Atrofia pochwy
Charakterystyka, pielęgnacja i opieka

Atrofia pochwy (atrophia vaginae), zwana także zespołem genitalno-moczowym okresu menopauzy (GSM), to schorzenie wynikające z niedoboru estrogenów, prowadzące do ścieńczenia, wysuszenia i stanu zapalnego ścian pochwy. Dotyka około 50-80% kobiet po menopauzie oraz około 15% kobiet przedmenopauzalnych. Objawy obejmują suchość pochwy (około 75% przypadków), dyspareunię (38%), świąd, pieczenie, krwawienia oraz zaburzenia mikcji. Diagnostyka opiera się na badaniu klinicznym, w tym ocenie ścian pochwy (bladość, utrata fałdów, zwiększone pH >5,0) oraz wywiadzie. Czynniki ryzyka to menopauza (naturalna, przedwczesna, jatrogenna), leczenie onkologiczne, usunięcie jajników, palenie tytoniu oraz brak aktywności seksualnej.

Atrofia pochwy – co to jest i jakie są jej przyczyny

Atrofia pochwy (atrophia vaginae), znana również jako atroficzne zapalenie pochwy lub zespół genitalno-moczowy okresu menopauzy (GSM), to stan charakteryzujący się ścieńczeniem, wysuszeniem i stanem zapalnym ścian pochwy, który występuje, gdy organizm kobiety wytwarza mniej estrogenu12. Zanik pochwy najczęściej pojawia się po menopauzie, ale może również wystąpić podczas okresu okołomenopauzalnego lub w innych sytuacjach, gdy poziom estrogenów jest niski3.

Szacuje się, że atrofia pochwy dotyka około 50-80% kobiet po menopauzie i jest spowodowana niedoborem estrogenów4. Jednak może ona wystąpić u około 15% kobiet w wieku przedmenopauzalnym5. Kiedy jajniki nie wytwarzają wystarczającej ilości estrogenu, skóra i tkanka podporowa sromu i pochwy stają się cieńsze i mniej elastyczne6.

Estrogen odgrywa kluczową rolę w utrzymaniu elastyczności i grubości błony śluzowej pochwy i wewnętrznych warg sromowych. Hormon ten odpowiada również za utrzymanie wilgotności pochwy, ochronę prawidłowej flory bakteryjnej pochwy (pałeczek kwasu mlekowego) oraz prawidłowego kwaśnego pH pochwy7.

Czynniki ryzyka atrofii pochwy

Do głównych czynników ryzyka rozwoju atrofii pochwy należą:

Objawy atrofii pochwy

Atrofia pochwy może powodować szereg dokuczliwych objawów, które mogą znacząco wpływać na jakość życia kobiety. Pierwszym objawem najczęściej opisywanym jest suchość pochwy, spowodowana zmniejszoną produkcją śluzu przez gruczoły pochwowe1415.

Do najczęstszych objawów atrofii pochwy należą:

Suchość i ścieńczenie warg sromowych może prowadzić do ich ocierania się o bieliznę, co wywołuje bolesność24. Ścieńczenie skóry zwiększa ryzyko urazu, w tym owrzodzenia skóry i możliwego krwawienia z pochwy25.

Wiele kobiet zauważa, że objawy atrofii pochwy mogą się nasilać z upływem czasu, jeśli nie są leczone26. Co więcej, objawy mogą się pojawić dopiero kilka lat po menopauzie, przez co związek z nią nie jest zauważany, a kobiety akceptują objawy jako normalną część procesu starzenia27.

Diagnoza atrofii pochwy

Diagnoza atrofii pochwy opiera się głównie na badaniu klinicznym28. Ważnym czynnikiem jest dokładny wywiad, czyli dogłębne zbadanie objawów zgłaszanych przez pacjentkę, ich nasilenia oraz wpływu na jakość życia29.

Podczas badania ginekologicznego lekarz może zaobserwować następujące zmiany:

  • Ścieńczenie i bladość ścian pochwy30
  • Utrata fałdów pochwy31
  • Zmniejszona elastyczność tkanek32
  • Zaczerwienienie i łatwość do powstawania wybroczyn33
  • Zmiana pH pochwy (zwiększenie pH powyżej 5,0)34

W niektórych przypadkach lekarz może zlecić dodatkowe badania w celu wykluczenia innych schorzeń, takich jak infekcje pochwy, schorzenia skóry sromu lub reakcje alergiczne35.

Ważne jest, aby kobiety zgłaszały lekarzowi wszelkie objawy suchości pochwy, swędzenia, pieczenia, problemów z oddawaniem moczu, nietypowych plamień lub krwawień czy wydzieliny, nawet jeśli nie są jeszcze w okresie menopauzy36.

Leczenie atrofii pochwy

Istnieje kilka metod leczenia atrofii pochwy, od niehormolalnych po hormonalne. Wybór odpowiedniej metody zależy od nasilenia objawów, preferencji pacjentki oraz ewentualnych przeciwwskazań do stosowania terapii hormonalnej37.

Leczenie niehormolane

Według ogólnie przyjętych międzynarodowych standardów, leczenie pierwszego rzutu w przypadku łagodnych i umiarkowanych objawów atrofii pochwy obejmuje niehormolane lubrykanty pochwowe oraz nawilżacze38:

  • Nawilżacze pochwowe – stosowane regularnie (kilka razy w tygodniu) zapewniają długotrwałe nawilżenie39. Działają poprzez przyleganie do ścian pochwy i utrzymanie wilgotności40.
  • Lubrykanty – stosowane przed stosunkiem zmniejszają dyskomfort podczas aktywności seksualnej41. Zaleca się wybór produktu zoptymalizowanego pod względem osmolalności i pH, najbardziej zbliżonego do naturalnych wydzielin pochwy42.
  • Dilatory pochwowe – urządzenia stymulujące i rozciągające mięśnie pochwy, pomagające odwrócić zwężenie pochwy43. Są szczególnie pomocne, gdy ból podczas stosunku jest głównym problemem44.

Leczenie hormonalne

Biorąc pod uwagę przyczynę (hipoestrogenizm) i patogenezę rozwoju atrofii pochwy, najbardziej logicznym wyborem leczenia tego schorzenia jest terapia estrogenowa45:

  • Miejscowa terapia estrogenowa – dostępna w postaci kremów, tabletek/czopków dopochwowych oraz pierścieni dopochwowych46. Lokalna terapia estrogenowa jest preferowana w przypadku izolowanych zaburzeń urogenitalnych47. Pacjentki powinny być poinformowane, że efekt jest osiągany po 1-3 miesiącach lokalnej terapii estrogenowej48.
  • Ogólnoustrojowa terapia hormonalna (HTZ) – polecana, gdy objawy atrofii pochwy występują razem z innymi objawami menopauzalnymi, takimi jak uderzenia gorąca49.
  • Selektywne modulatory receptorów estrogenowych (SERM) – np. ospemifen, który jest stosowany doustnie w leczeniu bolesnego stosunku związanego z atrofią pochwy50.
  • Dehydroepiandrosteron (DHEA) – czopki dopochwowe, które łagodzą bolesne stosunki po menopauzie51.

W przypadku kobiet z historią raka piersi, które nie mogą stosować terapii estrogenowej, dostępne są niehormolane metody leczenia52. Amerykańskie Towarzystwo Położników i Ginekologów (ACOG) oraz Amerykańskie Towarzystwo Onkologii Klinicznej (ASCO) zalecają stosowanie opcji niehormolalnych jako pierwszego wyboru w leczeniu atrofii pochwy u kobiet z obecnym lub przebytym rakiem piersi zależnym od estrogenów53.

Nowoczesne metody leczenia

W przypadkach, które nie reagują na tradycyjne metody leczenia, można rozważyć nowsze terapie:

  • Terapia laserowa – poprawia unaczynienie błony śluzowej pochwy, stymuluje syntezę nowego kolagenu i substancji podstawowej macierzy w tkance łącznej, zagęszcza nabłonek pochwy z tworzeniem nowych brodawek, uzupełnia glikogen w nabłonku pochwy54.
  • Terapia radiofrequencyjna – może pomóc w przywróceniu elastyczności i nawilżenia ścian pochwy55.

Opieka pielęgniarska w atrofii pochwy

Rola pielęgniarki w opiece nad pacjentką z atrofią pochwy jest nieoceniona. Pielęgniarki powinny czuć się komfortowo zadając delikatne pytania i być w stanie udzielać porad oraz kierować kobiety do odpowiednich źródeł aktualnych informacji56.

Ocena pielęgniarska

Pielęgniarka powinna przeprowadzić dokładną ocenę, która obejmuje:

  • Zebranie szczegółowego wywiadu dotyczącego objawów atrofii pochwy57
  • Ocenę pochwy i narządów płciowych pacjentki pod kątem swędzenia, pieczenia, bólu, braku wydzieliny lub nieprzyjemnie pachnącej wydzieliny58
  • Określenie wpływu objawów na jakość życia i relacje seksualne pacjentki59
  • Identyfikację czynników ryzyka i chorób współistniejących60

Interwencje pielęgniarskie

Pielęgniarka może wdrożyć następujące interwencje:

  • Edukacja pacjentki na temat przyczyn i objawów atrofii pochwy61
  • Informowanie o dostępnych metodach leczenia, zarówno hormolalnych, jak i niehormolalnych62
  • Podawanie kremu estrogenowego przez aplikator dopochwowy lub czopka zgodnie z zaleceniami63
  • Instruowanie pacjentek o stosowaniu nawilżaczy i lubrykantów na bazie wody64
  • Zalecanie regularnej aktywności seksualnej (w tym masturbacji) w celu poprawy przepływu krwi do pochwy65
  • Edukacja na temat technik relaksacyjnych mięśni dna miednicy66
  • Zachęcanie do ćwiczeń Kegla, które pomagają wzmocnić mięśnie dna miednicy67
  • Doradzanie w kwestii unikania potencjalnych czynników drażniących, takich jak perfumowane mydła i spraye68

Edukacja pacjentki

Edukacja pacjentki jest kluczowym elementem opieki pielęgniarskiej. Należy poinformować pacjentkę o:

  • Konieczności regularnych badań kontrolnych69
  • Prawidłowym stosowaniu przepisanych leków i produktów dopochwowych70
  • Możliwych działaniach niepożądanych leków71
  • Znaczeniu utrzymania odpowiedniego nawodnienia organizmu72
  • Korzyściach płynących z regularnej aktywności seksualnej73
  • Znaczeniu zdrowego stylu życia, w tym właściwej diety i regularnych ćwiczeń74
  • Skutkach palenia tytoniu na zdrowie pochwy i zaleceniach dotyczących rzucenia palenia75

Wsparcie psychologiczne

Atrofia pochwy może mieć znaczący wpływ na samoocenę kobiety, jej relacje intymne i ogólną jakość życia76. Pielęgniarka powinna zapewnić wsparcie psychologiczne poprzez:

  • Wysłuchanie obaw pacjentki i okazanie empatii77
  • Normalizowanie doświadczeń pacjentki i zapewnienie, że jej uczucia są uzasadnione78
  • Zachęcanie do otwartej komunikacji z partnerem seksualnym79
  • W razie potrzeby skierowanie do specjalisty zdrowia psychicznego lub terapeuty seksualnego80

Zapobieganie i łagodzenie atrofii pochwy

Chociaż całkowite zapobieżenie atrofii pochwy może nie być możliwe, istnieją sposoby na złagodzenie objawów i spowolnienie progresji schorzenia81:

  • Regularna aktywność seksualna – zarówno z partnerem, jak i samodzielna (masturbacja) pomaga utrzymać zdrowe tkanki pochwy poprzez zwiększenie przepływu krwi do pochwy8283.
  • Ćwiczenia Kegla – wykonywane regularnie mogą pomóc zapobiec ścieńczeniu i kurczeniu się tkanki pochwy84.
  • Rzucenie palenia – palenie papierosów ogranicza krążenie krwi w pochwie i zmniejsza efekty działania estrogenu w organizmie85.
  • Regularna aktywność fizyczna – może pomóc w utrzymaniu wysokiego przepływu krwi w okolicy narządów płciowych86.
  • Utrzymanie odpowiedniego nawodnienia – pomaga utrzymać poziom wilgotności w organizmie87.
  • Wczesne rozpoczęcie leczenia – suchość pochwy najlepiej jest leczyć proaktywnie, aby zapobiec strukturalnym zmianom opisanym powyżej88.

Badania sugerują, że terapia hormonalna (HTZ) eliminuje objawy atrofii pochwy w 75% przypadków, podczas gdy miejscowa terapia estrogenowa jest skuteczna w 80-90% przypadków89.

Wpływ atrofii pochwy na jakość życia

Atrofia pochwy może mieć znaczący wpływ na jakość życia kobiety. Objawy fizyczne, takie jak ból, suchość, pieczenie/swędzenie, plamienia, krwawienia, problemy z oddawaniem moczu, infekcje dróg moczowych i upławy, mogą powodować duży dyskomfort i zakłócać codzienne funkcjonowanie90.

Dysfunkcja seksualna jest powszechna u kobiet doświadczających menopauzy z powodu zmian hormonalnych, atrofii pochwy i innych związanych z nią objawów, takich jak zmniejszone libido i ból podczas stosunku. Te czynniki mogą prowadzić do zmniejszonego zainteresowania aktywnością seksualną i wpływać na funkcje seksualne91.

Wiele kobiet postrzega suchość pochwy i dyskomfort jako mające znaczący negatywny wpływ na ich życie, szczególnie w odniesieniu do intymności seksualnej, ich zdolności do utrzymania kochającej relacji i ogólnej jakości życia92.

Ważne jest, aby kobiety wiedziały, że nie muszą po prostu żyć z atrofią pochwy. Nawet jeśli są w okresie menopauzy lub po menopauzie, nie oznacza to, że muszą zmagać się z infekcjami dróg moczowych, swędzeniem pochwy czy bolesnym stosunkiem. Leczenie zespołu genitalno-moczowego okresu menopauzy może być bardzo skuteczne93.

Kiedy szukać pomocy medycznej

Kobiety powinny skonsultować się z lekarzem w następujących sytuacjach:

  • Gdy doświadczają bolesnego stosunku, który nie ustępuje po zastosowaniu nawilżacza lub lubrykantu na bazie wody94
  • Gdy występują nietypowe krwawienia z pochwy, wydzielina, pieczenie lub bolesność95
  • Gdy objawy nie ustępują po zastosowaniu dostępnych bez recepty środków nawilżających i lubrykantów96
  • Gdy objawy znacząco wpływają na jakość życia i samopoczucie97
  • Gdy doświadczają objawów suchości, bólu, pieczenia/swędzenia, problemów z oddawaniem moczu, nietypowych plamień lub krwawień albo wydzieliny, nawet jeśli nie są w menopauzie98

Wiele kobiet ma objawy atrofii pochwy (takie jak bolesny stosunek), ale nie szuka leczenia, ponieważ czują się zawstydzone lub myślą, że nic nie można zrobić. Ważne jest, aby uzyskać właściwą diagnozę i leczenie, dlatego należy skonsultować się z lekarzem w przypadku wystąpienia jakichkolwiek objawów99.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. The condition also includes urinary tract problems such as urinary tract infections (UTIs) and urinary incontinence. […] Vaginal atrophy most often occurs during perimenopause and menopause when your ovaries produce less estrogen. It can occur when your estrogen levels decrease due to cancer treatment or having your ovaries removed. You may experience many uncomfortable symptoms when hormone levels decrease. These symptoms can disrupt your quality of life. […] Women in menopause are the most likely to experience vaginal atrophy because their body naturally produces less estrogen. However, other factors can decrease estrogen levels and lead to vaginal atrophy.
  • #2 Vaginal atrophy // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/vaginal-atrophy
    Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. […] For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms. […] Simple, effective treatments for GSM are available. Reduced estrogen levels result in changes to your body, but it doesn’t mean you have to live with the discomfort of GSM. […] Regular sexual activity, either with or without a partner, may help prevent genitourinary syndrome of menopause. Sexual activity increases blood flow to your vagina, which helps keep vaginal tissues healthy. […] To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including vaginal moisturizers.
  • #3 Atrophic vaginitis: Symptoms, causes, and treatments
    https://www.medicalnewstoday.com/articles/189406
    Atrophic vaginitis is the drying, thinning, and inflammation of the vaginal walls. It results from falling estrogen levels and usually happens after menopause. […] A doctor may recommend topical treatments and hormone replacement therapy (HRT) to treat the condition. […] Various treatments may help a person to manage atrophic vaginitis. […] A water-soluble vaginal lubricant may help provide relief during intercourse in mild cases. […] HRT can supply estrogen to the whole body. It is available in various forms: creams, gels, tablets, patches, implants. […] A person applies localized HRT topically, focusing treatment on the affected area. A person can apply vaginal tablets, creams, rings, and pessaries internally to focus the supply of estrogen to the vaginal area. […] While it may not be possible to completely prevent atrophic vaginitis, using vaginal estrogen before the condition becomes severe can be a way to protect the vagina. […] It is best to contact a doctor if a person has concerns about atrophic vaginitis. The doctor can confirm the diagnosis and advise on treatments to help a person manage atrophic vaginitis. These may include lubricants and HRT.
  • #4 Practice Nursing – Vaginal atrophy: what is it and how can it be treated?
    https://www.practicenursing.com/content/clinical-focus/vaginal-atrophy-what-is-it-and-how-can-it-be-treated/
    Vaginal atrophy is common and can impact on quality of life for many women. […] Vaginal atrophy can be treated and the aims of treatment are to promote comfort and ensure that symptoms are reduced. […] Practice nurses need to be comfortable asking sensitive questions and be able to give advice and signpost women to relevant and up to date information. […] Vaginal atrophy is a common condition for women in the menopause. […] It is estimated that vaginal atrophy affects 5080% of post-menopausal women and is caused by oestrogen deficiency, but it is an under-diagnosed and under-recognised condition. […] Vaginal atrophy and lack of lubrication can also occur at any time in a woman’s life and this happens in an estimated 15% of pre-menopausal women.
  • #5 Vaginal atrophy and vaginal dryness: symptoms and treatments
    https://us.stratamgt.com/vaginal-atrophy-and-vaginal-dryness/
    Atrophic changes, before, during and after menopause due to declining estrogen levels can result in a range of symptoms, including vaginal dryness and irritation as well as increased susceptibility to vaginal trauma and infection. […] Vaginal Atrophy (VA), atrophic vaginitis, or urogenital atrophy has also a relatively new term for the condition known as Genitourinary Syndrome of Menopause (GSM). […] VA is a chronic and progressive condition where the lining of the vagina gets drier and thinner, leading to symptoms such as itching, burning and pain during intercourse, among other symptoms. […] Vaginal Atrophy affects 40%-57% of postmenopausal women with some reports showing a prevalence up to 90%. […] Even though the condition mainly affects postmenopausal women, 15% of the female population experiences symptoms of VA before menopause.
  • #6 Vaginal Atrophy
    https://www.saralmind.com/nursing/pcl-nursing/pcl-2nd-year/geriatric-nursing-theory-/-common-geriatric-problems/vaginal-atrophy
    The weakening, dryness, and inflammation of the vaginal walls caused by a body that produces less estrogen is known as vaginal atrophy, also known as atrophic vaginitis. Vaginal atrophy most frequently appears after menopause, but it can also appear when breastfeeding or whenever the body’s supply of estrogen drops. The skin and supporting tissue of the vulva and vagina become thin and less elastic when the ovaries are not producing oestrogen. […] The initial symptom most frequently described is vaginal dryness. This is brought on by the vaginal glands’ decreased mucus production. The vaginal and vulval skin may then thin, making them more vulnerable to injury. When the vulval lips are dry and thin, they frequently grind against underwear and cause soreness. […] The use of local estrogen.
  • #7 Vulval & Vaginal Atrophy Treatment Melbourne | Dr. Len Kliman
    https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/vulval-and-vaginal-atrophy/
    This condition is now called the Genitourinary Syndrome of Menopause (GSM). […] This is a group of symptoms all related to the reduced oestrogen levels associated with the menopause. […] Symptoms of GSM include vaginal dryness and burning, discomfort with intercourse and urinary symptoms, especially urgency, dysuria and urinary tract infections. […] Oestrogen is important in maintaining the elasticity and thickness of vaginal and inner labial skin. Oestrogen also maintains the vaginal moistness, protective normal vaginal flora (lactobacilli) and the normal acidic vaginal ph. […] Thinning of the skin increases the risk of trauma, including skin ulceration and possible vaginal bleeding. […] Many women put up with these symptoms and dont discuss them with any health practitioner. This is a pity as simple treatment is very effective.
  • #8 Vaginal Atrophy – Treatment abroad
    https://www.gsdinternational.com/conditions/vaginal-atrophy
    Vaginal atrophy is a chronic condition characterized by thinning of the vaginal mucosa, resulting in reduced vascularity, elasticity, and degree of hydration. […] The cause is the decrease in estrogen that occurs during menopause; the latter may be natural, premature, or iatrogenic as a result of surgery, chemotherapy, or radiation therapy. […] Vulvo-vaginal atrophy symptoms are present in more than 50 percent of postmenopausal women, with a major negative impact on quality of life and sexuality. […] The diagnosis of vulvar vaginal atrophy is mainly clinical. An important factor is the time of the anamnesis, i.e. in-depth investigation of the symptoms reported by the patient, the intensity and the impact on the quality of life. […] The purpose of treating vulvovaginal atrophy is to restore the state of the genital mucosa and thus improve symptoms. There are different kinds of treatment: hormone therapy, non-hormone therapy, laser treatment. Hormone therapy consists of applying estrogen-based creams locally; this is the first line of treatment recommended by guidelines if no contraindications are present.
  • #9 Reddit – The heart of the internet
    https://www.reddit.com/r/breastfeeding/comments/1hs82gm/vaginal_atrophy_associated_with_breastfeedinf/
    I said yes. „You need vaginal estrogen.” He said it’s common to have dryness while breastfeeding and that it would help my comfort levels, since the dryness was probably the cause of my burning and discomfort […] he wrote „patient shows vaginal atrophy associated with breastfeeding”.
  • #10 Vaginal Atrophy – Center for Advanced Gyn & Urogynecology
    https://centerforadvancedgyn.com/vaginal-atrophy/
    One out of two menopausal women encounter symptoms due to vaginal atrophy. […] Vaginal atrophy is a result of decreased estrogen which results in thinning and drying of the vagina. […] Vaginal dryness, burning, vaginal discharge and genital itching are few symptoms of vaginal atrophy. […] The treatment options include: […] Symptoms of vaginal atrophy can be managed by regular use of vaginal moisturizing agents. […] Vaginal estrogen creams/ suppositories are also used for moderate to severe symptoms of vaginal atrophy. […] Fractional CO2 vaginal Laser treatment is also available for treatment of vulvovaginal atrophy with/without urinary issues. […] Vaginal atrophy symptoms are a common complaint among sexually active women with breast cancer.
  • #11 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print
    Vaginal dryness is a common condition in people who have been through menopause (when a person no longer gets monthly periods). […] Vaginal dryness is also common in people who have had both of their ovaries surgically removed, for example, to treat or prevent cancer. […] If you have symptoms of vaginal dryness, talk to your health care provider about which treatment is right for you. […] Vaginal dryness occurs when your ovaries do not produce enough estrogen. […] There are several treatment options for vaginal dryness. […] Vaginal lubricants and moisturizers do not contain any hormones and have virtually no systemic (body-wide) side effects. […] Vaginal estrogen is one of the most effective treatment options for vaginal dryness. […] Vaginal estrogen requires a prescription from your health care provider, so ask about this if lubricants and moisturizers are not doing enough to relieve your symptoms.
  • #12 Vaginal Atrophy
    https://comprehensive-urology.com/womens-health/vaginal-atrophy/
    Before treatment, the urologists at Comprehensive Urology will determine the exact cause of the symptoms, such as a decrease in estrogen, an infection, or allergic reaction. One of the most common and effective treatments for atrophic vaginitis is hormone replacement therapy, which can be administered either topically or orally. […] Mild cases of vaginal atrophy may be successfully treated with over-the-counter vaginal moisturizers or water-based lubricants. Water-soluble lubricants are particularly helpful during sexual intercourse. Women should avoid products with petroleum jelly or other oils, as they may increase the risk of infection, damage diaphragms, or dissolve latex condoms. […] While atrophic vaginitis is common among postmenopausal women, it is not necessarily a foregone conclusion. There are specific steps that women can take to help prevent the condition from occurring after menopause or during other periods of decreased estrogen production. In addition to medication and hormone therapy, many women can avoid or significantly reduce the symptoms of vaginal atrophy with the following lifestyle habits: Avoid smoking, which can reduce estrogen, impair blood circulation, and cause dryness. Regular sexual activity helps improve blood flow and overall function. Kegel exercises can also improve blood flow and encourage lubrication.
  • #13 Vaginal atrophy: Natural remedies, causes, and treatments
    https://www.medicalnewstoday.com/articles/315089
    Vaginal atrophy refers to inflammation, dryness, and thinning of the vaginal walls. Natural remedies include using lubricants, staying sexually active, exercising, and avoiding smoking. […] Where applicable, the following lifestyle measures could help relieve the symptoms of vaginal atrophy: […] Being sexually active: Sexual activity increases the flow of blood to the genitals, which helps keep them healthy. […] Keeping well-hydrated: This can help maintain moisture levels in the body. […] Natural treatments for vaginal atrophy include lifestyle measures, such as quitting smoking, being sexually active, and staying hydrated. Vaginal lubricants and moisturizers may also ease uncomfortable symptoms. […] Doctors may recommend hormone therapy to replace depleted estrogen, as it plays an important role in vaginal health.
  • #14 Vaginal Atrophy
    https://www.saralmind.com/nursing/pcl-nursing/pcl-2nd-year/geriatric-nursing-theory-/-common-geriatric-problems/vaginal-atrophy
    The weakening, dryness, and inflammation of the vaginal walls caused by a body that produces less estrogen is known as vaginal atrophy, also known as atrophic vaginitis. Vaginal atrophy most frequently appears after menopause, but it can also appear when breastfeeding or whenever the body’s supply of estrogen drops. The skin and supporting tissue of the vulva and vagina become thin and less elastic when the ovaries are not producing oestrogen. […] The initial symptom most frequently described is vaginal dryness. This is brought on by the vaginal glands’ decreased mucus production. The vaginal and vulval skin may then thin, making them more vulnerable to injury. When the vulval lips are dry and thin, they frequently grind against underwear and cause soreness. […] The use of local estrogen.
  • #15 5 things every primary care provider should know about vaginal atrophy | MobileODT
    https://www.mobileodt.com/blog/5-things-every-primary-care-provider-should-know-about-vaginal-atrophy/
    The reduction of estrogen production post menopause combines with the natural atrophy of the skin and mucosal surfaces, due to aging, causing vaginal atrophy. […] There are many symptoms that can indicate vaginal atrophy. Some are more common than others. In their Recommendations for the Management of Postmenopausal Vaginal Atrophy, the International Menopause Society suggests that the most common symptoms of vaginal atrophy include dryness (estimated at 75% of women), dyspareunia (estimated at 38%), and vaginal itching, discharge and pain (estimated at 15%). […] If a primary care physician is unsure about a potential case of vaginal atrophy, it is possible to receive professional support in their own clinic. […] There are a number of treatments that can be used to address vaginal atrophy. Some simply respond to the symptoms while others address the underlying causes.
  • #16 5 things every primary care provider should know about vaginal atrophy | MobileODT
    https://www.mobileodt.com/blog/5-things-every-primary-care-provider-should-know-about-vaginal-atrophy/
    The reduction of estrogen production post menopause combines with the natural atrophy of the skin and mucosal surfaces, due to aging, causing vaginal atrophy. […] There are many symptoms that can indicate vaginal atrophy. Some are more common than others. In their Recommendations for the Management of Postmenopausal Vaginal Atrophy, the International Menopause Society suggests that the most common symptoms of vaginal atrophy include dryness (estimated at 75% of women), dyspareunia (estimated at 38%), and vaginal itching, discharge and pain (estimated at 15%). […] If a primary care physician is unsure about a potential case of vaginal atrophy, it is possible to receive professional support in their own clinic. […] There are a number of treatments that can be used to address vaginal atrophy. Some simply respond to the symptoms while others address the underlying causes.
  • #17 5 things every primary care provider should know about vaginal atrophy | MobileODT
    https://www.mobileodt.com/blog/5-things-every-primary-care-provider-should-know-about-vaginal-atrophy/
    The reduction of estrogen production post menopause combines with the natural atrophy of the skin and mucosal surfaces, due to aging, causing vaginal atrophy. […] There are many symptoms that can indicate vaginal atrophy. Some are more common than others. In their Recommendations for the Management of Postmenopausal Vaginal Atrophy, the International Menopause Society suggests that the most common symptoms of vaginal atrophy include dryness (estimated at 75% of women), dyspareunia (estimated at 38%), and vaginal itching, discharge and pain (estimated at 15%). […] If a primary care physician is unsure about a potential case of vaginal atrophy, it is possible to receive professional support in their own clinic. […] There are a number of treatments that can be used to address vaginal atrophy. Some simply respond to the symptoms while others address the underlying causes.
  • #18 Do I Have Vaginal Atrophy? | Right as Rain by UW Medicine
    https://rightasrain.uwmedicine.org/well/health/vaginal-atrophy
    Symptoms can include vaginal itching, burning or dryness, recurrent urinary tract infections, and pain with intercourse. […] Luckily, there are treatments available to help alleviate discomfort. […] While oral estrogen (taken in a pill form) is sometimes used to treat vaginal atrophy, vaginal estrogen is the most common and effective treatment. […] Vaginal estrogen comes in three forms: a ring, tablet and cream. […] You insert the ring, tablet or cream into your vagina so that the estrogen is administered directly to the vagina and is not absorbed by the rest of the body. […] Vaginal estrogen is used for both people who are going through menopause and for those who aren’t. […] It is also safe and effective for people with a family history of breast cancer of blood clots, because unlike oral estrogen, studies show vaginal estrogen will not increase your risk of blood clots.
  • #19 Vaginal atrophy // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/vaginal-atrophy
    Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. […] For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms. […] Simple, effective treatments for GSM are available. Reduced estrogen levels result in changes to your body, but it doesn’t mean you have to live with the discomfort of GSM. […] Regular sexual activity, either with or without a partner, may help prevent genitourinary syndrome of menopause. Sexual activity increases blood flow to your vagina, which helps keep vaginal tissues healthy. […] To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including vaginal moisturizers.
  • #20 Vulval & Vaginal Atrophy Treatment Melbourne | Dr. Len Kliman
    https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/vulval-and-vaginal-atrophy/
    This condition is now called the Genitourinary Syndrome of Menopause (GSM). […] This is a group of symptoms all related to the reduced oestrogen levels associated with the menopause. […] Symptoms of GSM include vaginal dryness and burning, discomfort with intercourse and urinary symptoms, especially urgency, dysuria and urinary tract infections. […] Oestrogen is important in maintaining the elasticity and thickness of vaginal and inner labial skin. Oestrogen also maintains the vaginal moistness, protective normal vaginal flora (lactobacilli) and the normal acidic vaginal ph. […] Thinning of the skin increases the risk of trauma, including skin ulceration and possible vaginal bleeding. […] Many women put up with these symptoms and dont discuss them with any health practitioner. This is a pity as simple treatment is very effective.
  • #21 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes
    https://www.healthline.com/health/atrophic-vaginitis
    Symptoms like vaginal dryness and painful orgasms are common in postmenopausal atrophic vaginitis. If you’re experiencing them, an OB-GYN or doctor can prescribe treatments to help. […] Women with vaginal atrophy have a greater chance of chronic vaginal infections and urinary function problems. It can also make sexual intercourse painful. […] Regular sexual activity helps keep vaginal tissues healthy. A healthy sex life also benefits the circulatory system and improves heart health. […] Atrophic vaginitis increases a woman’s risk of contracting vaginal infections. Atrophy causes changes in the acidic environment of the vagina, making it easier for bacteria, yeast, and other organisms to thrive. […] See your doctor right away if sexual intercourse is painful, even with lubrication. You should also see your doctor if you experience unusual vaginal bleeding, discharge, burning, or soreness.
  • #22 Vaginal Atrophy/Genitourinary Syndrome of Menopause (GSM) | OB/GYN & Women’s Health | University Hospitals | University Hospitals
    https://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/general-gynecology/vaginal-atrophy
    Vaginal atrophy, also known as genitourinary syndrome of menopause (GSM) or atrophic vaginitis, is a condition that causes thinning of the vaginal walls, leading to a range of symptoms that affect the vulva, vagina and urinary system. […] Vaginal atrophy most often develops after a woman enters menopause. It is caused by a decrease of estrogen in the body. This causes the vaginal walls to become more fragile, less flexible, thinner, drier and inflamed. Women with vaginal atrophy experience a range of symptoms affecting the genitourinary system. These include: […] If you are experiencing unusual or unexplained symptoms of vaginal atrophy, make an appointment with your healthcare provider. They will be able to assess your symptoms and perform exams and tests to help diagnose vaginal atrophy.
  • #23 Vaginal Atrophy
    https://menomartha.com/health-topic/vaginal-atrophy/
    Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. The condition also includes urinary tract problems such as urinary tract infections (UTIs) and urinary incontinence. Vaginal atrophy (or vulvovaginal atrophy) is the thinning of your vaginal lining and vulval skin, caused by a drop in oestrogen levels around the time of menopause. Reduced oestrogen levels also affect the tissues of the bladder, urethra (where wee comes out) and pelvic floor muscles. Vaginal atrophy affects about 40% of postmenopausal women and the risk increases with age. At least half of women and people AFAB who enter menopause show signs and symptoms of genitourinary syndrome of menopause. Vaginal dryness is typically the first indication that a person is developing vaginal atrophy. Symptoms include: Irritation, Burning, Itching, Chafing, Discomfort, Uncomfortable or even painful intercourse, Passing urine more frequently, More frequent urinary tract infections, Greater discomfort with cervical smear tests. Genitourinary syndrome of menopause is caused by a decrease in estrogen production. Less estrogen makes your vaginal tissues thinner, drier, less elastic and more fragile. You cannot reverse vaginal atrophy, but you can stop it from getting worse by seeking a diagnosis and starting treatment early. Research suggests that MHT eliminates vaginal atrophy symptoms in 75% of cases, while vaginal oestrogen therapy is effective in 80% to 90% of cases. Without treatment, vaginal atrophy may get worse over time. Make an appointment to see your doctor if you experience painful intercourse that’s not resolved by using a vaginal moisturizer or water-based lubricant. If you are bothered only by vaginal dryness, you can use very low doses of estrogen placed directly into the vagina. These low doses generally do not raise blood estrogen levels above postmenopause levels and do not treat hot flashes. Regular sexual activity (including masturbation) to improve blood flow to your vagina, which can keep vaginal tissues elastic and flexible. Sexually active women report fewer symptoms of vaginal atrophy compared to women who don’t have regular sex. Many women have symptoms of vaginal atrophy (such as painful sex) but they don’t seek treatment because they feel embarrassed or think nothing can be done. It’s important to get the right diagnosis and treatment, so see your doctor if you have any symptoms.
  • #24 Vaginal Atrophy
    https://www.saralmind.com/nursing/pcl-nursing/pcl-2nd-year/geriatric-nursing-theory-/-common-geriatric-problems/vaginal-atrophy
    The weakening, dryness, and inflammation of the vaginal walls caused by a body that produces less estrogen is known as vaginal atrophy, also known as atrophic vaginitis. Vaginal atrophy most frequently appears after menopause, but it can also appear when breastfeeding or whenever the body’s supply of estrogen drops. The skin and supporting tissue of the vulva and vagina become thin and less elastic when the ovaries are not producing oestrogen. […] The initial symptom most frequently described is vaginal dryness. This is brought on by the vaginal glands’ decreased mucus production. The vaginal and vulval skin may then thin, making them more vulnerable to injury. When the vulval lips are dry and thin, they frequently grind against underwear and cause soreness. […] The use of local estrogen.
  • #25 Vulval & Vaginal Atrophy Treatment Melbourne | Dr. Len Kliman
    https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/vulval-and-vaginal-atrophy/
    This condition is now called the Genitourinary Syndrome of Menopause (GSM). […] This is a group of symptoms all related to the reduced oestrogen levels associated with the menopause. […] Symptoms of GSM include vaginal dryness and burning, discomfort with intercourse and urinary symptoms, especially urgency, dysuria and urinary tract infections. […] Oestrogen is important in maintaining the elasticity and thickness of vaginal and inner labial skin. Oestrogen also maintains the vaginal moistness, protective normal vaginal flora (lactobacilli) and the normal acidic vaginal ph. […] Thinning of the skin increases the risk of trauma, including skin ulceration and possible vaginal bleeding. […] Many women put up with these symptoms and dont discuss them with any health practitioner. This is a pity as simple treatment is very effective.
  • #26 Vaginal Atrophy – What You Need to Know
    https://www.drugs.com/cg/vaginal-atrophy.html
    Vaginal atrophy is a condition that causes thinning, drying, and inflammation of vaginal tissue. This condition is caused by decreased levels of estrogen (a female sex hormone). Vaginal atrophy can increase your risk for vaginal and urinary tract infections. Vaginal atrophy can worsen over time if not treated. […] Over-the counter vaginal moisturizers can help reduce dryness. Your healthcare provider may recommend that you use a vaginal moisturizer several times each week and during sex. Only use creams that are made for vaginal use. Do not use petroleum jelly. Lubricants can be used during sex to decrease pain and discomfort. […] Estrogen may help decrease dryness. It may also lower your risk of vaginal infections if you are going through menopause. It can also help to relieve urinary symptoms. Estrogen may be prescribed in the form of a cream, tablet, or ring. These medicines can be applied or inserted into the vagina. Estrogen can also be prescribed in the form of a pill. […] You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
  • #27 Urogenital atrophy – British Menopause Society
    https://thebms.org.uk/publications/consensus-statements/urogenital-atrophy/
    This guidance refers to urogenital atrophy, a chronic and progressive condition due to estrogen deficiency, most commonly associated with the menopause. […] Symptoms may not become apparent for several years after the menopause and therefore any association is lost, with women accepting symptoms as a normal part of the aging process. […] There may be reluctance to discuss symptoms with a clinician and this is likely to be linked with under diagnosis and under treatment. […] Urogenital atrophy has been described as a silent epidemic with lack of awareness affecting an accurate diagnosis and access to treatment. […] Whilst vaginal estrogen (also referred to as local estrogen) therapy is the best-known treatment, newer drugs and interventions are now available.
  • #28 Vaginal Atrophy – Treatment abroad
    https://www.gsdinternational.com/conditions/vaginal-atrophy
    Vaginal atrophy is a chronic condition characterized by thinning of the vaginal mucosa, resulting in reduced vascularity, elasticity, and degree of hydration. […] The cause is the decrease in estrogen that occurs during menopause; the latter may be natural, premature, or iatrogenic as a result of surgery, chemotherapy, or radiation therapy. […] Vulvo-vaginal atrophy symptoms are present in more than 50 percent of postmenopausal women, with a major negative impact on quality of life and sexuality. […] The diagnosis of vulvar vaginal atrophy is mainly clinical. An important factor is the time of the anamnesis, i.e. in-depth investigation of the symptoms reported by the patient, the intensity and the impact on the quality of life. […] The purpose of treating vulvovaginal atrophy is to restore the state of the genital mucosa and thus improve symptoms. There are different kinds of treatment: hormone therapy, non-hormone therapy, laser treatment. Hormone therapy consists of applying estrogen-based creams locally; this is the first line of treatment recommended by guidelines if no contraindications are present.
  • #29 Vaginal Atrophy – Treatment abroad
    https://www.gsdinternational.com/conditions/vaginal-atrophy
    Vaginal atrophy is a chronic condition characterized by thinning of the vaginal mucosa, resulting in reduced vascularity, elasticity, and degree of hydration. […] The cause is the decrease in estrogen that occurs during menopause; the latter may be natural, premature, or iatrogenic as a result of surgery, chemotherapy, or radiation therapy. […] Vulvo-vaginal atrophy symptoms are present in more than 50 percent of postmenopausal women, with a major negative impact on quality of life and sexuality. […] The diagnosis of vulvar vaginal atrophy is mainly clinical. An important factor is the time of the anamnesis, i.e. in-depth investigation of the symptoms reported by the patient, the intensity and the impact on the quality of life. […] The purpose of treating vulvovaginal atrophy is to restore the state of the genital mucosa and thus improve symptoms. There are different kinds of treatment: hormone therapy, non-hormone therapy, laser treatment. Hormone therapy consists of applying estrogen-based creams locally; this is the first line of treatment recommended by guidelines if no contraindications are present.
  • #30
    https://bpac.org.nz/bpj/2014/september/vulvovaginal.aspx
    Vulvovaginal atrophy is the term used to describe the specific atrophic changes of the vulva and vagina that occurs progressively in all women after menopause. It is also regarded as a condition in itself because the characteristic changes due to declining oestrogen can result in a range of symptoms, such as vaginal dryness, irritation and discomfort. The atrophic changes also make the vulvovaginal skin more vulnerable to trauma and infection. […] Symptoms of vulvovaginal atrophy include irritation, vaginal dryness, dysuria and other urinary symptoms, dyspareunia and abnormal vaginal discharge. Atrophic vaginitis is the term often used when inflammation accompanies atrophic change, resulting in patchy redness and tenderness of the vaginal introitus. In a woman with vulvovaginal atrophy without inflammation, the tissues tend to be thin, pale and dry.
  • #31 Menopause Symptoms | Vaginal Dryness | My Menopause Centre
    https://www.mymenopausecentre.com/symptoms/vaginal-changes/
    Vaginal dryness is a very common symptom of the menopause. Many women find that they only feel dry during sex, while others experience it daily. Dryness comes with other sensations, such as prickliness, itching, irritation, and even pain in the vagina. […] Vaginal dryness can make you more prone to yeast infections (thrush), as the tissue is delicate and loses its natural defences. Discharge can decrease or increase as the balance of bacteria that are naturally found in the vagina changes. […] In addition, the usual elasticity of the vagina and vulva can be lost, which can lead to painful sex. The vagina can become shorter and lose its usual folds. These changes are called urogenital atrophy. […] Even though vaginal changes are common throughout the menopause transition and are a natural part of the ageing process, there are things that you can do to help with dryness, itching and irritation.
  • #32 Treating Vaginal Dryness | El Camino Health
    https://www.elcaminohealth.org/services/womens-health/specialty-programs/menopause-care/treating-vaginal-dryness
    Decreased estrogen due to menopause is a major contributor to vaginal dryness, itching, burning, discomfort and pain during intercourse. […] Vaginal atrophy is the medical term that describes vaginal dryness and discomfort in postmenopausal women. […] Symptoms of vaginal atrophy may significantly affect your quality of life, sexual satisfaction and relationship with your partner. […] Vaginal tissue becomes thin, dry and less elastic, and secretions decrease both of which can lead to pain during intercourse or pelvic exams. […] Women with discomfort from vaginal atrophy often have less frequent intercourse, which can cause the vagina to become shorter, narrower and less elastic. […] While symptoms of vaginal dryness and atrophy can uncomfortable, the good news is that effective treatment options are available including low-dose estrogen creams applied directly to the vagina, as well as non-hormonal treatments.
  • #33
    https://bpac.org.nz/bpj/2014/september/vulvovaginal.aspx
    Vulvovaginal atrophy is the term used to describe the specific atrophic changes of the vulva and vagina that occurs progressively in all women after menopause. It is also regarded as a condition in itself because the characteristic changes due to declining oestrogen can result in a range of symptoms, such as vaginal dryness, irritation and discomfort. The atrophic changes also make the vulvovaginal skin more vulnerable to trauma and infection. […] Symptoms of vulvovaginal atrophy include irritation, vaginal dryness, dysuria and other urinary symptoms, dyspareunia and abnormal vaginal discharge. Atrophic vaginitis is the term often used when inflammation accompanies atrophic change, resulting in patchy redness and tenderness of the vaginal introitus. In a woman with vulvovaginal atrophy without inflammation, the tissues tend to be thin, pale and dry.
  • #34 Vaginal Atrophy: The 21st Century Health Issue Affecting Quality of Life
    https://www.medscape.org/viewarticle/561934
    Vaginal atrophy can be diagnosed with a detailed history and comprehensive physical examination. […] Treatment goals for atrophic vaginitis include alleviating symptoms, reversing or minimizing the physiologic changes, and improving quality of life for the patient. […] Nonhormonal treatments. A number of over-the-counter (OTC) vaginal moisturizer and lubricant products are considered first-line nonhormonal treatments for vaginal dryness. […] Local, low-dose estrogen preparations are considered first-line pharmacologic treatment for atrophic vaginitis. […] Patient preference is extremely important when selecting a treatment delivery method. […] Treatment length is variable, but should be continued as long as distressing symptoms that impaired quality of life are present. […] Follow-up plans should include ongoing assessment of symptoms, vaginal morphology, and vaginal pH.
  • #35 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print
    Several types of FDA-approved low-dose vaginal estrogen products are available: […] The vaginal estrogen ring (brand name: Estring) is a flexible plastic ring you wear inside your vagina all the time. […] If sex continues to be painful despite treatment for vaginal dryness, talk to your health care provider. […] If your symptoms do not improve with the above treatments, see your health care provider to check for vaginal infections, skin conditions, and allergic reactions that are not due to vaginal dryness.
  • #36 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Losing estrogen is part of your bodys natural aging process. […] You dont have to just live with vaginal atrophy. Even if youre in menopause or postmenopausal, that doesnt mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. The pain, dryness, burning/itching, spotting, bleeding, urinary problems, UTIs and discharge can make you very uncomfortable and interfere with your daily living. […] Even if youre not in menopause, be sure to report any symptoms of dryness, pain, burning/itching, urinary problems, unusual spotting or bleeding or discharge to your healthcare provider.
  • #37 Treating vulvovaginal atrophy/genitourinary syndrome of menopause: how important is vaginal lubricant and moisturizer composition?
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4819835/
    Vaginal dryness is a common condition that is particularly prevalent during and after the menopause, and is one of the symptoms of vulvovaginal atrophy/genitourinary syndrome of menopause. […] Personal lubricants and moisturizers are effective at relieving discomfort and pain during sexual intercourse for women with mild to moderate vaginal dryness, particularly those who have a genuine contraindication to estrogen, or who choose not to use estrogen. […] The symptoms of VVA may be successfully managed by a variety of prescription and over-the-counter (OTC) treatments, with choice of therapy dependent on symptom severity, the effectiveness and safety of the therapy for the individual patient, and patient preference. […] Many women perceive vaginal dryness and discomfort as having a substantial negative impact on their lives, particularly with regard to sexual intimacy, their ability to have a loving relationship, and overall quality of life.
  • #38 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] Treatment of VVA depends on the severity of the symptoms of the disease and on the preferences and expectations of women. […] According to the generally accepted international standards, the first-line recommendations for the treatment of mild and moderate manifestations of VVA are nonhormonal vaginal lubricants that should be used before intercourse and vaginal moisturizers with a long-term effect that are used regularly (several times a week); in such cases, regular sexual activity is of importance. […] Considering the cause (hypoestrogenism), and the pathogenesis of the development of VVA, the most logical choice for the treatment of this condition would be estrogen therapy.
  • #39 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] Treatment of VVA depends on the severity of the symptoms of the disease and on the preferences and expectations of women. […] According to the generally accepted international standards, the first-line recommendations for the treatment of mild and moderate manifestations of VVA are nonhormonal vaginal lubricants that should be used before intercourse and vaginal moisturizers with a long-term effect that are used regularly (several times a week); in such cases, regular sexual activity is of importance. […] Considering the cause (hypoestrogenism), and the pathogenesis of the development of VVA, the most logical choice for the treatment of this condition would be estrogen therapy.
  • #40 Treating Vaginal Dryness | El Camino Health
    https://www.elcaminohealth.org/services/womens-health/specialty-programs/menopause-care/treating-vaginal-dryness
    Non-hormonal remedies may provide relief for vaginal dryness and discomfort: Vaginal lubricants reduce discomfort with sexual activity when the vagina is dry by decreasing friction during intercourse. […] Vaginal moisturizers line the wall of the vagina and maintain vaginal moisture. […] Regular sexual stimulation promotes blood flow and secretions to the vagina. […] In addition, vaginal dilators can help stretch and enlarge the vagina, especially if sexual activity is infrequent and the vagina has become too short and narrow for intercourse. […] Low-dose topical estrogen is an effective and safe treatment available by prescription. […] Improvements usually occur within a few weeks; although, complete relief may take several months. […] Topical estrogen is applied directly to your vagina to increase the thickness and elasticity of vaginal tissue. […] Low-dose vaginal estrogen products are available by prescription as vaginal creams, a vaginal estradiol tablet and an estradiol vaginal ring.
  • #41 5 things every primary care provider should know about vaginal atrophy | MobileODT
    https://www.mobileodt.com/blog/5-things-every-primary-care-provider-should-know-about-vaginal-atrophy/
    Lubricants can help to decrease discomfort during intercourse. […] Another topical solution with a longer-lasting effect than simple lubricants are vaginal moisturizers. […] Topical vaginal estrogens are one of the most popular vaginal atrophy treatments. […] There are multiple benefits to oral estrogen replacement therapy for menopausal women. […] Dr. Eder has some patients that prefer to pursue a non-hormone based treatment. […] In some cases that fail treatment with estrogen replacement, either topical or oral, functional gynecology laser treatment has been shown to be a promising alternative. […] By arming themselves with both the necessary background information and the practical tools needed to confer when necessary, family and primary care physicians are able to provide their patients with thorough treatment for vaginal atrophy and related conditions.
  • #42 Treating vulvovaginal atrophy/genitourinary syndrome of menopause: how important is vaginal lubricant and moisturizer composition?
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4819835/
    Despite the availability of various treatment options, underreporting and undertreatment of vaginal dryness are common, and only a minority of women seek medical help. […] Personal lubricants and moisturizers are effective treatment options in the management of vaginal dryness with a variety of causes. […] It is advised that women choose a product that is optimally balanced in terms of both osmolality and pH and is physiologically most similar to natural vaginal secretions. […] A public awareness campaign combined with education for HCPs would be valuable to highlight the differences between different lubricants and moisturizers and to encourage the routine use of a good-quality, 'body identical’ lubricant by HCPs during examination and smear taking.
  • #43 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: […] Vaginal estrogen has the advantage of being effective at lower doses and limiting your overall exposure to estrogen because less reaches your bloodstream. It may also provide better direct relief of symptoms than oral estrogen does. […] Vaginal dilators may also be used in addition to estrogen therapy. These devices stimulate and stretch the vaginal muscles to reverse narrowing of the vagina. […] If painful sex is a concern, vaginal dilators may relieve vaginal discomfort by stretching the vagina. […] If you have a history of breast cancer, tell your doctor and consider these options: Nonhormonal treatments. Try moisturizers and lubricants as a first choice.
  • #44 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: […] Vaginal estrogen has the advantage of being effective at lower doses and limiting your overall exposure to estrogen because less reaches your bloodstream. It may also provide better direct relief of symptoms than oral estrogen does. […] Vaginal dilators may also be used in addition to estrogen therapy. These devices stimulate and stretch the vaginal muscles to reverse narrowing of the vagina. […] If painful sex is a concern, vaginal dilators may relieve vaginal discomfort by stretching the vagina. […] If you have a history of breast cancer, tell your doctor and consider these options: Nonhormonal treatments. Try moisturizers and lubricants as a first choice.
  • #45 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] Treatment of VVA depends on the severity of the symptoms of the disease and on the preferences and expectations of women. […] According to the generally accepted international standards, the first-line recommendations for the treatment of mild and moderate manifestations of VVA are nonhormonal vaginal lubricants that should be used before intercourse and vaginal moisturizers with a long-term effect that are used regularly (several times a week); in such cases, regular sexual activity is of importance. […] Considering the cause (hypoestrogenism), and the pathogenesis of the development of VVA, the most logical choice for the treatment of this condition would be estrogen therapy.
  • #46 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print
    Several types of FDA-approved low-dose vaginal estrogen products are available: […] The vaginal estrogen ring (brand name: Estring) is a flexible plastic ring you wear inside your vagina all the time. […] If sex continues to be painful despite treatment for vaginal dryness, talk to your health care provider. […] If your symptoms do not improve with the above treatments, see your health care provider to check for vaginal infections, skin conditions, and allergic reactions that are not due to vaginal dryness.
  • #47 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    The local HRT includes preparations containing estradiol, as well as estriol. Local estrogen therapy is preferred in the presence of isolated urogenital disorders; the patients should be informed that the effect is achieved after 13 months of local estrogen therapy, and that they should be able to choose the drug that they consider most appropriate for them. […] Vaginal lubricants and moisturizers can be used as needed in combination with other VVA treatments. […] Selective estrogen receptor modulators (SERMs) are another option for VVA treatment among women in whom estrogen preparations are contraindicated. […] Dehydroepiandrosterone (DHEA) is a steroid prohormone in the biosynthetic pathway of testosterone and estradiol. […] Laser therapy improves the vascularization of the vaginal mucosa, stimulates the synthesis of new collagen and matrix basic substance in the connective tissue, thickens the vaginal epithelium with the formation of new papillae, replenishes glycogen in the vaginal epithelium, allows restoring the balance of the mucosa and therefore improves the symptoms of atrophy caused by a lack of estrogen. […] Timely active detection of this pathological condition and providing adequately selected therapy can prevent the progress of the disease and significantly improve the quality of life and sexuality of women.
  • #48 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    The local HRT includes preparations containing estradiol, as well as estriol. Local estrogen therapy is preferred in the presence of isolated urogenital disorders; the patients should be informed that the effect is achieved after 13 months of local estrogen therapy, and that they should be able to choose the drug that they consider most appropriate for them. […] Vaginal lubricants and moisturizers can be used as needed in combination with other VVA treatments. […] Selective estrogen receptor modulators (SERMs) are another option for VVA treatment among women in whom estrogen preparations are contraindicated. […] Dehydroepiandrosterone (DHEA) is a steroid prohormone in the biosynthetic pathway of testosterone and estradiol. […] Laser therapy improves the vascularization of the vaginal mucosa, stimulates the synthesis of new collagen and matrix basic substance in the connective tissue, thickens the vaginal epithelium with the formation of new papillae, replenishes glycogen in the vaginal epithelium, allows restoring the balance of the mucosa and therefore improves the symptoms of atrophy caused by a lack of estrogen. […] Timely active detection of this pathological condition and providing adequately selected therapy can prevent the progress of the disease and significantly improve the quality of life and sexuality of women.
  • #49 Vaginal Atrophy/Genitourinary Syndrome of Menopause (GSM) | OB/GYN & Women’s Health | University Hospitals | University Hospitals
    https://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/general-gynecology/vaginal-atrophy
    There are many effective treatments for the vaginal and urinary symptoms associated with vaginal atrophy, including both over-the-counter and prescription options. They include: […] Talk to your doctor about which topical estrogen method is best for your symptoms and lifestyle. […] Hormone therapy: If you are experiencing other moderate to severe symptoms of menopause, such as hot flashes, you can elect to undergo hormone replacement therapy in the form of estrogen pills, patches or a higher-dose vaginal ring.
  • #50 Vaginal dryness after menopause: How to treat it?
    https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/vaginal-dryness/faq-20115086
    A low-dose vaginal estrogen cream, tablet or ring. This helps revive vaginal tissues. Even if you use hormone therapy pills or patches, your healthcare professional might suggest a low-dose vaginal estrogen treatment if you still have vaginal dryness and related symptoms. If you’ve had breast cancer, talk with your healthcare professional about the small risks of vaginal estrogen therapy. […] Ospemifene (Osphena). Taken by mouth, this selective estrogen receptor modulator (SERM) medicine treats painful intercourse linked to the thinning of vaginal tissue. This medicine isn’t for people who have had breast cancer or who are at high risk of breast cancer. […] Dehydroepiandrosterone (DHEA). This suppository is put into the vagina nightly. It eases painful intercourse after menopause. […] Regular sex or vaginal stimulation, with or without a partner, also helps keep vaginal tissues healthy after menopause.
  • #51 Vaginal dryness after menopause: How to treat it?
    https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/vaginal-dryness/faq-20115086
    A low-dose vaginal estrogen cream, tablet or ring. This helps revive vaginal tissues. Even if you use hormone therapy pills or patches, your healthcare professional might suggest a low-dose vaginal estrogen treatment if you still have vaginal dryness and related symptoms. If you’ve had breast cancer, talk with your healthcare professional about the small risks of vaginal estrogen therapy. […] Ospemifene (Osphena). Taken by mouth, this selective estrogen receptor modulator (SERM) medicine treats painful intercourse linked to the thinning of vaginal tissue. This medicine isn’t for people who have had breast cancer or who are at high risk of breast cancer. […] Dehydroepiandrosterone (DHEA). This suppository is put into the vagina nightly. It eases painful intercourse after menopause. […] Regular sex or vaginal stimulation, with or without a partner, also helps keep vaginal tissues healthy after menopause.
  • #52 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: […] Vaginal estrogen has the advantage of being effective at lower doses and limiting your overall exposure to estrogen because less reaches your bloodstream. It may also provide better direct relief of symptoms than oral estrogen does. […] Vaginal dilators may also be used in addition to estrogen therapy. These devices stimulate and stretch the vaginal muscles to reverse narrowing of the vagina. […] If painful sex is a concern, vaginal dilators may relieve vaginal discomfort by stretching the vagina. […] If you have a history of breast cancer, tell your doctor and consider these options: Nonhormonal treatments. Try moisturizers and lubricants as a first choice.
  • #53 Vaginal atrophy and vaginal dryness: symptoms and treatments
    https://us.stratamgt.com/vaginal-atrophy-and-vaginal-dryness/
    Hormonal therapy is a common treatment of VA, and includes estrogen-based treatments. Excess estrogen levels are associated with side effects such as an increased risk of heart disease, breast cancer, thromboembolic complications, and cerebrovascular diseases. […] The American College of Obstetricians and Gynecologists (ACOG) and the American Society of Clinical Oncology (ASCO), recommend the use of non-hormonal options as the first choice for treatment of VA in women with current or a history of estrogen-dependent breast cancer.
  • #54 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    The local HRT includes preparations containing estradiol, as well as estriol. Local estrogen therapy is preferred in the presence of isolated urogenital disorders; the patients should be informed that the effect is achieved after 13 months of local estrogen therapy, and that they should be able to choose the drug that they consider most appropriate for them. […] Vaginal lubricants and moisturizers can be used as needed in combination with other VVA treatments. […] Selective estrogen receptor modulators (SERMs) are another option for VVA treatment among women in whom estrogen preparations are contraindicated. […] Dehydroepiandrosterone (DHEA) is a steroid prohormone in the biosynthetic pathway of testosterone and estradiol. […] Laser therapy improves the vascularization of the vaginal mucosa, stimulates the synthesis of new collagen and matrix basic substance in the connective tissue, thickens the vaginal epithelium with the formation of new papillae, replenishes glycogen in the vaginal epithelium, allows restoring the balance of the mucosa and therefore improves the symptoms of atrophy caused by a lack of estrogen. […] Timely active detection of this pathological condition and providing adequately selected therapy can prevent the progress of the disease and significantly improve the quality of life and sexuality of women.
  • #55 Vaginal Dryness/Vaginal Atrophy | Intimate Wellness Institute
    https://iwiva.com/intimate-wellness/vaginal-dryness-vaginal-atrophy/
    Talk to your healthcare provider about the risks and benefits of medication containing estrogen or estrogen-like substances. […] Lubricants and moisturizers are available without a prescription and can be purchased at drug or grocery stores. They work by replenishing your vaginal tissue and making it wet, which can help with pain during sex. […] Vaginal moisturizers: Apply vaginal moisturizers to the inside of your vagina every few days to keep your vaginal lining healthy. […] Natural oils such as grape seed, olive, vegetable, sunflower or coconut oils may be a safe home remedy for vaginal dryness. […] Dr. Guerette is one on the pioneers in using gentle lasers and radiofrequency devices to restore and rejuvenate vaginal tissue to improve vaginal dryness and reverse the effects of loss of estrogen. […] In appropriate candidates simple office treatments with no preparation or recovery can be used to restore the vaginal tissue and reverse symptoms of vaginal dryness and pain with sex.
  • #56 Practice Nursing – Vaginal atrophy: what is it and how can it be treated?
    https://www.practicenursing.com/content/clinical-focus/vaginal-atrophy-what-is-it-and-how-can-it-be-treated/
    Vaginal atrophy is common and can impact on quality of life for many women. […] Vaginal atrophy can be treated and the aims of treatment are to promote comfort and ensure that symptoms are reduced. […] Practice nurses need to be comfortable asking sensitive questions and be able to give advice and signpost women to relevant and up to date information. […] Vaginal atrophy is a common condition for women in the menopause. […] It is estimated that vaginal atrophy affects 5080% of post-menopausal women and is caused by oestrogen deficiency, but it is an under-diagnosed and under-recognised condition. […] Vaginal atrophy and lack of lubrication can also occur at any time in a woman’s life and this happens in an estimated 15% of pre-menopausal women.
  • #57 Vaginal Atrophy: The 21st Century Health Issue Affecting Quality of Life
    https://www.medscape.org/viewarticle/561934
    Vaginal atrophy can be diagnosed with a detailed history and comprehensive physical examination. […] Treatment goals for atrophic vaginitis include alleviating symptoms, reversing or minimizing the physiologic changes, and improving quality of life for the patient. […] Nonhormonal treatments. A number of over-the-counter (OTC) vaginal moisturizer and lubricant products are considered first-line nonhormonal treatments for vaginal dryness. […] Local, low-dose estrogen preparations are considered first-line pharmacologic treatment for atrophic vaginitis. […] Patient preference is extremely important when selecting a treatment delivery method. […] Treatment length is variable, but should be continued as long as distressing symptoms that impaired quality of life are present. […] Follow-up plans should include ongoing assessment of symptoms, vaginal morphology, and vaginal pH.
  • #58 7 Menopause Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/menopause-nursing-care-plans/
    Vaginal dryness or discomfort during intercourse […] Sexual dysfunction is common in women experiencing menopause due to hormonal changes, vaginal atrophy, and other associated symptoms, such as decreased libido and pain with intercourse. These factors can lead to a decreased interest in sexual activity and impact sexual function. Nursing care plans for menopausal women may involve addressing underlying causes of sexual dysfunction, providing education on vaginal moisturizers and lubricants, and considering hormonal or non-hormonal interventions as appropriate. […] Assess the patients vagina and genitalia for itching, burning, pain, lack of secretions, or foul-smelling secretions. Changes associated with aging predispose patients to easily traumatized mucosa and increased susceptibility to atrophic vaginitis. […] Administer estrogen cream through a vaginal applicator or suppository as ordered. […] Instruct female patients to use water-soluble lubricant during intercourse. Lubricates the vagina to prevent pain and irritation during intercourse.
  • #59 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Vaginal atrophy can affect your quality of life and your relationship with your partner(s). There are physical and emotional side effects of GSM. Physical symptoms like pain, burning, itching and leaking pee can disrupt all areas of your life. Emotional side effects are just as complicated as the physical side effects. If you’re experiencing symptoms of vaginal atrophy, you may lose interest in sex and intimacy or lose confidence in yourself. Please know that all of these feelings are normal and that your healthcare provider is there to help you. […] A healthcare provider can diagnose vaginal atrophy based on your symptoms and a pelvic exam to look at your vagina and cervix. […] Estrogen therapy and dehydroepiandrosterone (DHEA) are the only hormone therapies for vaginal atrophy. […] You and your healthcare provider will work closely together to come up with a treatment plan for vaginal atrophy. Theyll help you decide which plan is most effective based on your symptoms and the severity of them. Estrogen and DHEA therapy are considered to be the most effective. However, these therapies arent for everyone. There are several treatment options available that dont involve hormones.
  • #60 Vaginal Atrophy: Lux Hospitals’ Expert Care – Best Hospital & Surgeons for Advanced Laparoscopy and Laser Treatments in Hyderabad
    https://luxhospitals.com/specialities/gynecological-disorders/vaginal-atrophy-treatment/
    Vaginal atrophy, often referred to as atrophic vaginitis, is a prevalent condition that many women encounter, especially post-menopause. […] This ailment is commonly treated at Lux Hospitals, where experts address the decreased estrogen levels that cause significant changes in the vaginal walls. […] Effective management of Vaginal Atrophy involves a combination of lifestyle adjustments, non-hormonal treatments, and hormonal therapies: […] Each treatment option offers different benefits and potential risks, making it essential for individuals to consult healthcare professionals to tailor a treatment plan suited to their specific health needs. […] Lux Hospitals is renowned for its cutting-edge expertise in treating Vaginal Atrophy. […] Diagnosing Vaginal Atrophy involves a few key steps to ensure accurate identification and appropriate treatment planning:
  • #61 Vaginal Atrophy: Lux Hospitals’ Expert Care – Best Hospital & Surgeons for Advanced Laparoscopy and Laser Treatments in Hyderabad
    https://luxhospitals.com/specialities/gynecological-disorders/vaginal-atrophy-treatment/
    Vaginal atrophy, often referred to as atrophic vaginitis, is a prevalent condition that many women encounter, especially post-menopause. […] This ailment is commonly treated at Lux Hospitals, where experts address the decreased estrogen levels that cause significant changes in the vaginal walls. […] Effective management of Vaginal Atrophy involves a combination of lifestyle adjustments, non-hormonal treatments, and hormonal therapies: […] Each treatment option offers different benefits and potential risks, making it essential for individuals to consult healthcare professionals to tailor a treatment plan suited to their specific health needs. […] Lux Hospitals is renowned for its cutting-edge expertise in treating Vaginal Atrophy. […] Diagnosing Vaginal Atrophy involves a few key steps to ensure accurate identification and appropriate treatment planning:
  • #62 Vaginal Atrophy: The 21st Century Health Issue Affecting Quality of Life
    https://www.medscape.org/viewarticle/561934
    Vaginal atrophy can be diagnosed with a detailed history and comprehensive physical examination. […] Treatment goals for atrophic vaginitis include alleviating symptoms, reversing or minimizing the physiologic changes, and improving quality of life for the patient. […] Nonhormonal treatments. A number of over-the-counter (OTC) vaginal moisturizer and lubricant products are considered first-line nonhormonal treatments for vaginal dryness. […] Local, low-dose estrogen preparations are considered first-line pharmacologic treatment for atrophic vaginitis. […] Patient preference is extremely important when selecting a treatment delivery method. […] Treatment length is variable, but should be continued as long as distressing symptoms that impaired quality of life are present. […] Follow-up plans should include ongoing assessment of symptoms, vaginal morphology, and vaginal pH.
  • #63 7 Menopause Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/menopause-nursing-care-plans/
    Vaginal dryness or discomfort during intercourse […] Sexual dysfunction is common in women experiencing menopause due to hormonal changes, vaginal atrophy, and other associated symptoms, such as decreased libido and pain with intercourse. These factors can lead to a decreased interest in sexual activity and impact sexual function. Nursing care plans for menopausal women may involve addressing underlying causes of sexual dysfunction, providing education on vaginal moisturizers and lubricants, and considering hormonal or non-hormonal interventions as appropriate. […] Assess the patients vagina and genitalia for itching, burning, pain, lack of secretions, or foul-smelling secretions. Changes associated with aging predispose patients to easily traumatized mucosa and increased susceptibility to atrophic vaginitis. […] Administer estrogen cream through a vaginal applicator or suppository as ordered. […] Instruct female patients to use water-soluble lubricant during intercourse. Lubricates the vagina to prevent pain and irritation during intercourse.
  • #64 7 Menopause Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/menopause-nursing-care-plans/
    Vaginal dryness or discomfort during intercourse […] Sexual dysfunction is common in women experiencing menopause due to hormonal changes, vaginal atrophy, and other associated symptoms, such as decreased libido and pain with intercourse. These factors can lead to a decreased interest in sexual activity and impact sexual function. Nursing care plans for menopausal women may involve addressing underlying causes of sexual dysfunction, providing education on vaginal moisturizers and lubricants, and considering hormonal or non-hormonal interventions as appropriate. […] Assess the patients vagina and genitalia for itching, burning, pain, lack of secretions, or foul-smelling secretions. Changes associated with aging predispose patients to easily traumatized mucosa and increased susceptibility to atrophic vaginitis. […] Administer estrogen cream through a vaginal applicator or suppository as ordered. […] Instruct female patients to use water-soluble lubricant during intercourse. Lubricates the vagina to prevent pain and irritation during intercourse.
  • #65 Vaginal atrophy | Jean Hailes
    https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-vaginal-conditions/vaginal-atrophy
    Vaginal atrophy is the thinning of your vaginal lining and vulval skin, caused by a drop in oestrogen levels around the time of menopause. […] Vaginal atrophy affects about 40% of postmenopausal women and the risk increases with age. […] Depending on your situation, you may want to try hormonal treatments. […] Vaginal oestrogens are available as tablets, pessaries or creams. They are an effective treatment for vaginal atrophy. […] Vaginal oestrogen treatment improves blood flow in the pelvis and increases vaginal secretions. […] You cannot reverse vaginal atrophy, but you can stop it from getting worse by seeking a diagnosis and starting treatment early. […] Regular sexual activity (including masturbation) to improve blood flow to your vagina, which can keep vaginal tissues elastic and flexible. […] Many women have symptoms of vaginal atrophy (such as painful sex) but they dont seek treatment because they feel embarrassed or think nothing can be done. It’s important to get the right diagnosis and treatment, so see your doctor if you have any symptoms.
  • #66 Vaginal Dryness After Menopause – Resource For People With Breast Cancer – Sunnybrook Hospital
    https://sunnybrook.ca/content/?page=pynk-education-vaginal-dryness-menopause
    With routine use, the vagina will stretch, open and lengthen over time. […] Exercising the pelvic floor muscles helps to bring extra circulation to the vagina and this increased blood flow heals atrophying structures, with the added bonus of intensifying orgasm. […] Women who continue to have symptoms of vaginal dryness, with no improvement after trying the other tools in their kit for several months, may wish to ask their doctor for a referral to a centre where this is done to discuss the benefits and possible risks. […] Professional help may be necessary to design an appropriate treatment regimen if getting started on ones own is too painful or there is no sign of improvement after several weeks.
  • #67 What Are The Vaginal Atrophy Treatment Options?
    https://www.drtahery.com/what-are-the-vaginal-atrophy-treatment-options
    A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. […] Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. […] Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. […] Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. […] Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina. […] Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels. […] Regular exercise can be helpful for keeping blood flow in the genital area high.
  • #68 Understanding Vaginal Atrophy: Symptoms, Causes, And Treatment Options
    https://vaginal-rejuvenation.clinic/health/understanding-vaginal-atrophy/
    Lubricants are another popular treatment option for women who are experiencing symptoms of vaginal atrophy. These products can help to relieve dryness and discomfort during sexual activity, and improve overall sexual satisfaction. […] Moisturizers are an additional alternative for ladies battling vaginal dryness. They function by boosting vaginal moisture, which can alleviate discomfort and enhance overall comfort. […] Estrogen given straight to the vagina is known as vaginal estrogen. This sort of therapy improves vaginal health by elevating estrogen levels in the vaginal tissue. […] Yes, vaginal atrophy is curable. Available therapeutic options include hormone therapy, lubricants, moisturizers, and vaginal estrogen therapy. […] Vaginal atrophy is a common illness that affects a lot of women, especially when they are going through menopause. Knowing the causes, symptoms, and treatment options for this condition can help women deal with it and improve their quality of life. If you have symptoms of vaginal atrophy, you should talk to us or your doctor about what you can do. With the right treatment plan, women can keep their symptoms under control and keep their vaginal health in good shape. Vaginal atrophy treatment is a crucial step in the correct direction.
  • #69 Vaginal Atrophy: Lux Hospitals’ Expert Care – Best Hospital & Surgeons for Advanced Laparoscopy and Laser Treatments in Hyderabad
    https://luxhospitals.com/specialities/gynecological-disorders/vaginal-atrophy-treatment/
    These steps help healthcare providers at Lux Hospitals offer precise diagnoses and tailored treatment plans for effective management of Vaginal Atrophy. […] Understanding these causes is crucial for the effective management and treatment of Vaginal Atrophy. […] Recognizing these symptoms early can lead to more effective and timely treatments, improving outcomes and comfort. […] Implementing these strategies can help reduce the risk or delay the onset of Vaginal Atrophy, preserving vaginal health and comfort. […] Vaginal Atrophy is a manageable condition with the right approach and early intervention. […] Lux Hospitals offers personalized care and a range of effective treatments to help alleviate symptoms and improve quality of life.
  • #70
    https://bpac.org.nz/bpj/2014/september/vulvovaginal.aspx
    Local oestrogen treatment is usually the preferred treatment option, rather than oral or transdermal oestrogen treatment, when the sole aim of treatment is the relief of vulvovaginal symptoms. Treatment with topical oestrogens (e.g. estriol 0.1% cream or 500 microgram pessaries) is regarded as safe and effective. […] The initial advice should be to use one application or pessary daily in the evening until there is improvement in symptoms (often two three weeks) and then to reduce the frequency to one evening, twice a week. […] Patients with vaginitis should be warned that initially the use of oestrogen cream or pessaries may cause stinging or burning, but that this should improve within approximately two weeks. A non-oestrogen containing vaginal moisturising bioadhesive gel, e.g. Replens (unsubsidised), may be used in conjunction with a topical oestrogen but it is less effective at relieving symptoms on its own. A water-based vaginal lubricant may be required to alleviate vaginal dryness and friction-related trauma during sexual intercourse, however, lubricants may also cause transient stinging or burning if the woman has vaginitis or fissuring.
  • #71
    https://bpac.org.nz/bpj/2014/september/vulvovaginal.aspx
    Local oestrogen treatment is usually the preferred treatment option, rather than oral or transdermal oestrogen treatment, when the sole aim of treatment is the relief of vulvovaginal symptoms. Treatment with topical oestrogens (e.g. estriol 0.1% cream or 500 microgram pessaries) is regarded as safe and effective. […] The initial advice should be to use one application or pessary daily in the evening until there is improvement in symptoms (often two three weeks) and then to reduce the frequency to one evening, twice a week. […] Patients with vaginitis should be warned that initially the use of oestrogen cream or pessaries may cause stinging or burning, but that this should improve within approximately two weeks. A non-oestrogen containing vaginal moisturising bioadhesive gel, e.g. Replens (unsubsidised), may be used in conjunction with a topical oestrogen but it is less effective at relieving symptoms on its own. A water-based vaginal lubricant may be required to alleviate vaginal dryness and friction-related trauma during sexual intercourse, however, lubricants may also cause transient stinging or burning if the woman has vaginitis or fissuring.
  • #72 Vaginal atrophy: Natural remedies, causes, and treatments
    https://www.medicalnewstoday.com/articles/315089
    Vaginal atrophy refers to inflammation, dryness, and thinning of the vaginal walls. Natural remedies include using lubricants, staying sexually active, exercising, and avoiding smoking. […] Where applicable, the following lifestyle measures could help relieve the symptoms of vaginal atrophy: […] Being sexually active: Sexual activity increases the flow of blood to the genitals, which helps keep them healthy. […] Keeping well-hydrated: This can help maintain moisture levels in the body. […] Natural treatments for vaginal atrophy include lifestyle measures, such as quitting smoking, being sexually active, and staying hydrated. Vaginal lubricants and moisturizers may also ease uncomfortable symptoms. […] Doctors may recommend hormone therapy to replace depleted estrogen, as it plays an important role in vaginal health.
  • #73
    https://continentalhospitals.com/diseases/vaginal-atrophy/
    Vaginal atrophy, also known as atrophic vaginitis, is a condition that affects many women, particularly during and after menopause. […] Understanding the causes of vaginal atrophy is crucial in order to effectively manage and treat this condition. […] It is important for women experiencing these symptoms to consult with their healthcare provider who can provide appropriate guidance and treatment options. […] The treatment of vaginal atrophy is a crucial aspect in providing relief and improving the quality of life for women experiencing this condition. […] It’s important to choose a lubricant that is free from irritants or harsh chemicals that could further aggravate the delicate tissues. […] Regular sexual activity can help maintain healthy blood flow to the vagina and promote natural lubrication. […] It’s important for women to communicate openly with their healthcare providers about any symptoms or concerns related to vaginal health.
  • #74 A Comprehensive Guide To Vaginal Atrophy & Impact (Part 2)
    https://www.broadwayclinic.com/article/a-comprehensive-guide-to-vaginal-atrophy-impact-part-2
    Differentiating GSM from yeast infections is crucial, as they have similar symptoms but require distinct treatment approaches. Yeast infections are typically characterized by itching, burning and discharge and are treated with antifungal medications. In contrast, GSM requires hormonal or moisturizing treatments. A healthcare provider can conduct appropriate tests to ensure the correct diagnosis and treatment. […] Preventive strategies for Genitourinary Syndrome of Menopause (GSM) include maintaining a balanced diet and regular exercise, particularly pelvic floor exercises. Regular use of vaginal moisturizers helps combat dryness. Considering early estrogen therapy during menopause onset can also be beneficial. Staying hydrated, avoiding vaginal irritants like scented soaps and regular medical check-ups are important in managing and preventing GSM symptoms effectively. […] Effectively managing Genitourinary Syndrome of Menopause (GSM) involves personalized treatments and lifestyle changes. Addressing symptoms early and seeking professional advice is key to improving quality of life.
  • #75 What Are The Vaginal Atrophy Treatment Options?
    https://www.drtahery.com/what-are-the-vaginal-atrophy-treatment-options
    A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. […] Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. […] Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. […] Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. […] Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina. […] Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels. […] Regular exercise can be helpful for keeping blood flow in the genital area high.
  • #76 What Is Vaginal Atrophy? – Itchy, Burning Relief
    https://www.verywellhealth.com/what-is-vaginal-atrophy-itchy-burning-relief-7562627
    Vaginal atrophy describes thinning, drying, and inflammation of the lining of the vagina. It occurs when estrogen levels drop due to menopause. […] Vaginal dryness is the most common symptom. Other symptoms can include: Vaginal and vulvar burning and itching, Vaginal discharge, spotting, Uncomfortable or painful intercourse (dyspareunia), Needing to urinate more often or more urgently, Recurrent urinary tract infections (UTIs). […] First-line therapies for mild symptoms include nonprescription, nonhormonal vaginal and vulvar lubricants, and moisturizers. If that doesn’t help, your provider may recommend low-dose vaginal estrogen therapy. […] Using lubricants during intercourse can reduce friction and irritation of thin, dry tissue. […] The reality is that vaginal atrophy can affect self-esteem, intimacy, relationships, and overall quality of life. There are ways to ease symptoms and improve intimacy, but it takes a willingness to talk about it with your partner if you have one and with a healthcare provider, such as a gynecologist. […] Self-care remedies include moisturizers and using lubricants during intercourse. Staying sexually active can also help. Otherwise, there are some medical treatments, including topical estrogen and hormone therapy, you can try.
  • #77 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Vaginal atrophy can affect your quality of life and your relationship with your partner(s). There are physical and emotional side effects of GSM. Physical symptoms like pain, burning, itching and leaking pee can disrupt all areas of your life. Emotional side effects are just as complicated as the physical side effects. If you’re experiencing symptoms of vaginal atrophy, you may lose interest in sex and intimacy or lose confidence in yourself. Please know that all of these feelings are normal and that your healthcare provider is there to help you. […] A healthcare provider can diagnose vaginal atrophy based on your symptoms and a pelvic exam to look at your vagina and cervix. […] Estrogen therapy and dehydroepiandrosterone (DHEA) are the only hormone therapies for vaginal atrophy. […] You and your healthcare provider will work closely together to come up with a treatment plan for vaginal atrophy. Theyll help you decide which plan is most effective based on your symptoms and the severity of them. Estrogen and DHEA therapy are considered to be the most effective. However, these therapies arent for everyone. There are several treatment options available that dont involve hormones.
  • #78 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Vaginal atrophy can affect your quality of life and your relationship with your partner(s). There are physical and emotional side effects of GSM. Physical symptoms like pain, burning, itching and leaking pee can disrupt all areas of your life. Emotional side effects are just as complicated as the physical side effects. If you’re experiencing symptoms of vaginal atrophy, you may lose interest in sex and intimacy or lose confidence in yourself. Please know that all of these feelings are normal and that your healthcare provider is there to help you. […] A healthcare provider can diagnose vaginal atrophy based on your symptoms and a pelvic exam to look at your vagina and cervix. […] Estrogen therapy and dehydroepiandrosterone (DHEA) are the only hormone therapies for vaginal atrophy. […] You and your healthcare provider will work closely together to come up with a treatment plan for vaginal atrophy. Theyll help you decide which plan is most effective based on your symptoms and the severity of them. Estrogen and DHEA therapy are considered to be the most effective. However, these therapies arent for everyone. There are several treatment options available that dont involve hormones.
  • #79 What Is Vaginal Atrophy? – Itchy, Burning Relief
    https://www.verywellhealth.com/what-is-vaginal-atrophy-itchy-burning-relief-7562627
    Vaginal atrophy describes thinning, drying, and inflammation of the lining of the vagina. It occurs when estrogen levels drop due to menopause. […] Vaginal dryness is the most common symptom. Other symptoms can include: Vaginal and vulvar burning and itching, Vaginal discharge, spotting, Uncomfortable or painful intercourse (dyspareunia), Needing to urinate more often or more urgently, Recurrent urinary tract infections (UTIs). […] First-line therapies for mild symptoms include nonprescription, nonhormonal vaginal and vulvar lubricants, and moisturizers. If that doesn’t help, your provider may recommend low-dose vaginal estrogen therapy. […] Using lubricants during intercourse can reduce friction and irritation of thin, dry tissue. […] The reality is that vaginal atrophy can affect self-esteem, intimacy, relationships, and overall quality of life. There are ways to ease symptoms and improve intimacy, but it takes a willingness to talk about it with your partner if you have one and with a healthcare provider, such as a gynecologist. […] Self-care remedies include moisturizers and using lubricants during intercourse. Staying sexually active can also help. Otherwise, there are some medical treatments, including topical estrogen and hormone therapy, you can try.
  • #80 Questions and Answers About Vaginal Atrophy – HealthyWomen
    https://www.healthywomen.org/your-health/questions-and-answers-vaginal-atrophy
    Yes, you can prevent GSM with local hormone therapy (which can be prescribed based on age or early symptoms) and regular stretching of the vulvovaginal tissue through regular sexual activity or by using a dilator. […] Evidence-based treatments for GSM include: Hormone therapy, Moisturizers and lubricants, Pelvic floor physical therapists specialize in providing specialized physical therapy when there is pelvic floor dysfunction. […] If youre experiencing pain during sex and think you might have GSM, speak with someone who has expertise in treating women who are menopausal or postmenopausal.
  • #81 Vaginal atrophy | Jean Hailes
    https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-vaginal-conditions/vaginal-atrophy
    Vaginal atrophy is the thinning of your vaginal lining and vulval skin, caused by a drop in oestrogen levels around the time of menopause. […] Vaginal atrophy affects about 40% of postmenopausal women and the risk increases with age. […] Depending on your situation, you may want to try hormonal treatments. […] Vaginal oestrogens are available as tablets, pessaries or creams. They are an effective treatment for vaginal atrophy. […] Vaginal oestrogen treatment improves blood flow in the pelvis and increases vaginal secretions. […] You cannot reverse vaginal atrophy, but you can stop it from getting worse by seeking a diagnosis and starting treatment early. […] Regular sexual activity (including masturbation) to improve blood flow to your vagina, which can keep vaginal tissues elastic and flexible. […] Many women have symptoms of vaginal atrophy (such as painful sex) but they dont seek treatment because they feel embarrassed or think nothing can be done. It’s important to get the right diagnosis and treatment, so see your doctor if you have any symptoms.
  • #82 Vaginal atrophy // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/vaginal-atrophy
    Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. […] For many women, vaginal atrophy not only makes intercourse painful but also leads to distressing urinary symptoms. […] Simple, effective treatments for GSM are available. Reduced estrogen levels result in changes to your body, but it doesn’t mean you have to live with the discomfort of GSM. […] Regular sexual activity, either with or without a partner, may help prevent genitourinary syndrome of menopause. Sexual activity increases blood flow to your vagina, which helps keep vaginal tissues healthy. […] To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including vaginal moisturizers.
  • #83 Vaginal Atrophy | Baylor Medicine
    https://www.bcm.edu/healthcare/specialties/obstetrics-and-gynecology/ob-gyn-conditions/vaginal-atrophy
    Vaginal atrophy is when the vaginal walls become thin, dry and inflamed due to a decline in estrogen in a woman’s body, typically brought on by menopause. […] Vaginal atrophy can make sexual intercourse painful. […] Simple, effective treatments are available. Regular sexual activity also helps you maintain healthy vaginal tissues. […] For women who are experiencing symptoms and seek relief, treatment options include: Non-hormonal treatments. Over-the-counter vaginal moisturizers or lubricants can relieve mild symptoms. […] Topical estrogen therapy for vaginal dryness. Comes in several forms, including creams, vaginal rings, suppositories and tablets. […] Hormone treatment. To restore thickness and elasticity of vaginal tissues. Talk with your doctor about the risks and benefits. […] In addition, women should avoid intercourse if they have any vaginal irritation. […] While prevention may not be possible, steps can be taken to keep your vaginal tissues healthy include: Regular sexual activity, which enhances blood flow to your vagina.
  • #84 What Are The Vaginal Atrophy Treatment Options?
    https://www.drtahery.com/what-are-the-vaginal-atrophy-treatment-options
    A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. […] Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. […] Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. […] Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. […] Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina. […] Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels. […] Regular exercise can be helpful for keeping blood flow in the genital area high.
  • #85 What Are The Vaginal Atrophy Treatment Options?
    https://www.drtahery.com/what-are-the-vaginal-atrophy-treatment-options
    A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. […] Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. […] Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. […] Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. […] Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina. […] Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels. […] Regular exercise can be helpful for keeping blood flow in the genital area high.
  • #86 What Are The Vaginal Atrophy Treatment Options?
    https://www.drtahery.com/what-are-the-vaginal-atrophy-treatment-options
    A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. […] Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. […] Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. […] Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. […] Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina. […] Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels. […] Regular exercise can be helpful for keeping blood flow in the genital area high.
  • #87 Vaginal atrophy: Natural remedies, causes, and treatments
    https://www.medicalnewstoday.com/articles/315089
    Vaginal atrophy refers to inflammation, dryness, and thinning of the vaginal walls. Natural remedies include using lubricants, staying sexually active, exercising, and avoiding smoking. […] Where applicable, the following lifestyle measures could help relieve the symptoms of vaginal atrophy: […] Being sexually active: Sexual activity increases the flow of blood to the genitals, which helps keep them healthy. […] Keeping well-hydrated: This can help maintain moisture levels in the body. […] Natural treatments for vaginal atrophy include lifestyle measures, such as quitting smoking, being sexually active, and staying hydrated. Vaginal lubricants and moisturizers may also ease uncomfortable symptoms. […] Doctors may recommend hormone therapy to replace depleted estrogen, as it plays an important role in vaginal health.
  • #88 Vaginal Dryness After Menopause – Resource For People With Breast Cancer – Sunnybrook Hospital
    https://sunnybrook.ca/content/?page=pynk-education-vaginal-dryness-menopause
    Vaginal atrophy is referred to as vaginal atrophy. […] Vaginal dryness is best dealt with by being proactive to prevent the structural changes described above. […] Youll need your own Tool Box containing: vaginal moisturizers, lubricants and a set of dilators of various sizes. […] It is helpful to know the order in which to use vaginal care products. […] Vaginal moisturizers are needed by all young women who have been put into temporary or permanent menopause by their cancer treatment, whether or not they are sexually active. […] Vaginal lubricants make penetration easier and decrease friction during sexual intercourse or insertion of dilators. […] Part of the process of vaginal atrophy is the shrinkage in length and width of the vaginal walls, particularly the opening of the vagina.
  • #89 Vaginal Atrophy
    https://menomartha.com/health-topic/vaginal-atrophy/
    Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. The condition also includes urinary tract problems such as urinary tract infections (UTIs) and urinary incontinence. Vaginal atrophy (or vulvovaginal atrophy) is the thinning of your vaginal lining and vulval skin, caused by a drop in oestrogen levels around the time of menopause. Reduced oestrogen levels also affect the tissues of the bladder, urethra (where wee comes out) and pelvic floor muscles. Vaginal atrophy affects about 40% of postmenopausal women and the risk increases with age. At least half of women and people AFAB who enter menopause show signs and symptoms of genitourinary syndrome of menopause. Vaginal dryness is typically the first indication that a person is developing vaginal atrophy. Symptoms include: Irritation, Burning, Itching, Chafing, Discomfort, Uncomfortable or even painful intercourse, Passing urine more frequently, More frequent urinary tract infections, Greater discomfort with cervical smear tests. Genitourinary syndrome of menopause is caused by a decrease in estrogen production. Less estrogen makes your vaginal tissues thinner, drier, less elastic and more fragile. You cannot reverse vaginal atrophy, but you can stop it from getting worse by seeking a diagnosis and starting treatment early. Research suggests that MHT eliminates vaginal atrophy symptoms in 75% of cases, while vaginal oestrogen therapy is effective in 80% to 90% of cases. Without treatment, vaginal atrophy may get worse over time. Make an appointment to see your doctor if you experience painful intercourse that’s not resolved by using a vaginal moisturizer or water-based lubricant. If you are bothered only by vaginal dryness, you can use very low doses of estrogen placed directly into the vagina. These low doses generally do not raise blood estrogen levels above postmenopause levels and do not treat hot flashes. Regular sexual activity (including masturbation) to improve blood flow to your vagina, which can keep vaginal tissues elastic and flexible. Sexually active women report fewer symptoms of vaginal atrophy compared to women who don’t have regular sex. Many women have symptoms of vaginal atrophy (such as painful sex) but they don’t seek treatment because they feel embarrassed or think nothing can be done. It’s important to get the right diagnosis and treatment, so see your doctor if you have any symptoms.
  • #90 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Losing estrogen is part of your bodys natural aging process. […] You dont have to just live with vaginal atrophy. Even if youre in menopause or postmenopausal, that doesnt mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. The pain, dryness, burning/itching, spotting, bleeding, urinary problems, UTIs and discharge can make you very uncomfortable and interfere with your daily living. […] Even if youre not in menopause, be sure to report any symptoms of dryness, pain, burning/itching, urinary problems, unusual spotting or bleeding or discharge to your healthcare provider.
  • #91 7 Menopause Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/menopause-nursing-care-plans/
    Vaginal dryness or discomfort during intercourse […] Sexual dysfunction is common in women experiencing menopause due to hormonal changes, vaginal atrophy, and other associated symptoms, such as decreased libido and pain with intercourse. These factors can lead to a decreased interest in sexual activity and impact sexual function. Nursing care plans for menopausal women may involve addressing underlying causes of sexual dysfunction, providing education on vaginal moisturizers and lubricants, and considering hormonal or non-hormonal interventions as appropriate. […] Assess the patients vagina and genitalia for itching, burning, pain, lack of secretions, or foul-smelling secretions. Changes associated with aging predispose patients to easily traumatized mucosa and increased susceptibility to atrophic vaginitis. […] Administer estrogen cream through a vaginal applicator or suppository as ordered. […] Instruct female patients to use water-soluble lubricant during intercourse. Lubricates the vagina to prevent pain and irritation during intercourse.
  • #92 Treating vulvovaginal atrophy/genitourinary syndrome of menopause: how important is vaginal lubricant and moisturizer composition?
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4819835/
    Vaginal dryness is a common condition that is particularly prevalent during and after the menopause, and is one of the symptoms of vulvovaginal atrophy/genitourinary syndrome of menopause. […] Personal lubricants and moisturizers are effective at relieving discomfort and pain during sexual intercourse for women with mild to moderate vaginal dryness, particularly those who have a genuine contraindication to estrogen, or who choose not to use estrogen. […] The symptoms of VVA may be successfully managed by a variety of prescription and over-the-counter (OTC) treatments, with choice of therapy dependent on symptom severity, the effectiveness and safety of the therapy for the individual patient, and patient preference. […] Many women perceive vaginal dryness and discomfort as having a substantial negative impact on their lives, particularly with regard to sexual intimacy, their ability to have a loving relationship, and overall quality of life.
  • #93 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Losing estrogen is part of your bodys natural aging process. […] You dont have to just live with vaginal atrophy. Even if youre in menopause or postmenopausal, that doesnt mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. The pain, dryness, burning/itching, spotting, bleeding, urinary problems, UTIs and discharge can make you very uncomfortable and interfere with your daily living. […] Even if youre not in menopause, be sure to report any symptoms of dryness, pain, burning/itching, urinary problems, unusual spotting or bleeding or discharge to your healthcare provider.
  • #94 Vaginal atrophy // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/vaginal-atrophy
    Vaginal estrogen has the advantage of being effective at lower doses and limiting your overall exposure to estrogen because less reaches your bloodstream. […] Vaginal dilators may also be used in addition to estrogen therapy. These devices stimulate and stretch the vaginal muscles to reverse narrowing of the vagina. […] If you’re experiencing vaginal dryness or irritation, you may find relief if you try an over-the-counter moisturizer. […] Some alternative medicines are used to treat vaginal dryness and irritation associated with menopause, but few approaches are backed by sufficient evidence from clinical trials. […] If you have a history of breast cancer, tell your doctor and consider these options: nonhormonal treatments, vaginal dilators, vaginal estrogen, systemic estrogen therapy.
  • #95 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes
    https://www.healthline.com/health/atrophic-vaginitis
    Symptoms like vaginal dryness and painful orgasms are common in postmenopausal atrophic vaginitis. If you’re experiencing them, an OB-GYN or doctor can prescribe treatments to help. […] Women with vaginal atrophy have a greater chance of chronic vaginal infections and urinary function problems. It can also make sexual intercourse painful. […] Regular sexual activity helps keep vaginal tissues healthy. A healthy sex life also benefits the circulatory system and improves heart health. […] Atrophic vaginitis increases a woman’s risk of contracting vaginal infections. Atrophy causes changes in the acidic environment of the vagina, making it easier for bacteria, yeast, and other organisms to thrive. […] See your doctor right away if sexual intercourse is painful, even with lubrication. You should also see your doctor if you experience unusual vaginal bleeding, discharge, burning, or soreness.
  • #96 Vaginal dryness Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/vaginal-dryness
    Prescription estrogen can work well to treat atrophic vaginitis. It is available as a cream, tablet, suppository, or ring. All of these are placed directly into the vagina. These medicines deliver estrogen directly to the vaginal area. […] Proper treatment will ease symptoms most of the time. […] Vaginal dryness can: Make you more likely to get yeast or bacterial infections of the vagina. […] Contact your provider if you have vaginal dryness or soreness, burning, itching, or painful sexual intercourse that does not go away when you use a water-soluble lubricant.
  • #97 Vaginal Dryness: Symptoms, Causes, and Treatment
    https://patient.info/womens-health/menopause/vaginal-dryness-atrophic-vaginitis
    Many women notice changes in their vagina and genital area after the menopause and during the perimenopause, the period of time during which periods become less regular and hormone levels fluctuate. […] The term genitourinary syndrome of menopause (GSM) is now commonly used to describe these symptoms when they occur during the menopause; the condition has also been called vaginal atrophy, atrophic vaginitis and urogenital atrophy. […] Vaginal dryness is a common symptom of the menopause; after the menopause at least half of women have some symptoms related to vaginal dryness and thinning of the vaginal tissue. […] Treatment usually depends on which symptoms are the most troublesome. Because the problem is mainly due to a lack of oestrogen, it can often be helped by replacing the oestrogen in your tissues.
  • #98 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Losing estrogen is part of your bodys natural aging process. […] You dont have to just live with vaginal atrophy. Even if youre in menopause or postmenopausal, that doesnt mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. The pain, dryness, burning/itching, spotting, bleeding, urinary problems, UTIs and discharge can make you very uncomfortable and interfere with your daily living. […] Even if youre not in menopause, be sure to report any symptoms of dryness, pain, burning/itching, urinary problems, unusual spotting or bleeding or discharge to your healthcare provider.
  • #99 Vaginal atrophy | Jean Hailes
    https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-vaginal-conditions/vaginal-atrophy
    Vaginal atrophy is the thinning of your vaginal lining and vulval skin, caused by a drop in oestrogen levels around the time of menopause. […] Vaginal atrophy affects about 40% of postmenopausal women and the risk increases with age. […] Depending on your situation, you may want to try hormonal treatments. […] Vaginal oestrogens are available as tablets, pessaries or creams. They are an effective treatment for vaginal atrophy. […] Vaginal oestrogen treatment improves blood flow in the pelvis and increases vaginal secretions. […] You cannot reverse vaginal atrophy, but you can stop it from getting worse by seeking a diagnosis and starting treatment early. […] Regular sexual activity (including masturbation) to improve blood flow to your vagina, which can keep vaginal tissues elastic and flexible. […] Many women have symptoms of vaginal atrophy (such as painful sex) but they dont seek treatment because they feel embarrassed or think nothing can be done. It’s important to get the right diagnosis and treatment, so see your doctor if you have any symptoms.