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People who experience vulvovaginal changes while taking a GLP-1 may notice the following: loss of volume and plumpness in the labia majora and mons pubis (the fat that sits on the pubic bone) sagging or wrinkled skin changes in the shape of the vulva If a person is experiencing hormonal changes associated with perimenopause and menopause, they may also experience: dryness and itching burning and irritation thinner, more fragile vaginal tissues, which can tear more easily pain during intercourse The primary cause of a saggy vulva after using a GLP-1 is rapid fat loss
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Patients started on naltrexone-bupropion were scheduled to return for follow-up visits at 1 month, 2 months, 3 months, 6 months, and every 6 monthly thereafter
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