ruth49273 beverly52803
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Suki_girl ruth49273
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ruth49273 beverly52803
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wendy62425 ruth49273
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Hi Ruth
it takes awhile for the vaginal area to heal after starting to use creams or Vagifem. It took me a few weeks just to feel normal again from the discomfort of the AV. I don't know if the Atrophy actually goes away.......?
beverly52803 ruth49273
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ruth, I'm sure it's too soon to tell. I believe estriol is the mildest form so probably takes the longest to affect any change. I used the estradiol nightly for at least a month before going back for a progress report from the gyn.
ruth49273 beverly52803
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ruth49273 wendy62425
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Suki_girl beverly52803
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Suki_girl ruth49273
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beverly52803 ruth49273
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ruth, I wasn't suggesting you take it every night, only that it was what my doctor prescribed. I would definitely call the doctor to discuss the dosage before increasing how often you are using it. My point was that it may take a little longer for estriol to work than estradiol.
ruth49273 beverly52803
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ruth49273 Suki_girl
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ruth49273
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beverly52803 ruth49273
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ruth49273 beverly52803
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Suki_girl ruth49273
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ruth49273 beverly52803
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wendy62425 ruth49273
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Hi Ruth
Thank you for keeping us posted on how you are doing. So happy to hear that you are doing better using the cream. It has been quiet on the blogging this past week which leads me to believe the creams or Vagifem seems to be helping most to feel normal again with less discomfort.💗
ruth49273 wendy62425
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Suki_girl ruth49273
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wendy62425 ruth49273
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Hi Ruth
That is interesting that your doctor really wants you to go back on Vagifem. I wonder what her reasoning is to switch.....ask her the next time you see or talk with her. I use Vagifem and applicator does not bother me......yet. I understand that the generic for Vagifem called Yuvafem has an applicator that has sharper edges so I will stick with Vagifem for as long as I can I guess. Again, glad that the cream is working for you...THAT is the important thing! 😉
Wendy
beverly52803 ruth49273
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Hi Ruth, Glad it's working for you. I plan to ask my gyn if I should switch to estriol as several women have mentioned they tolerate it better. Nightly use of estradiol caused burning for me. Am down to twice a week.
Have stopped the steroid cream altogether because of sudden reaction. Gyn has been away, but is back now. No word from her office. I think if you're not dying or about to give birth you're not on the must call list. At least I'm not terribly uncomfortable. But I have become paranoid about things worsening after reading what other women are going through. I was slightly concerned about the AV, but am now very concerned about the LS.
ruth49273 beverly52803
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Hi Beverly, I'm now down to twice a week with Estriol cream although there is a bit of fall out in the morning. For some reason my doc wants to go back to Vagifem pessaries but the applicator I think was tearing me cause I had a bleed with them. I get on much better, so far, with Estriol. Why are you concerned with LS ?
ruth49273 Suki_girl
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Hi Suki girl. I so agree with you about the Estriol cream. It suits me better than the Vagifem although with the cream I do get a bit of a fall out in the morning. I'm going to ask my doc this week why she wants me back on Vagifem. Perhaps their safer, I don't know
beverly52803 ruth49273
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ruth, I am concerned about the LS because I have recently been diagnosed as having it. According to the gyn is was caused by lack of estrogen. I have read the same info, yet it is an autoimmune disease and anyone of any age can get it in different parts of the body. I am very confused by it and obviously concerned. If you look it up here and read what problems women (& men) have with it you will understand (assuming you don't have it).
Re your problems with the applicator is this a solid pessary? If so why can't you just insert it yourself without the applicator? Just slather it with coconut oil to make insertion easier. That's how I was inserting Vit E capsules last winter. Otherwise they would stick and feel like it was tearing the skin.
Suki_girl ruth49273
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Suki_girl ruth49273
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ruth49273 Suki_girl
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ruth49273 Suki_girl
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ruth49273 beverly52803
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wendy62425 ruth49273
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beverly52803 wendy62425
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beverly52803 ruth49273
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Google it and you will understand the details.
Suki_girl ruth49273
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Suki_girl ruth49273
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It will go high enough. The average depth of the vagina (when not stimulated) is 3.77 inches. When stimulated during sexual intercourse this can increase by about an inch (still not as long as the average penis! The penis pushes the cervix up ... much like a battering ram pounding at the castle gates!!! 😂
. I can easily reach my cervix with my finger. You don’t have to get it all the way up, the hormone will spread through the tissues.
beverly52803 Suki_girl
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wendy62425 beverly52803
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😊Very true Beverly!
ruth49273 Suki_girl
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Hi Suki girl. You certainly know your stuff don't you. My goodness. So Estriol cream is better than the Estrodiol in Vagifem pessaries ? Does it matter if I use Estriol cream long term?
Suki_girl ruth49273
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ruth49273
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Hi Suki girl. What a disappointment.After days of no bleed cause I'm on Estriol cream every 3 days, I've suddenly had a slight bleed tonight
ruth49273 Suki_girl
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ruth49273 beverly52803
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Hi Beverly. I'm so disappointed tonight. After days of no bleed cause I'm on Estriol cream , a slight bleed has come tonight. Is this what VA is all about ?
ruth49273 wendy62425
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Hi Wendy. Very disappointed tonight. Had no bleed for days now cause I'm on Estriol cream and tonight I've had a slight bleed. I suppose this is what Vaginal Atrophy is all about ?
Suki_girl ruth49273
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beverly52803 Suki_girl
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suki, I went 6 months without a period then got one more. It seemed perfectly natural to me, but when I mentioned it to my gyn at the time she said I would have to have a D&C to ensure it wasn't cancer. I thought that sounded crazy and called a friend who was a gynecological oncologist to confirm. He said the doc was just playing it safe, but there was no need for me to do it and I did not. You're lucky you don't have an overly reactive doctor.
Not another bit of bleeding since for me, but 20 years later I have AV & now LS to deal with. Hoping to get both under control...soon!
wendy62425 ruth49273
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i have Atrophic Vaginitis but have not bled so not sure that I can help. I think that your vaginal area just needs to heal more....... are you spotting or bleeding like a period?
beverly52803 ruth49273
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ruth, I don't have any bleeding, but it's clear that getting these problems under control takes a lot of trial and error. You can see that by reading all the different protocols women are trying. No "one size fits all". We have to experiment to see which our bodies respond to best. I'm 3 1/2 months into using estradiol hormone cream and a steroid although I was diagnosed with AV 3 years ago. Thought I could let nature take its course, but that has caused the additional problems of LS.
I had wanted to discuss estriol with my gyn but my last contact was over the phone and there was enough to discuss without the estriol. If I can't tolerate long term use of the estradiol I will ask about the estriol.
I'm about to start using an essential oil product instead of the steroid. I discussed it with my gyn and she has no objection, but I know she believes steroids are the most effective for LS. If possible I would like to avoid steroids.
ruth49273 wendy62425
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ruth49273 Suki_girl
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Hi Suki girl. I love your humour in your message you sent me. No, its not a normal period thank goodness. Its just a show on a piece of toilet tissue. Then it comes and goes. Its shock really. I've been days and days with nothing and all of a sudden I have a show which I have been told by my doc can happen. I'm using the Estriol cream every 3 days now. I was using it every other night . Maybe I should go back to every other night. I'm also using using a moisturizing gel from the Yes company which moisturizes the vaginal tissues because mine are tender cause of the Atrophy
Suki_girl beverly52803
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Suki_girl ruth49273
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ruth49273 Suki_girl
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Suki_girl ruth49273
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No, I’m 52. I started menopause symptoms at 47 (periods all over the place and getting gradually dryer). I have been using estriol cream for about 2 years. I managed fine for a few years using natural oils but when sex started to become painful I decided it was time for some estrogen. First I tried vagifem and reacted badly to that (swelled up so much inside I couldn’t even get a finger or the applicator in, let alone a penis), then I tried ovestin cream and after only a couple of weeks I was nice and juicy again, my vulva looked years younger (shame the cream doesn’t seem to have the same effect around my eyes 😞
, and sex is wonderful. I had hot flushes for a while but those have stopped now. Unfortunately it seems that the old ovaries have some life in them yet and like to spring a heavy period on me every 6 months or so.
ruth49273 Suki_girl
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Last night I used the Estriol cream as I'm doing every other night because I had that bleed which has now gone off but this morning I had a fall out when I went for the first wee of the day.Very annoying because it makes me wonder how much cream actually went up. I'm seriously thinking of going back to Vagifem pessaries, but concerned that the edge of the applicator tears me cause I have slight bleed with Vagifem
ruth49273 wendy62425
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Hi Wendy. I used the Estriol cream last night and had a fall out when I did first wee this morning. I'm just wondering how much cream is actually going up. I'm thinking of going back onto Vagifem pessaries although I think the end of the applicator tears me cause I have a slight bleed
Suki_girl ruth49273
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beverly52803 ruth49273
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Hi Ruth, Whatever you put on the board we all get in our email inboxes and can read. Saves a lot of typing. No need to send the same message to individual people.
If you use the private message feature (by clicking on the little envelope next to a person's name) only that person will get the message.
Since using all these lotions & potions I sleep on a towel as the coconut oil in particular was getting grease stains on the sheets. Add to that the hormone cream & the steroid. I don't put the cream up (only just in) per my doc's instructions. Have never noticed anything falling out into the toilet, but by that time I have wiped with TP. I don't get up to use the toilet for 4-5 hours after going to bed.
I'm sure the hormone that is in the cream has been absorbed into your vaginal walls by morning. The cream base is just the vehicle to get the actual hormone into your body. Once absorbed it affects the whole area not just one spot. Everything gets fuller.
If you use the pessary just insert it with your finger.
ruth49273 beverly52803
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Hi Beverly. Sorry I didn't know how the Forum worked. I must be sending you all mad !! Just trying to understand this Atrophy
ruth49273 beverly52803
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Hi Beverly. Thanks for the advice on the Estriol cream . You say you don't put the cream right up but just inside. Do you do that with the applicator. If so, will all the cream make its own way up or do you do that with your finger? Also if I go back to Vagifem pessaries, you say it can be done with a finger. Firstly I'd have to get the tablet out of the applicator then would the tablet go up itself if I put my finger just inside. Excuse my ignorance but this is all new to me .
Suki_girl ruth49273
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beverly52803 ruth49273
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Ruth, Suki has had experience with those pessaries & applicators; I have not. I use only a pea size amount of estradiol cream on my fingertip so there isn't a whole lot there to begin with even with my now adding the same amount of yeast cream nightly.
Again, I am following my doctor's instructions of how to apply it. Apparently she feels a small amount at the vag opening is what I should do. Your doctor has you following a different regimen with a different medication.I have in the past inserted Vit E caps far up, but as I have said, I put coconut oil on them to make them slippery. Otherwise they "catch" on the vag walls and it is very painful. Feels like something sharp, but it obviously is not as it's a gel capsule. The skin is just highly sensitive.
I'm not sure why you would think the pessary would go up on its own. You would have to do it, but it sounds as though you can't or don't understand.
When you call your doc's office do you have an option of speaking to the nurse? If so, you should do that and discuss your concerns. I'm sure they will give you appropriate advice according to the protocol your doctor has prescribed and can address the problems you are having re insertion and absorption of the med.
You may be worrying too much about this whole process which will increase your stress.
Suki_girl
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ruth49273 beverly52803
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ruth49273 Suki_girl
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Now there's a thought Suki. Coat the pessary with coconut oil or can it be some of the Yes moisturizing gel instead?
ruth49273 Suki_girl
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I used the applicator for the Estriol cream last night about 9.45 but had to get up for the toilet about 4.00. This morning I've had a bleed which is starting to go off. I think the applicator disturbed things up there. Its very annoying
Suki_girl ruth49273
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ruth49273 Suki_girl
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Thank you Suki. The bleed at the moment is off and on. Although I did the cream last night, I'm just putting in the Yes moisturizing gel to calm the tissues down and hopefully stop the bleed
Suki_girl ruth49273
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ruth49273 Suki_girl
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Suki_girl ruth49273
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ruth49273 Suki_girl
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Suki_girl ruth49273
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ruth49273 Suki_girl
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ruth49273 Suki_girl
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Suki_girl ruth49273
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It was me 🤓. I too prefer the cream applicator.
ruth49273 Suki_girl
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Suki_girl ruth49273
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ruth49273 Suki_girl
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Suki_girl ruth49273
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ruth49273 Suki_girl
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ruth49273 beverly52803
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