A 68 year old patient presents to your office complaining of…
A 68 year old patient presents to your office complaining of vaginal irritation and painful intercourse. States that she notices spotting occasionally after sex, and that sex has become painful. She denies any vaginal odor, discharge, or itch. Denies new sexual partners- just her husband. Reports that she tried lubricants without good relief. She denies any significant medical history. What is the most likely diagnosis?