An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client├óÔé¼Ôäós teaching plan?

In postmenopausal women, vaginal atrophy due to decreased estrogen causes thinning and dryness of the vaginal tissues, making them more susceptible to tearing during intercourse. The most important teaching is the use of water-based lubricants to reduce friction and prevent injury. Safe sex practices are always important but are not the direct cause of the tear. Alternative expressions of sexuality and specific positions may be discussed, but lubrication addresses the primary physiological issue.