DyspareuniaDysmenorrheaVaginal DiseasesPelvic PainEndometriosisLubricantsVulvar DiseasesSexual Dysfunctions, PsychologicalLibidoNorethindroneOrgasmSexual Dysfunction, PhysiologicalCoitusPerimenopauseGynecologic Surgical ProceduresPerineumVaginaUterine ProlapseSuburethral SlingsRectal DiseasesNarrationLaparoscopyPuerto RicoEstrogen Replacement Therapy