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Mass General Cancer Center Sexual Health Clinic Vaginal Dilator Diary is diary is to track your usage of your dilator. Please include any symptoms you experience so we can best address your needs. Please bring this diary to your next visit in our clinic. Date Vaginal Dilator Size Minutes used Vaginal symptoms/comments (pain, dryness, tightness, bleeding, etc.) Mass General Cancer Center Sexual Health Clinic massgeneral.org/cancer/sexualhealth Phone: 617-726-6050 Side 1 of 2

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Page 1: Mass General Cancer Center Sexual Health Clinic...Sexual Health Clinic Vaginal Dilator Diary This diary is to track your usage of your dilator. Please include any symptoms you experience

Mass General Cancer Center Sexual Health Clinic

Vaginal Dilator DiaryThis diary is to track your usage of your dilator. Please include any symptoms you experience so we can best address your needs. Please bring this diary to your next visit in our clinic.

Date Vaginal DilatorSize

Minutes used

Vaginal symptoms/comments (pain, dryness, tightness, bleeding, etc.)

Mass General Cancer Center Sexual Health Clinicmassgeneral.org/cancer/sexualhealthPhone: 617-726-6050 Side 1 of 2

Page 2: Mass General Cancer Center Sexual Health Clinic...Sexual Health Clinic Vaginal Dilator Diary This diary is to track your usage of your dilator. Please include any symptoms you experience

Mass General Cancer Center Sexual Health Clinicmassgeneral.org/cancer/sexualhealthPhone: 617-726-6050 Side 2 of 2

Date Vaginal DilatorSize

Minutes used

Vaginal symptoms/comments (pain, dryness, tightness, bleeding, etc.)

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