La sècheresse vaginale
INTRODUCTION
La sécheresse intime se manifeste par une diminution des sécrétions vaginales, touchant 46% des femmes au cours de leur vie (1). Cette sensation, fréquente et affectant des femmes de tout âge, résulte de la réduction ou de l’arrêt de la lubrification naturelle essentielle au maintien de l’humidité vaginale. Bien que la sévérité de ce trouble puisse varier, il est essentiel de comprendre ses causes, symptômes et options de traitement. En fournissant des conseils éclairés et des solutions adaptées, le pharmacien d’officine répond aux besoins des femmes cherchant à améliorer leur confort intime.
DÉFINITION
La sécheresse vaginale, se manifeste par une insuffisance ou une absence d’humidification naturelle du vagin. Les sécrétions vaginales, produites par les glandes cervicales et les glandes de Bartholin, jouent un rôle fondamental dans le maintien des conditions physiologiques optimales du vagin, assurant ainsi sa protection, son élasticité et sa texture douce. (2)
Le rôle clé de la lubrification vaginale se déploie à plusieurs niveaux. Tout d’abord, ces sécrétions contribuent activement à créer un environnement humide et légèrement acide, favorisant un équilibre microbiologique sain. En agissant comme un mécanisme de défense naturel contre les agents pathogènes, elles renforcent la protection du système vaginal, constituant ainsi une barrière essentielle contre les infections.
Au cours du cycle menstruel, ces sécrétions subissent des variations spécifiques. Leur composition est modulée pour faciliter ou entraver la mobilité des spermatozoïdes, particulièrement pendant la période d’ovulation. Par ailleurs, la lubrification générée par les glandes de Bartholin revêt une importance particulière en offrant une protection supplémentaire à la muqueuse vaginale, notamment lors des rapports intimes. (4)
CAUSES
Les causes de la sécheresse vaginale sont multiples :
– la ménopause : la diminution de la production d’œstrogènes et les troubles hormonaux entraînent un déséquilibre de la lubrification vaginale. (4)
– La grossesse : Au cours des trois premiers mois de la grossesse, il est possible que la femme éprouve une sécheresse vaginale temporaire, susceptible de se résorber dès que la région pelvienne reprend son afflux sanguin habituel. (4)
– L’allaitement : entraîne aussi une diminution des taux d’œstrogènes et de progestérone pouvant mener à une diminution de lubrification vaginale.
– Les contraceptifs hormonaux : La sécheresse vaginale est fréquemment observée comme un effet secondaire des contraceptifs hormonaux. Ceci est la conséquence du remplacement des hormones naturelles, œstrogènes et progestérone, responsables de la régulation de la production des sécrétions vaginales, par les hormones synthétiques présentes dans la contraception hormonale.
– La prise de certains médicaments comme : les antidépresseurs, les benzodiazépines, les traitements anti acnéiques, les anti-hypertenseurs, les vasoconstricteurs, les antihistaminiques, peut mener à une sécheresse vaginale dans environ 3 à 5% des cas. (5)
– L’hystérectomie: où l’utérus et les cellules productrices de sécrétions vaginales sont retirés, la sécheresse vaginale peut se produire.
– La chimiothérapie: induisant une ménopause chimique, peut également causer la sécheresse vaginale.
– Le nettoyage excessif du vagin peut provoquer la déshydratation.
– Le syndrome de Sjögren: qui est une maladie auto-immune, peut entraîner une inflammation des glandes, réduisant la production de sécrétions et provoquant la sécheresse vaginale.
– Le diabète : peut endommager les nerfs et vaisseaux affectant les glandes utérines et asséchant les muqueuses.
– Les infections vaginales : mycose vaginale
– La sclérose en plaques.
– La consommation de tabac en raison de l’effet vasoconstricteur engendré par la nicotine.(4)
– L’alcool : en raison de son impact déshydratant sur l’organisme . (4)
– Les malformations congénitales.
SYMPTÔMES
Les manifestations les plus fréquentes de la sécheresse vaginale comprennent :
• Gêne, sensibilité et douleurs au niveau de la cavité vaginale.
• Douleurs lors des rapports sexuels, pouvant résulter de la friction accrue due à la sécheresse.
• Démangeaisons, tant à l’intérieur qu’autour du vagin, souvent liées à une irritation de la muqueuse.
La carence d’humidité dans le vagin peut entraîner des perturbations de la flore vaginale, constituée des diverses bactéries qui résident naturellement dans cet écosystème. Cette altération de l’équilibre microbien augmente le risque de divers troubles gynécologiques, notamment la vaginite, les infections fongiques (mycose vaginale), et la vaginose bactérienne (déséquilibre bactérien).
TRAITEMENT
Il existe différentes approches pour soulager la sécheresse vaginale.
1. L’hygiène intime
Pour l’hygiène intime, des produits spécifiques adaptés, conçus pour traiter la sécheresse, offrent un confort supérieur par rapport aux solutions d’hygiène intime classiques. Leur distinction réside dans la présence d’agents hydratants spécifiques. Par exemple, certains contiennent des extraits d’olivier, d’aloe vera, d’avoine, de camélia, etc. Les formulations varient pour répondre aux besoins spécifiques, apportant un soulagement optimal. (3)
2. Le traitement hormonal
L’administration d’œstrogènes, sous diverses formulations telles que crèmes, ovules, suppositoires, anneaux ou gels, se présente comme un traitement efficace contre la sécheresse, particulièrement recommandé dans des situations avancées de cette affection.
Les œstrogènes agissent en stimulant la régénération cellulaire, en favorisant la vascularisation locale et en rétablissant l’équilibre hormonal au niveau de la muqueuse vaginale.(6)
3. Les hydratants vaginaux
Les hydratants vaginaux, qu’ils soient en crème ou en ovule, exercent une action sur le tissu vaginal en augmentant la teneur en eau des cellules constituant la paroi vaginale. Typiquement, leur application s’effectue de 2 à 5 fois par semaine à l’intérieur du vagin et au niveau de son orifice. L’acide hyaluronique, une molécule reconnue pour ses propriétés hydratantes, est fréquemment privilégié dans ces formulations.
De nombreux hydratants utilisent des composants naturels et bénéfiques tels que les extraits de bardane, l’allantoïne, la glycérine, l’huile de paraffine, l’extrait de grenade et l’extrait de racine de guimauve.
4. Les lubrifiants
Les lubrifiants ont pour objectif de rendre le vagin plus humide pour faciliter les rapports sexuels. Ils sont tous formulés à base d’eau et sont compatibles avec la plupart des préservatifs, diaphragmes ou spermicides. On trouve ainsi différentes catégories : les classiques, les hydratants, ceux à effet prolongé, et ceux spécialement conçus pour la ménopause.
• Les lubrifiants classiques : Ces produits sont destinés à être appliqués immédiatement avant ou, si nécessaire, pendant un acte sexuel afin de prévenir les dyspareunies. Ils servent à suppléer la lubrification naturelle, agissant instantanément, bien que leur effet soit temporaire. La composition de ces lubrifiants peut varier selon les marques. (3)
• Les lubrifiants hydratants : Ils présentent des propriétés hydratantes, notamment grâce à la présence d’acide hyaluronique qui a la capacité de retenir l’eau dans les cellules. L’action lubrifiante se prolonge dans le temps et ils ne peuvent être appliqués qu’une seule fois par jour. (3)
• Les lubrifiants hydratants “longue durée »: Ces lubrifiants sont utilisés pour traiter la sécheresse vaginale chronique, particulièrement observée lors de la ménopause, et présentent ainsi des propriétés hydratantes. En règle générale, une application de 2 à 3 fois par semaine est considérée comme suffisante. Certains produits comprennent un gel polycarbophile saturé en eau, doté d’un polymère adhérant à la muqueuse et libérant progressivement de l’eau sur une période de 3 jours. D’autres formulations intègrent des liposomes d’acide hyaluronique, assurant une action à libération prolongée.
• Les lubrifiants ( spécial ménopause): Ils contiennent des phyto-oestrogènes dans leur formulation. Il est essentiel de prendre en considération les contre-indications éventuelles, notamment en cas de tumeur oestrogéno-dépendante, comme le cancer du sein, ou en présence d’antécédents médicaux.
5. Le traitement (CO2, laser)
Certains médecins, proposent un traitement au laser à base de CO2 dans le but de stimuler et régénérer les cellules vaginales. Cette procédure consiste en l’utilisation du laser vaginal, où des impacts laser sont dirigés vers la muqueuse vulvo-vaginale, potentiellement induisant une stimulation de la production de collagène et un épaississement de la muqueuse. En plus du laser vaginal, d’autres approches telles que la radiofréquence vaginale et la photothérapie (ou photobiomodulation) peuvent également être envisagées.
6. L’homéopathie
L’homéopathie peut être envisagée comme une approche pour traiter la sécheresse vaginale. Des souches homéopathiques spécifiques sont réputées pour aider à soulager les symptômes, telles que :
• Folliculinum 5CH : Souvent recommandé pour atténuer la sécheresse vaginale, ce remède homéopathique peut être envisagé pour son potentiel à rétablir l’équilibre hormonal.
• Bryonia 5CH et Alumina 5CH : Utiles lorsque la sécheresse est particulièrement gênante et que la peau présente une sécheresse intense.
• Arsenicum album 5CH : En cas de douleurs et de brûlures soulagées par la chaleur, ce remède homéopathique peut être considéré.
• Natrum muriaticum 9CH : Indiqué en cas de sécheresse accrue après les règles ou si toutes les muqueuses sont sèches.
• Hepar sulfuris calcareum 9CH : Recommandé lorsque la sécheresse s’accompagne d’une inflammation.
• Sepia 9CH : Utile lorsque la sécheresse est associée à des troubles du cycle.
La posologie habituelle est de 5 granules, 2 fois par jour, mais elle peut être ajustée en fonction des symptômes et jusqu’à l’amélioration (6) , (7).
7. La phytothérapie
Dans le domaine de la phytothérapie, certaines plantes riches en phytoestrogènes, des hormones naturelles favorisant potentiellement la lubrification vaginale, incluent la sauge, le soja, le houblon, le lin, le dong quai, ou l’actée à grappes. Ces plantes peuvent être intégrées, que ce soit sous forme de gélules, de capsules, ou en infusion.
Des herbes comme l’achillée millefeuille et l’alchémille, reconnus pour leur rôle de régulation du système hormonal, peuvent également être utilisées. Le gattilier, en normalisant et en augmentant les niveaux d’hormones, s’avère également efficace dans la prévention de la sécheresse vaginale. Il est possible d’incorporer ces plantes dans son régime soit sous forme de gélules ou de tisanes, en fonction des préférences individuelles
8. L’aromathérapie
La sauge sclarée joue un rôle crucial dans l’équilibre du système hormonal, impactant ainsi la qualité de la peau et des muqueuses. Souvent qualifiée de « l’huile essentielle de la femme », elle peut être utilisée de deux manières principales:
• Voie orale : Une goutte de l’huile essentielle de sauge sclarée sur un comprimé neutre, à prendre une fois par jour pendant 21 jours. Cette routine peut être renouvelée au besoin après une pause de 21 jours.
• Voie locale, en massage : La sauge sclarée, diluée dans une huile végétale, peut être appliquée en petite quantité sur le bas-ventre et le bas du dos une fois par jour pendant 21 jours. Cette application peut également être renouvelée selon les besoins. (9)
Conseils et prévention
En tant que pharmaciens, nous assumons un rôle crucial dans la fourniture de conseils éclairés et de recommandations préventives. Ainsi, nous contribuons à guider nos patientes vers des habitudes et des choix de vie favorables pour prévenir la sécheresse vaginale. Voici quelques suggestions que nous pouvons partager en officine pour favoriser une santé vaginale optimale :
• Limitez les toilettes intimes : Il est recommandé de ne pas dépasser deux toilettes intimes par jour pour préserver l’équilibre de la flore vaginale.
• Choisissez des produits adaptés : Optez pour des produits doux au pH neutre lors des toilettes intimes, évitant ainsi de perturber l’acidité naturelle de la flore vaginale.
• Évitez l’usage fréquent de protège-slips et tampons : L’utilisation excessive peut contribuer à la sécheresse vaginale à long terme.
• Privilégiez des vêtements confortables : Évitez les vêtements trop serrés, qui pourraient provoquer des irritations. Les sous-vêtements en coton sont à privilégier.
• Encouragez une activité sexuelle régulière : Cela peut contribuer à améliorer la circulation sanguine des organes génitaux et à prévenir le risque d’atrophie.
• Gérez le stress : Le stress peut affecter la santé vaginale, donc encouragez des pratiques de gestion du stress et favorisez la confiance en soi.
• Protégez lors de la baignade : Appliquez légèrement une crème hydratante avant la baignade pour protéger contre les effets de l’eau chlorée.
• Compléments alimentaires : Suggérez l’utilisation de compléments alimentaires contenant des vitamines D ou E, connues pour contribuer à une meilleure santé vaginale.
RÉFÉRENCES BIBLIOGRAPHIQUES:
(1) Etude IFOP/Bayer® : L’impact des problèmes de sécheresse intime sur la vie sexuelle des Françaises en phase de péri-ménopause et de ménopause -Enquête réalisée sur un échantillon représentatif de 1402 Françaises (45-60 ans) dont 685 sont en ménopause ou péri ménopause.
(2) medinova formation destinée aux professionnels de santé “ maladie de la vulve- de nombreux troubles – un seule produit 2022
(3) LE MONITEUR, Les maux gynécologiques. Le moniteur des pharmacies. 2939
(4) FEREY D., Conseils en pharmacie. Edition Maloine, 2011, pp. 247-9
(5) Magazine américain Prevention, édition de février 2023
(6)Astrea Pharmacie (Magazine sur la santé suisse), édition de juin 2021 consacrée notamment aux sécheresses vaginales
(7) SAYOUS D-J. Le grand livre de l’homéopathie. Edition Eyrolles. 2012
(8)QUEMOUN A-C. Ma bible de l’homéopathie. Quotidien Malin, 2013. 544 p.
(9) GROSREY-LAJONC N. Naturo-famille : 100 petits maux de la vie quotidienne traités par les plantes. Albin Michel, 2014. 306 p.
Great info and right to the point. I am not sure
if this is truly the best place to ask but do you folks have any thoughts on where to employ some professional writers?
Thanks 🙂 Lista escape room
Very superb info can be found on weblog.?
I like this blog it’s a master piece! Glad I observed this
on google. Euro travel
Your article helped me a lot, is there any more related content? Thanks!
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Your point of view caught my eye and was very interesting. Thanks. I have a question for you.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
This is a great tip especially to those fresh to the blogosphere. Short but very accurate info… Thanks for sharing this one. A must read post.
You’ve made some good points there. I checked on the web for more info about the issue and found most individuals will go along with your views on this web site.
Good post. I definitely appreciate this website. Keep it up!
Good post. I’m dealing with many of these issues as well..
Very good article. I’m going through a few of these issues as well..
This website definitely has all the info I wanted about this subject and didn’t know who to ask.
You have made some really good points there. I checked on the internet for additional information about the issue and found most people will go along with your views on this website.
I truly love your blog.. Excellent colors & theme. Did you create this website yourself? Please reply back as I’m hoping to create my very own website and would like to learn where you got this from or what the theme is called. Appreciate it!
I wanted to thank you for this great read!! I definitely loved every little bit of it. I’ve got you saved as a favorite to look at new stuff you post…
I would like to thank you for the efforts you’ve put in penning this blog. I am hoping to see the same high-grade content from you in the future as well. In fact, your creative writing abilities has encouraged me to get my own, personal website now 😉
I like it whenever people get together and share opinions. Great blog, continue the good work!
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me? https://accounts.binance.com/cs/register?ref=S5H7X3LP
I couldn’t refrain from commenting. Well written!
You’ve made some good points there. I looked on the internet for additional information about the issue and found most individuals will go along with your views on this web site.
It’s hard to find educated people on this subject, however, you sound like you know what you’re talking about! Thanks
Spot on with this write-up, I really believe that this web site needs a lot more attention. I’ll probably be returning to read more, thanks for the advice!
I’m impressed, I have to admit. Rarely do I encounter a blog that’s both educative and amusing, and let me tell you, you have hit the nail on the head. The issue is something too few folks are speaking intelligently about. Now i’m very happy that I stumbled across this during my search for something concerning this.
Good article! We will be linking to this particularly great post on our site. Keep up the great writing.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Good web site you have got here.. It’s hard to find good quality writing like yours these days. I really appreciate people like you! Take care!!
Nice post. I learn something new and challenging on sites I stumbleupon everyday. It will always be helpful to read articles from other authors and practice a little something from their sites.
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
Howdy! This article could not be written any better! Looking at this article reminds me of my previous roommate! He always kept talking about this. I will forward this post to him. Pretty sure he’ll have a good read. Thanks for sharing!
I seriously love your website.. Excellent colors & theme. Did you create this site yourself? Please reply back as I’m hoping to create my very own site and want to know where you got this from or just what the theme is called. Many thanks.
Aw, this was a very good post. Spending some time and actual effort to generate a great article… but what can I say… I put things off a lot and never manage to get nearly anything done.
Hi! Do you know if they make any plugins to help with Search Engine Optimization?
I’m trying to get my site to rank for some targeted keywords
but I’m not seeing very good success. If you know of any please share.
Thank you! You can read similar text here: Eco blankets
I would like to thank you for the efforts you have put in writing this website. I really hope to check out the same high-grade blog posts by you in the future as well. In fact, your creative writing abilities has encouraged me to get my own blog now 😉
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article.
An impressive share! I’ve just forwarded this onto a co-worker who was doing a little homework on this. And he in fact ordered me dinner simply because I found it for him… lol. So let me reword this…. Thanks for the meal!! But yeah, thanks for spending some time to talk about this issue here on your blog.
This is the right webpage for everyone who hopes to find out about this topic. You understand a whole lot its almost tough to argue with you (not that I actually would want to…HaHa). You definitely put a fresh spin on a topic which has been written about for many years. Great stuff, just excellent.
Your article helped me a lot, is there any more related content? Thanks!
You need to take part in a contest for one of the greatest blogs on the web. I’m going to highly recommend this website!
Great site you’ve got here.. It’s difficult to find high-quality writing like yours these days. I truly appreciate people like you! Take care!!
You need to take part in a contest for one of the greatest websites online. I’m going to highly recommend this site!
Understanding how people understand and interact with their surroundings is key to informed design decisions.
When I initially commented I appear to have clicked on the -Notify me when new comments are added- checkbox and now every time a comment is added I get four emails with the exact same comment. There has to be an easy method you are able to remove me from that service? Thanks a lot.
sugar defender ingredients
Finding Sugar Defender has been a game-changer for me,
as I’ve constantly been vigilant about managing my blood sugar
level levels. With this supplement, I feel equipped to organize
my health and wellness, and my latest medical examinations have actually shown a substantial turn-around.
Having a trustworthy ally in my corner provides me with a complacency and
reassurance, and I’m deeply glad for the extensive difference Sugar Defender has actually made in my health.
Way cool! Some very valid points! I appreciate you writing this write-up and the rest of the site is really good.
Hi there! I simply would like to give you a huge thumbs up for your great information you’ve got here on this post. I’ll be returning to your site for more soon.
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Very good info. Lucky me I ran across your blog by chance (stumbleupon). I have saved it for later.
There’s certainly a lot to learn about this issue. I really like all the points you’ve made.
Everything is very open with a really clear explanation of the challenges. It was really informative. Your website is useful. Many thanks for sharing!
Oh my goodness! Amazing article dude! Many thanks, However I am encountering difficulties with your RSS. I don’t know the reason why I am unable to join it. Is there anybody getting the same RSS problems? Anyone who knows the solution will you kindly respond? Thanx!!
Pretty! This has been an incredibly wonderful post. Many thanks for supplying these details.
You ought to take part in a contest for one of the finest blogs online. I am going to recommend this blog!
I needed to thank you for this wonderful read!! I absolutely loved every bit of it. I have got you book-marked to look at new stuff you post…
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
When I initially left a comment I appear to have clicked on the -Notify me when new comments are added- checkbox and from now on each time a comment is added I receive 4 emails with the same comment. There has to be a means you can remove me from that service? Cheers.
I seriously love your website.. Great colors & theme. Did you build this web site yourself? Please reply back as I’m hoping to create my own personal blog and would love to learn where you got this from or exactly what the theme is called. Appreciate it.
Your article helped me a lot, is there any more related content? Thanks!
Thanks for sharing. I read many of your blog posts, cool, your blog is very good.
I enjoy reading through an article that will make people think. Also, many thanks for allowing me to comment.
This site certainly has all the information and facts I needed concerning this subject and didn’t know who to ask.
Hi there, There’s no doubt that your site could possibly be having browser compatibility problems. Whenever I look at your site in Safari, it looks fine but when opening in I.E., it has some overlapping issues. I just wanted to give you a quick heads up! Apart from that, wonderful blog.
An interesting discussion is worth comment. I believe that you need to publish more about this topic, it may not be a taboo matter but generally people do not talk about such subjects. To the next! Cheers.
Everyone loves it whenever people get together and share thoughts. Great site, keep it up.
Howdy! This post couldn’t be written much better! Looking through this article reminds me of my previous roommate! He continually kept preaching about this. I will forward this post to him. Fairly certain he’ll have a great read. I appreciate you for sharing!
I have to thank you for the efforts you have put in penning this blog. I am hoping to check out the same high-grade content by you in the future as well. In truth, your creative writing abilities has motivated me to get my own, personal website now 😉
You made some really good points there. I checked on the web for more information about the issue and found most individuals will go along with your views on this site.
You should take part in a contest for one of the highest quality sites online. I’m going to recommend this site!
Your style is very unique in comparison to other folks I have read stuff from. Thank you for posting when you have the opportunity, Guess I will just bookmark this blog.
I really love your website.. Great colors & theme. Did you create this site yourself? Please reply back as I’m trying to create my very own blog and want to find out where you got this from or what the theme is named. Appreciate it.
After looking at a number of the blog articles on your site, I honestly like your way of blogging. I book marked it to my bookmark site list and will be checking back soon. Take a look at my web site as well and let me know what you think.
Way cool! Some extremely valid points! I appreciate you writing this write-up and also the rest of the website is also really good.
Hello! I just would like to offer you a big thumbs up for your great information you have got here on this post. I will be returning to your blog for more soon.
Everything is very open with a precise explanation of the challenges. It was truly informative. Your site is extremely helpful. Thanks for sharing!
This web site definitely has all of the information I wanted concerning this subject and didn’t know who to ask.
Hi there! I could have sworn I’ve visited your blog before but after going through some of the posts I realized it’s new to me. Regardless, I’m certainly delighted I came across it and I’ll be bookmarking it and checking back regularly!
Spot on with this write-up, I seriously feel this web site needs much more attention. I’ll probably be back again to read more, thanks for the advice!
Good post. I’m experiencing a few of these issues as well..
The most popular one being Chamomile.
A fascinating discussion is definitely worth comment. I think that you ought to publish more on this issue, it may not be a taboo matter but usually people don’t discuss these topics. To the next! Many thanks.
Good post. I learn something new and challenging on blogs I stumbleupon every day. It will always be helpful to read through content from other writers and use a little something from other sites.
I was extremely pleased to uncover this great site. I wanted to thank you for ones time for this fantastic read!! I definitely appreciated every little bit of it and i also have you bookmarked to see new information on your blog.
Having read this I thought it was extremely informative. I appreciate you spending some time and effort to put this content together. I once again find myself spending a significant amount of time both reading and leaving comments. But so what, it was still worthwhile!
Great article. I’m experiencing many of these issues as well..
Way cool! Some very valid points! I appreciate you writing this write-up and also the rest of the site is extremely good.
Hi, I do think this is an excellent website. I stumbledupon it 😉 I may return yet again since i have bookmarked it. Money and freedom is the best way to change, may you be rich and continue to guide others.
I like reading through a post that will make people think. Also, thank you for allowing me to comment.
Louisiana state and metropolis civil service departments award a 5-point choice to honorably discharged veterans and 10-level preference to honorably discharged service-connected disabled veterans.
I enjoy reading through an article that will make people think. Also, many thanks for allowing for me to comment.
Good post. I learn something totally new and challenging on websites I stumbleupon everyday. It will always be helpful to read through articles from other authors and practice a little something from other sites.
I seriously love your site.. Very nice colors & theme. Did you make this web site yourself? Please reply back as I’m hoping to create my own site and would love to learn where you got this from or what the theme is named. Kudos!
Right here is the perfect webpage for anyone who wishes to understand this topic. You realize a whole lot its almost tough to argue with you (not that I personally would want to…HaHa). You definitely put a new spin on a subject which has been discussed for ages. Excellent stuff, just great.
Everything is very open with a precise explanation of the challenges. It was definitely informative. Your website is very helpful. Thank you for sharing.
Hi, I do think this is an excellent site. I stumbledupon it 😉 I may revisit once again since I book marked it. Money and freedom is the best way to change, may you be rich and continue to guide other people.
I need to to thank you for this excellent read!! I certainly loved every bit of it. I have you saved as a favorite to check out new stuff you post…
Having read this I thought it was extremely informative. I appreciate you spending some time and energy to put this short article together. I once again find myself spending a significant amount of time both reading and commenting. But so what, it was still worthwhile!
Hi, I do believe this is a great blog. I stumbledupon it 😉 I will come back yet again since i have book marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.
Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me?
Can I simply say what a relief to uncover somebody that truly understands what they’re talking about on the web. You actually understand how to bring a problem to light and make it important. More and more people ought to read this and understand this side of the story. I was surprised you are not more popular because you definitely have the gift.
Hello there! I just would like to offer you a huge thumbs up for the excellent information you have got right here on this post. I will be coming back to your blog for more soon.
You ought to be a part of a contest for one of the highest quality blogs on the net. I most certainly will highly recommend this site!
I’m impressed, I must say. Rarely do I come across a blog that’s equally educative and interesting, and let me tell you, you have hit the nail on the head. The issue is something which not enough men and women are speaking intelligently about. I am very happy I came across this during my search for something relating to this.
Your article helped me a lot, is there any more related content? Thanks!
Wonderful article! We are linking to this particularly great content on our website. Keep up the good writing.
Andy explains he believes it truly did!
Remarks: Karpov marched out to a victory in Sport 1. Korchnoi resigned on move 44, down the exchange and a pawn and with an inferior position.
The work was covered in John Harries ebook, Discovering Stained Glass, which highlighted how she painted the lettering and her detailed figures.