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Insufficient lubrication or vaginal dryness in women can cause dyspareunia , which is a type of sexual pain disorder. The vaginal lining has no glands, and therefore the vagina must rely on other methods of lubrication. Near ovulation, cervical mucus provides additional lubrication. Older women produce less vaginal lubrication and reduced estrogen levels may be associated with increased vaginal dryness. Oral contraceptives may also increase or decrease vaginal lubrication. Vaginal lubrication is always present, but production increases significantly near ovulation and during sexual arousal in anticipation of sexual intercourse. Irritation from contraceptive creams and foams can also cause dryness, as can fear and anxiety about sexual intimacy.

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