Atrofia pochwy
Leczenie

Atrofia pochwy, dotykająca 50-60% kobiet po menopauzie, wynika z hipoestrogenizmu prowadzącego do ścieńczenia, suchości i stanów zapalnych błony śluzowej pochwy. Objawy obejmują suchość, pieczenie, swędzenie, dyspareunię oraz dolegliwości urologiczne. Leczenie obejmuje zarówno metody niehormonalne, takie jak nawilżacze (np. Replens, Luvena) i lubrykanty (na bazie wody, silikonu lub oleju), jak i hormonalne – miejscową terapię estrogenową (kremy, tabletki dopochwowe, pierścień uwalniający estrogen) oraz systemową terapię hormonalną (HTZ). Miejscowa terapia estrogenowa, stosowana w dawkach minimalizujących ekspozycję ogólnoustrojową, wykazuje skuteczność w 80-90% przypadków, poprawiając pH pochwy, grubość nabłonka i funkcje seksualne. Alternatywą dla estrogenów są DHEA dopochwowy, selektywne modulatory receptora estrogenowego (SERM) jak ospemifen oraz bioidentyczna terapia hormonalna (BHRT). Niehormonowe metody wspomagające to suplementacja witaminą D, E, probiotykami oraz kwasem hialuronowym.

Leczenie atrofii pochwy – wprowadzenie

Atrofia pochwy (atrophic vaginitis) to stan, w którym ścianki pochwy stają się cieńsze, bardziej suche i podatne na stany zapalne z powodu zmniejszenia poziomu estrogenów w organizmie. Dotyka ona nawet 50-60% kobiet po menopauzie, choć może również występować w innych okresach życia, gdy dochodzi do obniżenia poziomu estrogenów12. Atrofii pochwy towarzyszy szereg uciążliwych objawów, takich jak suchość, pieczenie, swędzenie, dyspareunia (ból podczas stosunku) oraz dolegliwości ze strony układu moczowego3.

Leczenie atrofii pochwy ma na celu złagodzenie objawów, przywrócenie prawidłowej fizjologii narządów moczowo-płciowych oraz poprawę jakości życia kobiet45. Dostępnych jest wiele opcji terapeutycznych, zarówno niehormononalnych, jak i hormonalnych, które można dostosować do indywidualnych potrzeb pacjentki. Wczesne podjęcie leczenia może zapobiec pogłębieniu się stanu zanikowego i znacząco poprawić komfort życia6.

Leczenie niehormononalne

Nawilżacze i lubrykanty

Nawilżacze i lubrykanty stanowią pierwszą linię leczenia łagodnych i umiarkowanych objawów atrofii pochwy7. Są dostępne bez recepty i mogą być stosowane przez kobiety, które nie chcą lub nie mogą przyjmować terapii hormonalnej8.

Nawilżacze pochwowe przylegają do powierzchni pochwy, uwalniając wodę i tworząc wilgotną warstwę na tkance pochwy. Pomagają również przywrócić prawidłowe pH pochwy9. Należy stosować je regularnie, co kilka dni, aby utrzymać odpowiednie nawilżenie10. Przykładowe produkty to Replens, Luvena i KY Liquibeads11.

Lubrykanty pochwowe należy aplikować bezpośrednio przed stosunkiem płciowym, aby zmniejszyć tarcie i złagodzić dyskomfort12. Dostępne są lubrykanty na bazie wody (np. Astroglide, K-Y Jelly), silikonu lub oleju13.

Niektóre badania sugerują, że regularne stosowanie nawilżaczy może mieć skuteczność porównywalną z miejscową terapią estrogenową, choć generalnie jest ona niższa14.

Naturalne oleje i suplementy

Naturalne oleje, takie jak olej z pestek winogron, oliwa z oliwek, olej roślinny, słonecznikowy czy kokosowy, mogą być bezpiecznym domowym środkiem na suchość pochwy. Powinny być stosowane jako zewnętrzny lubrykant przed stosunkiem1516.

Badania sugerują również, że suplementy mogą wspomagać leczenie atrofii pochwy:

  • Probiotyki w połączeniu z estrogenem mogą poprawiać objawy atrofii pochwy17.
  • Witamina D – badania wskazują, że niedobór witaminy D może przyczyniać się do atrofii pochwy i innych objawów menopauzalnych18.
  • Witamina E – badanie z 2019 roku wykazało, że globulki dopochwowe z witaminą E mogą być skuteczne w leczeniu atrofii pochwy, choć nie tak skuteczne jak kremy z estrogenem19.
  • Kwas hialuronowy – często stosowany w produktach do pielęgnacji skóry, może pomóc w poprawie nawilżenia pochwy20.

Aktywność seksualna i ćwiczenia

Regularna aktywność seksualna, z partnerem lub w formie samostymulacji, może pomóc w utrzymaniu zdrowia pochwy21. Aktywność seksualna zwiększa przepływ krwi do narządów płciowych, co pomaga utrzymać je w zdrowiu22. Według zaleceń, utrzymanie regularnej aktywności seksualnej jest zdrowym zaleceniem dla kobiet po menopauzie, które mają dostatecznie zestrogenizowany nabłonek pochwy23.

Ćwiczenia mięśni dna miednicy (ćwiczenia Kegla) mogą zwiększyć przepływ krwi do tkanek pochwy, co może przynieść ulgę niektórym kobietom z atrofią pochwy24. Ćwiczenia te polegają na napinaniu mięśni używanych do zatrzymania strumienia moczu25.

Regularna aktywność fizyczna pomaga również w równowadze hormonalnej26.

Inne metody niehormononalne

Mechaniczne rozszerzacze pochwowe (dilatory) mogą być stosowane jako niehormononalna opcja leczenia27. Są szczególnie ważne dla pacjentek z zwężeniem pochwy po radioterapii, promując rozciąganie tkanek, zwiększając przepływ krwi do pochwy i poprawiając kontrolę mięśni dna miednicy28.

Miejscowa lidokaina w postaci maści lub żelu na receptę może być stosowana w celu zmniejszenia dyskomfortu związanego z aktywnością seksualną29.

Leczenie hormonalne

Miejscowa terapia estrogenowa

Miejscowa terapia estrogenowa jest jedną z najbardziej skutecznych metod leczenia atrofii pochwy30. Zaletą miejscowej terapii estrogenowej jest to, że działa przy niższych dawkach i ogranicza ogólną ekspozycję organizmu na estrogen, ponieważ mniej hormonu przedostaje się do krwiobiegu31. Może również zapewnić lepszą bezpośrednią ulgę w objawach niż doustny estrogen32.

Miejscowa terapia estrogenowa dostępna jest w różnych formach:

  • Kremy dopochwowe z estrogenem (np. Premarin, Estrace) – aplikowane są do pochwy za pomocą aplikatora, zazwyczaj przed snem. Początkowo lekarz może przepisać codzienne stosowanie przez kilka tygodni, a następnie zmniejszyć częstotliwość do dwóch lub trzech razy w tygodniu33.
  • Tabletki dopochwowe (np. Vagifem) – wkładane do pochwy za pomocą jednorazowego aplikatora. Początkowo przepisuje się jedną dawkę dziennie, która później jest zmniejszana do jednego lub dwóch razy w tygodniu34.
  • Pierścień dopochwowy z estrogenem (np. Estring) – elastyczny, miękki pierścień umieszczany w górnej części pochwy przez pacjentkę lub lekarza. Uwalnia stałą dawkę estrogenu i wymaga wymiany tylko co trzy miesiące35.

Większość kobiet odczuwa ulgę w objawach po około trzech tygodniach leczenia. Maksymalna korzyść występuje zwykle po 1-3 miesiącach, ale może to potrwać nawet do roku36.

Badania wykazały, że miejscowa terapia estrogenowa normalizuje komórki ściany pochwy, poprawia przepływ krwi w pochwie, obniża pH pochwy, sprzyja rekolonizacji przez pałeczki kwasu mlekowego, poprawia grubość i elastyczność pochwy, zmniejsza objawy sromu i pochwy oraz poprawia funkcje seksualne37.

Systemowa terapia hormonalna

Systemowa terapia hormonalna (HTZ) może być zalecana, gdy atrofii pochwy towarzyszą inne objawy menopauzy, takie jak umiarkowane lub silne uderzenia gorąca38. Systemowa terapia estrogenowa może być podawana w formie tabletek, plastrów, żelu, spreju lub emulsji39.

Jednak długotrwałe stosowanie zwiększa ryzyko wystąpienia niektórych nowotworów, szczególnie raka piersi. Doustny estrogen zwykle nie jest przepisywany osobom, które chorowały na raka40. W przypadku kobiet, które nie chorowały na raka, wraz z estrogenem może być przepisywany progesteron w formie tabletki lub plastra41.

Według badań, systemowa terapia hormonalna eliminuje objawy atrofii pochwy w 75% przypadków, podczas gdy terapia miejscowa robi to w 80-90% przypadków42.

Inne terapie hormonalne

Dehydroepiandrosteron (DHEA) – to steroid będący prekursorem w biosyntezie testosteronu i estradiolu43. Jest dostępny jako globulki dopochwowe (np. Prasterone) i dostarczany bezpośrednio do pochwy, aby pomóc złagodzić ból podczas stosunku44. DHEA to hormon, który pomaga organizmowi produkować inne hormony, w tym estrogen45. Jest stosowany codziennie wieczorem w przypadku umiarkowanej do ciężkiej atrofii pochwy46.

Selektywne modulatory receptora estrogenowego (SERM) – są kolejną opcją leczenia atrofii pochwy, szczególnie u kobiet, u których preparaty estrogenowe są przeciwwskazane47. Ospemifene (Osphena) to lek doustny, który działa podobnie do estrogenu, ale nim nie jest48. W tkance pochwy działa podobnie do estrogenu49. Przyjmowany codziennie, może pomóc złagodzić objawy bolesnego seksu u kobiet z umiarkowanym do ciężkiego zespołem urogenitalnym menopauzy (GSM)50.

Bioidentyczna terapia hormonalna (BHRT) – polega na uzupełnianiu organizmu naturalnymi hormonami w celu przywrócenia równowagi hormonalnej51. BHRT działa poprzez przywrócenie równowagi hormonalnej, rewitalizację tkanek pochwy i poprawę ogólnego samopoczucia52. Przywracając poziom estrogenu, BHRT sprzyja regeneracji tkanek pochwy, zwiększając nawilżenie pochwy, grubość i elastyczność53.

Zaawansowane metody leczenia

Terapia laserowa

Terapia laserowa jest stosunkowo nową metodą leczenia atrofii pochwy, która wykorzystuje energię lasera do stymulacji produkcji kolagenu w tkance pochwy54. Najczęściej stosowane są dwa typy laserów: frakcyjny mikroablacyjny laser CO2 oraz nieablacyjny fototermiczny laser Er:YAG55.

Skuteczność lasera Er:YAG w leczeniu atrofii pochwy została po raz pierwszy opisana w 2015 roku56, natomiast pochwowy mikroablacyjny laser CO2 został wprowadzony w 2014 roku57. Badania histologiczne potwierdziły jego skuteczność w zmianie i odmładzaniu tkanki sromu i pochwy u pacjentek cierpiących na atrofię pochwy58.

Dostępne badania kliniczne potwierdzają skuteczność i bezpieczeństwo lasera pochwowego w leczeniu atrofii pochwy59. Objawy znacznie się poprawiają w prawie wszystkich badaniach, ze znacznym zmniejszeniem punktacji VAS dla suchości pochwy, pieczenia, swędzenia i dyspareunia oraz zwiększeniem całkowitej punktacji FSFI i FSDS60.

MonaLisa Touch to frakcyjny laser CO2, który jest używany do leczenia atrofii pochwy w sposób bezbolesny i minimalnie inwazyjny61. Leczenie MonaLisa Touch przebudowuje i przywraca atroficzną tkankę pochwy, stymulując produkcję kolagenu utraconego podczas menopauzy, pomagając w ten sposób odzyskać normalną funkcjonalność pochwy62. Większość kobiet zgłasza znaczne zmniejszenie suchości, uczucia pieczenia, problemów z układem moczowym (nawracające i przewlekłe ZUM) oraz bólu podczas seksu po terapii laserowej63.

Terapia falami radiowymi i inne

Terapia falami radiowymi to kolejna opcja leczenia atrofii pochwy. Badania kliniczne wykazały, że fale radiowe poprawiają objawy atrofii pochwy i wyniki FSFI w ciągu 3-4 miesięcy64.

ThermiVa to zabieg wykorzystujący energię grzewczą fal radiowych (RF) do stymulacji produkcji kolagenu i napinania tkanek65. Jest to skuteczne rozwiązanie w przypadku suchości pochwy, wiotkości pochwy, łagodnego nietrzymania moczu i zmniejszonej wrażliwości pochwy66.

Inne eksperymentalne opcje odmładzania sromu i pochwy dla kobiet, które nie mogą lub nie tolerują miejscowej lub systemowej terapii estrogenowej, obejmują:

Dobór terapii i indywidualizacja leczenia

Leczenie atrofii pochwy zależy od nasilenia objawów choroby oraz od preferencji i oczekiwań kobiet70. Zgodnie z ogólnie przyjętymi międzynarodowymi standardami, zaleceniami pierwszej linii w leczeniu łagodnych i umiarkowanych objawów atrofii pochwy są niehormononalne lubrykanty pochwowe, które powinny być stosowane przed stosunkiem, oraz nawilżacze pochwowe o długotrwałym działaniu, stosowane regularnie (kilka razy w tygodniu)71.

Biorąc pod uwagę przyczynę (hipoestrogenizm) i patogenezę rozwoju atrofii pochwy, najbardziej logicznym wyborem leczenia tego stanu byłaby terapia estrogenowa. Jednak dla większości lekarzy i towarzystw naukowych jest to leczenie drugiej linii po nawilżaczach i lubrykantach72.

W przypadku kobiet z historią raka piersi, lekarz może zalecić:

  • Niehormononalne opcje leczenia73
  • W konsultacji ze specjalistą onkologiem, lekarz może zalecić miejscowy estrogen w niskiej dawce, jeśli leczenie niehormononalne nie pomaga złagodzić objawów74

Dla kobiet, które nie mogą stosować terapii estrogenowej, dostępne są preparaty niehormononalne na bazie kwasu hialuronowego75. W przypadku łagodnej atrofii pochwy, kwas hialuronowy może być stosowany jako pierwsza metoda leczenia76. Jednak w przypadku umiarkowanej do ciężkiej atrofii pochwy, zaleca się najpierw stosowanie terapii estrogenowej77.

Podsumowanie i zalecenia

Atrofia pochwy, mimo że jest częstym schorzeniem, szczególnie u kobiet po menopauzie, często pozostaje nieleczona z powodu braku świadomości pacjentek i lekarzy na temat dostępnych metod leczenia78. Tymczasem wczesne i adekwatnie dobrane leczenie może zapobiec postępowi choroby i znacząco poprawić jakość życia kobiet79.

Kobiety nie muszą po prostu żyć z atrofią pochwy. Nawet jeśli są w menopauzie lub po menopauzie, nie oznacza to, że muszą radzić sobie z infekcjami dróg moczowych, swędzeniem pochwy czy bolesnym seksem. Leczenie zespołu urogenitalnego menopauzy może być bardzo skuteczne80.

Im wcześniej zostanie podjęte leczenie, tym mniejsze prawdopodobieństwo, że atrofia pochwy się pogorszy81. Atrofia pochwy może poważnie wpłynąć na jakość życia w ogóle, nie tylko na życie seksualne82.

Nie należy się bać rozmowy z lekarzem i partnerem na temat tego problemu83. Wcześniejsze podjęcie leczenia przynosi lepsze rezultaty, a dostępne metody terapeutyczne oferują szerokie możliwości indywidualnego doboru optymalnego postępowania.

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

Materiały źródłowe

  • #1 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    Vulvovaginal atrophy (VVA) is a silent epidemic that affects up to 50%60% of postmenopausal women who are suffering in silence from this condition. […] Modern medicine has in the arsenal various options for treating this pathological condition, including systemic and topical hormone replacement therapy, the use of selective estrogen receptor modulators, vaginal dehydroepiandrosterone, use of lubricants and moisturizers, as well as non-drug therapies. Timely diagnosis and adequately selected therapy for the main symptoms of VVA lead to restoration and maintenance of the vaginal function and vaginal health. […] 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.
  • #2 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9230595/
    Vulvovaginal atrophy (VVA) is a chronic progressive disease involving the female genital apparatus and lower urinary tract. This condition is related to hypoestrogenism consequent to menopause onset but is also due to the hormonal decrease after adjuvant therapy for patients affected by breast cancer. […] The currently available therapies include vaginal lubricants and moisturizers, vaginal estrogens and dehydroepiandrosterone (DHEA), systemic hormone therapy, and Ospemifene. […] The present data suggest great efficacy and safety of a vaginal laser in the treatment of genital symptoms and improvement in sexual function in patients affected by VVA. […] For women with GSM, treatment can be approached gradually depending on the severity of the symptoms. First-line therapies for milder symptoms include vulvar and vaginal lubricants and moisturizers.
  • #3 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. […] Estrogen therapy and dehydroepiandrosterone (DHEA) are the only hormone therapies for vaginal atrophy. […] Topical vaginal estrogen treats symptoms of vaginal atrophy without increasing levels of estrogen levels in your bloodstream. […] You and your healthcare provider will work closely together to come up with a treatment plan for vaginal atrophy. […] Vaginal lubricants should be used during intercourse to reduce friction and pain with sex.
  • #4 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    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. However, for most physicians and scientific societies, it is a second-line treatment after moisturizers and lubricants. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] 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. […] Recently introduced in the treatment of VVA, laser vaginal therapy has demonstrated effectiveness as well as high satisfaction among patients and health care providers. […] 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.
  • #5 Atrophic Vaginitis | Doctor
    https://patient.info/doctor/atrophic-vaginitis
    Atrophic vaginitis treatment […] In most cases, it can be managed successfully. Treatments are often underused because of patient and clinician lack of knowledge of available treatments, embarrassment about initiating a discussion of symptoms and reluctance to initiate hormonal therapy. […] A number of different treatments are available. These include vaginal lubricants and moisturisers, vaginal oestrogen and hormone replacement therapy (HRT). […] The principles of management are: Restoration of urogenital physiology. Alleviation of symptoms. […] Personal lubricants and moisturisers can be effective at relieving discomfort and pain during sexual intercourse for women with mild to moderate vaginal dryness, particularly those who have a genuine contra-indication to oestrogen, or who choose not to use oestrogen. Regular sexual activity can be beneficial for many women.
  • #6 Vaginal atrophy | Jean Hailes
    https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-vaginal-conditions/vaginal-atrophy
    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. They deliver oestrogen directly to the vagina without raising oestrogen levels in the rest of the body. Vaginal oestrogen treatment improves blood flow in the pelvis and increases vaginal secretions. […] MHT may improve vaginal symptoms and other menopause symptoms, such as hot flushes and night sweats. […] 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.
  • #7 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    Vulvovaginal atrophy (VVA) is a silent epidemic that affects up to 50%60% of postmenopausal women who are suffering in silence from this condition. […] Modern medicine has in the arsenal various options for treating this pathological condition, including systemic and topical hormone replacement therapy, the use of selective estrogen receptor modulators, vaginal dehydroepiandrosterone, use of lubricants and moisturizers, as well as non-drug therapies. Timely diagnosis and adequately selected therapy for the main symptoms of VVA lead to restoration and maintenance of the vaginal function and vaginal health. […] 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.
  • #8 Atrophic Vaginitis | Doctor
    https://patient.info/doctor/atrophic-vaginitis
    Atrophic vaginitis treatment […] In most cases, it can be managed successfully. Treatments are often underused because of patient and clinician lack of knowledge of available treatments, embarrassment about initiating a discussion of symptoms and reluctance to initiate hormonal therapy. […] A number of different treatments are available. These include vaginal lubricants and moisturisers, vaginal oestrogen and hormone replacement therapy (HRT). […] The principles of management are: Restoration of urogenital physiology. Alleviation of symptoms. […] Personal lubricants and moisturisers can be effective at relieving discomfort and pain during sexual intercourse for women with mild to moderate vaginal dryness, particularly those who have a genuine contra-indication to oestrogen, or who choose not to use oestrogen. Regular sexual activity can be beneficial for many women.
  • #9 Vaginal Atrophy (Atrophic Vaginitis) – Harvard Health
    https://www.health.harvard.edu/a_to_z/vaginal-atrophy-atrophic-vaginitis-a-to-z
    Vaginal atrophy typically develops so slowly that a woman may not notice any symptoms until five to ten years after menopause begins. […] Treatments range from over-the-counter moisturizers to prescription-only hormone therapy. Women can often manage mild symptoms with nonhormonal moisturizers and, during sexual intercourse, vaginal lubricants. Sexual activity itself may improve the symptoms. If none of these approaches helps, you may need low-dose estrogen in the form of a cream, tablet, or ring inserted into the vagina. […] Vaginal moisturizers. Water-based vaginal moisturizers adhere to the surface of the vagina, releasing water and producing a moist film over vaginal tissue. They also help restore vaginal pH. […] Vaginal lubricants. In addition to a moisturizer, you may want to use a lubricant during intercourse.
  • #10 Vaginal Dryness: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/symptoms/21027-vaginal-dryness
    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. […] Vaginal lubricants: Apply lubricants just before sexual intercourse to ease discomfort caused by sex. […] Natural oils such as grape seed, olive, vegetable, sunflower or coconut oils may be a safe home remedy for vaginal dryness. […] Some providers recommend regular sexual stimulation to help encourage your vaginal tissues to become moist.
  • #11 Vaginal Dryness/Vaginal Atrophy | Intimate Wellness Institute
    https://iwiva.com/intimate-wellness/vaginal-dryness-vaginal-atrophy/
    Vaginal moisturizers: Apply vaginal moisturizers to the inside of your vagina every few days to keep your vaginal lining healthy. Some examples include Replens, Luvena and KY Liquibeads. […] Vaginal lubricants: Apply lubricants just before sexual intercourse to ease discomfort caused by sex. Astroglide and KY Jelly are examples of water-based vaginal lubricants. There are also silicone-based and oil-based lubricants. […] Natural oils such as grape seed, olive, vegetable, sunflower or coconut oils may be a safe home remedy for vaginal dryness. Natural oils should be used as an external lubricant before intercourse. […] Laser and Radiofrequency (RF) treatments: 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. IWI has the most comprehensive laser and RF options available for vaginal dryness and atrophy. Our studies indicate these treatments work better than hormone to relieve dryness and pain with sex and have none of the risks associated with hormone therapy. This is especially critical in women that are not candidates for hormone therapy such as women with Breast Cancer, Blood Clots, who do not want hormones and many other reasons. 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.
  • #12 Vaginal Dryness: Causes and Moisturizing Treatments
    https://www.webmd.com/women/vaginal-dryness-causes-moisturizing-treatments
    Before sexual activity, apply a water-based lubricant in your vagina and on your partner where there will be contact. Using a lubricant can help to relieve any pain or discomfort you might normally experience during sex, since you are giving this area moisture. […] Having sexual stimulation on a consistent basis can help improve your overall vaginal health. […] If you’ve tried these remedies for vaginal dryness and are still experiencing discomfort, you should make an appointment with your doctor. Your doctor can talk to you about other treatment options that can help.
  • #13 Vaginal Dryness/Vaginal Atrophy | Intimate Wellness Institute
    https://iwiva.com/intimate-wellness/vaginal-dryness-vaginal-atrophy/
    Vaginal moisturizers: Apply vaginal moisturizers to the inside of your vagina every few days to keep your vaginal lining healthy. Some examples include Replens, Luvena and KY Liquibeads. […] Vaginal lubricants: Apply lubricants just before sexual intercourse to ease discomfort caused by sex. Astroglide and KY Jelly are examples of water-based vaginal lubricants. There are also silicone-based and oil-based lubricants. […] Natural oils such as grape seed, olive, vegetable, sunflower or coconut oils may be a safe home remedy for vaginal dryness. Natural oils should be used as an external lubricant before intercourse. […] Laser and Radiofrequency (RF) treatments: 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. IWI has the most comprehensive laser and RF options available for vaginal dryness and atrophy. Our studies indicate these treatments work better than hormone to relieve dryness and pain with sex and have none of the risks associated with hormone therapy. This is especially critical in women that are not candidates for hormone therapy such as women with Breast Cancer, Blood Clots, who do not want hormones and many other reasons. 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.
  • #14 Atrophic Vaginitis | Doctor
    https://patient.info/doctor/atrophic-vaginitis
    The efficacy of lubricants and moisturisers is generally lower than that with using topical oestrogens, although some experts believe that when they are applied on a regular basis then they have an efficacy comparable with that of local oestrogen therapy. […] Ospemifene is a selective oestrogen receptor modulator used to treat moderate-to-severe dyspareunia and moderate-to-severe vaginal dryness. […] Topical and systemic oestrogens are the most efficacious treatments for atrophic vaginitis. […] Most women will have relief from their symptoms after about three weeks of treatment. Maximal benefit usually occurs after 1-3 months but may take up to a year. […] Women receiving hormonal treatment should all be advised to contact their doctor if they experience any vaginal bleeding.
  • #15 Vaginal Dryness/Vaginal Atrophy | Intimate Wellness Institute
    https://iwiva.com/intimate-wellness/vaginal-dryness-vaginal-atrophy/
    Vaginal moisturizers: Apply vaginal moisturizers to the inside of your vagina every few days to keep your vaginal lining healthy. Some examples include Replens, Luvena and KY Liquibeads. […] Vaginal lubricants: Apply lubricants just before sexual intercourse to ease discomfort caused by sex. Astroglide and KY Jelly are examples of water-based vaginal lubricants. There are also silicone-based and oil-based lubricants. […] Natural oils such as grape seed, olive, vegetable, sunflower or coconut oils may be a safe home remedy for vaginal dryness. Natural oils should be used as an external lubricant before intercourse. […] Laser and Radiofrequency (RF) treatments: 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. IWI has the most comprehensive laser and RF options available for vaginal dryness and atrophy. Our studies indicate these treatments work better than hormone to relieve dryness and pain with sex and have none of the risks associated with hormone therapy. This is especially critical in women that are not candidates for hormone therapy such as women with Breast Cancer, Blood Clots, who do not want hormones and many other reasons. 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.
  • #16 Vaginal Dryness: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/symptoms/21027-vaginal-dryness
    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. […] Vaginal lubricants: Apply lubricants just before sexual intercourse to ease discomfort caused by sex. […] Natural oils such as grape seed, olive, vegetable, sunflower or coconut oils may be a safe home remedy for vaginal dryness. […] Some providers recommend regular sexual stimulation to help encourage your vaginal tissues to become moist.
  • #17 Vaginal atrophy: Natural remedies, causes, and treatments
    https://www.medicalnewstoday.com/articles/315089
    Some natural lubricants might help soothe and lubricate the genital area. […] Research suggests that probiotics combined with estrogen may improve the symptoms of vaginal atrophy. […] A 2019 study found that combining oral phytoestrogen with probiotics resulted in significant improvements in vaginal atrophy symptoms, particularly vaginal dryness and pain during intercourse. […] Various studies have suggested that vitamin D deficiency may contribute to vaginal atrophy and other menopausal symptoms. Supplementing with vitamin D may help. […] A 2023 study looked at the effects of using a vaginal cream containing vitamin D and vitamin E. After 4 weeks of use, participants reported improvements in vaginal dryness, itching, and burning. […] As well as natural remedies and lifestyle changes, there are several treatments for vaginal atrophy.
  • #18 Vaginal atrophy: Natural remedies, causes, and treatments
    https://www.medicalnewstoday.com/articles/315089
    Some natural lubricants might help soothe and lubricate the genital area. […] Research suggests that probiotics combined with estrogen may improve the symptoms of vaginal atrophy. […] A 2019 study found that combining oral phytoestrogen with probiotics resulted in significant improvements in vaginal atrophy symptoms, particularly vaginal dryness and pain during intercourse. […] Various studies have suggested that vitamin D deficiency may contribute to vaginal atrophy and other menopausal symptoms. Supplementing with vitamin D may help. […] A 2023 study looked at the effects of using a vaginal cream containing vitamin D and vitamin E. After 4 weeks of use, participants reported improvements in vaginal dryness, itching, and burning. […] As well as natural remedies and lifestyle changes, there are several treatments for vaginal atrophy.
  • #19 Guide to home remedies for vaginal atrophy | Interlude
    https://getinterlude.com/blog/guide-to-home-remedies-for-vaginal-atrophy.html?srsltid=AfmBOoqv6gybrwgl96zDw0x3WYmU4ZOjbKNF_b_950Zc_-RyQPvfHq5Z
    Vaginal atrophy causes thinning of the vaginal tissues, which can lead to itching, burning, and pain during sex. […] If you are sitting at home trying to figure out what you can do to reverse vaginal atrophy affordably and easily, there are plenty of things that you can try for example, using coconut oil as a personal lubricant and avoiding hot baths. […] The following list of home remedies may help relieve vaginal atrophy: Coconut oil. If painful sex is a concern, coconut oil can be used as a personal lubricant to help make intimacy more comfortable. […] A 2016 study comparing vitamin E vaginal suppositories with vaginal estrogen cream showed that vitamin E was effective at treating vaginal atrophy, though not as effective as vaginal estrogen cream. […] A small study in 2020 concluded that vaginal moisturizers that contain aloe vera can be effective in managing vaginal atrophy.
  • #20 Vaginal Atrophy | Compounding Solutions Pharmacy & Wellness
    https://www.compoundsavannah.com/vaginal-atrophy
    Vitamin E vaginal suppositories or cream Research has shown that vitamin E used vaginally can improve vaginal lubrication and symptoms of vaginal atrophy […] Hyaluronic acid/Vitamin A/Vitamin E vaginal suppositories Hyaluronic acid is a moisturizer that is typically associated with skin care products. However, when used vaginally, it can help to improve vaginal lubrication. […] What over-the-counter options are available? […] Vaginal moisturizers Vaginal moisturizers, such as Replens, may help restore moisture to the vaginal area. You may have to apply moisturizer every few days, but the effects of a moisturizer typically lasts longer than lubricants. […] Water-based lubricants Water-based lubricants, like Astroglide or KY Jelly, are typically applied prior to sexual intercourse and may reduce any discomfort during intercourse.
  • #21 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. […] This article examines some helpful natural remedies, lifestyle changes, and medical treatments that can reduce symptoms and enhance the quality of life for people with vaginal atrophy. […] 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. […] Getting regular exercise: Frequent exercise and physical activity help with hormone balance. […] People with vaginal atrophy should discuss any herbal supplements or dietary changes with their doctor before making any long-term lifestyle changes to manage a condition.
  • #22 Diagnosis and Treatment of Atrophic Vaginitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2000/0515/p3090.html
    Systemic administration of estrogen has been shown to have a therapeutic effect on symptoms of atrophic vaginitis. […] Other treatment options include transvaginal delivery of estrogen in the form of creams, pessaries or a hormone-releasing ring (Estring). […] Transvaginal rings offer convenience, constancy of hormonal concentration in the blood stream and a therapeutic value equivalent to creams without the need for frequent application. […] Moisturizers and lubricants may be used in conjunction with estrogen replacement therapy or as alternative treatments. […] Sexual activity is a healthful prescription for postmenopausal women who have a substantially estrogenized vaginal epithelium. […] Vaginal atrophy need not be an inevitable consequence of menopause or other events that result in long-term estrogen loss. Active diagnosis and intervention may prevent development of atrophic vaginitis or eliminate existing symptoms.
  • #23 Diagnosis and Treatment of Atrophic Vaginitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2000/0515/p3090.html
    Systemic administration of estrogen has been shown to have a therapeutic effect on symptoms of atrophic vaginitis. […] Other treatment options include transvaginal delivery of estrogen in the form of creams, pessaries or a hormone-releasing ring (Estring). […] Transvaginal rings offer convenience, constancy of hormonal concentration in the blood stream and a therapeutic value equivalent to creams without the need for frequent application. […] Moisturizers and lubricants may be used in conjunction with estrogen replacement therapy or as alternative treatments. […] Sexual activity is a healthful prescription for postmenopausal women who have a substantially estrogenized vaginal epithelium. […] Vaginal atrophy need not be an inevitable consequence of menopause or other events that result in long-term estrogen loss. Active diagnosis and intervention may prevent development of atrophic vaginitis or eliminate existing symptoms.
  • #24 5 Signs of Vaginal Atrophy: Women’s Healthcare of Princeton: Gynecologists
    https://www.princetongyn.com/blog/5-signs-of-vaginal-atrophy
    Vaginal atrophy can occur when the walls of your vagina become thin, dry, and inflamed. Typically, vaginal atrophy may happen during midlife, when perimenopause and menopause cause your body to produce less estrogen. […] At Womens Healthcare of Princeton in Princeton, New Jersey, Dr. Maria Sophocles and the rest of our team take vaginal atrophy seriously. We specialize in diagnosing and treating vaginal atrophy, as well as making sure our patients understand what it is, how it can impact them, and how it can be managed. […] Women with vaginal atrophy have several treatment options. For some women, doing Kegel exercises, which increase blood flow to vaginal tissues, can make a difference. You can do Kegels by flexing the muscles you use to stop the flow of urine. […] Another option is hormone therapy. Adding in estrogen can help restore flexibility and moisture to the vagina. Hormone therapy can be administered in the form of pills, creams, pellets, skin patches, or sprays.
  • #25 5 Signs of Vaginal Atrophy: Women’s Healthcare of Princeton: Gynecologists
    https://www.princetongyn.com/blog/5-signs-of-vaginal-atrophy
    Vaginal atrophy can occur when the walls of your vagina become thin, dry, and inflamed. Typically, vaginal atrophy may happen during midlife, when perimenopause and menopause cause your body to produce less estrogen. […] At Womens Healthcare of Princeton in Princeton, New Jersey, Dr. Maria Sophocles and the rest of our team take vaginal atrophy seriously. We specialize in diagnosing and treating vaginal atrophy, as well as making sure our patients understand what it is, how it can impact them, and how it can be managed. […] Women with vaginal atrophy have several treatment options. For some women, doing Kegel exercises, which increase blood flow to vaginal tissues, can make a difference. You can do Kegels by flexing the muscles you use to stop the flow of urine. […] Another option is hormone therapy. Adding in estrogen can help restore flexibility and moisture to the vagina. Hormone therapy can be administered in the form of pills, creams, pellets, skin patches, or sprays.
  • #26 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. […] This article examines some helpful natural remedies, lifestyle changes, and medical treatments that can reduce symptoms and enhance the quality of life for people with vaginal atrophy. […] 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. […] Getting regular exercise: Frequent exercise and physical activity help with hormone balance. […] People with vaginal atrophy should discuss any herbal supplements or dietary changes with their doctor before making any long-term lifestyle changes to manage a condition.
  • #27 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    If vaginal dryness is associated with other symptoms of menopause, such as moderate or severe hot flashes, your doctor may suggest estrogen pills, patches or gel, or a higher dose estrogen ring. […] You may use vaginal dilators as a nonhormonal treatment option. Vaginal dilators may also be used in addition to estrogen therapy. […] Available as a prescription ointment or gel, topical lidocaine can be used to lessen discomfort associated with sexual activity. […] If you have a history of breast cancer, tell your doctor and consider these options: […] In consultation with your cancer specialist (oncologist), your doctor might recommend low-dose vaginal estrogen if nonhormonal treatments don’t help your symptoms. […] Vaginal dilators are a nonhormonal option that can stimulate and stretch the vaginal muscles. This helps to reverse narrowing of the vagina.
  • #28 Vulvovaginal Atrophy Following Treatment for Oncogynecologic Pathologies: Etiology, Epidemiology, Diagnosis, and Treatment Options
    https://www.mdpi.com/1648-9144/60/10/1584
    Vaginal dilators are especially important for patients with vaginal stenosis after RT, promoting tissue stretch and support, enhancing vaginal blood flow, and improving pelvic floor muscle control. […] Fractionated microablative carbon dioxide (CO2) and non-ablative Erbium YAG lasers are commonly used for VVA treatment. […] Clinical trials have shown that radiofrequency improves VVA symptoms and FSFI scores within 3–4 months.
  • #29 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    If vaginal dryness is associated with other symptoms of menopause, such as moderate or severe hot flashes, your doctor may suggest estrogen pills, patches or gel, or a higher dose estrogen ring. […] You may use vaginal dilators as a nonhormonal treatment option. Vaginal dilators may also be used in addition to estrogen therapy. […] Available as a prescription ointment or gel, topical lidocaine can be used to lessen discomfort associated with sexual activity. […] If you have a history of breast cancer, tell your doctor and consider these options: […] In consultation with your cancer specialist (oncologist), your doctor might recommend low-dose vaginal estrogen if nonhormonal treatments don’t help your symptoms. […] Vaginal dilators are a nonhormonal option that can stimulate and stretch the vaginal muscles. This helps to reverse narrowing of the vagina.
  • #30 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). […] Fortunately, there are several effective treatments available. If you have symptoms of vaginal dryness, talk to your health care provider about which treatment is right for you. […] There are several treatment options for vaginal dryness. Some, such as vaginal moisturizers or lubricants, are available without a prescription. Others require a prescription; these include a vaginal estrogen cream, tablet, capsule, or ring; an oral medication called ospemifene; and a vaginal tablet called prasterone. […] 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.
  • #31 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 estrogen therapy comes in a number of forms. Because they all seem to work equally well, you and your doctor can decide which one is best for you. […] Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe genitourinary syndrome of menopause (GSM). […] These vaginal inserts deliver the hormone DHEA directly to the vagina to help ease painful sex. DHEA is a hormone that helps the body produce other hormones, including estrogen. Prasterone is used nightly for moderate to severe vaginal atrophy.
  • #32 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 estrogen therapy comes in a number of forms. Because they all seem to work equally well, you and your doctor can decide which one is best for you. […] Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe genitourinary syndrome of menopause (GSM). […] These vaginal inserts deliver the hormone DHEA directly to the vagina to help ease painful sex. DHEA is a hormone that helps the body produce other hormones, including estrogen. Prasterone is used nightly for moderate to severe vaginal atrophy.
  • #33 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes
    https://www.healthline.com/health/atrophic-vaginitis
    A vaginal estrogen cream, such as Premarin or Estrace. These types of medications are inserted into the vagina with an applicator at bedtime. Your doctor may prescribe the cream daily for a couple of weeks, then step down to two or three times per week. […] A vaginal estrogen tablet, such as Vagifem, is inserted into the vagina using a disposable applicator. Usually, one dose per day is prescribed at first, which is later stepped down to one or two times per week. […] During menopause, oral estrogen is often used to treat hot flashes and vaginal dryness. But prolonged use heightens the risk of certain cancers, particularly breast cancer. Oral estrogen usually isn’t prescribed to people who have had cancer. […] If your health history doesn’t include cancer, progesterone may be prescribed in addition to estrogen in pill or patch form. Your doctor will work with you to decide which option is best for you. […] Estrogen therapy is the primary treatment method for atrophic vaginitis, but small changes, such as wearing cotton underwear, using vaginal moisturizers, and engaging in regular physical activity, may help as well.
  • #34 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes
    https://www.healthline.com/health/atrophic-vaginitis
    A vaginal estrogen cream, such as Premarin or Estrace. These types of medications are inserted into the vagina with an applicator at bedtime. Your doctor may prescribe the cream daily for a couple of weeks, then step down to two or three times per week. […] A vaginal estrogen tablet, such as Vagifem, is inserted into the vagina using a disposable applicator. Usually, one dose per day is prescribed at first, which is later stepped down to one or two times per week. […] During menopause, oral estrogen is often used to treat hot flashes and vaginal dryness. But prolonged use heightens the risk of certain cancers, particularly breast cancer. Oral estrogen usually isn’t prescribed to people who have had cancer. […] If your health history doesn’t include cancer, progesterone may be prescribed in addition to estrogen in pill or patch form. Your doctor will work with you to decide which option is best for you. […] Estrogen therapy is the primary treatment method for atrophic vaginitis, but small changes, such as wearing cotton underwear, using vaginal moisturizers, and engaging in regular physical activity, may help as well.
  • #35 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. […] With treatment, it’s possible to improve your vaginal health and your quality of life. Treatment can focus on symptoms or the underlying cause. […] Over-the-counter moisturizers or water-based lubricants can help treat dryness. […] If symptoms are severe, your doctor may recommend estrogen replacement therapy. Estrogen improves vaginal elasticity and natural moisture. It usually works in just a few weeks. Estrogen can be taken either topically or orally. […] Topical estrogen is available in several forms: A vaginal estrogen ring, such as Estring. Estring is a flexible, soft ring inserted into the upper part of the vagina by you or your doctor. It releases a constant dose of estrogen and only needs to be replaced every three months.
  • #36 Atrophic Vaginitis | Doctor
    https://patient.info/doctor/atrophic-vaginitis
    The efficacy of lubricants and moisturisers is generally lower than that with using topical oestrogens, although some experts believe that when they are applied on a regular basis then they have an efficacy comparable with that of local oestrogen therapy. […] Ospemifene is a selective oestrogen receptor modulator used to treat moderate-to-severe dyspareunia and moderate-to-severe vaginal dryness. […] Topical and systemic oestrogens are the most efficacious treatments for atrophic vaginitis. […] Most women will have relief from their symptoms after about three weeks of treatment. Maximal benefit usually occurs after 1-3 months but may take up to a year. […] Women receiving hormonal treatment should all be advised to contact their doctor if they experience any vaginal bleeding.
  • #37 Atrophic Vulvovaginitis (Atrophic Vaginitis): A Complete Overview — DermNet
    https://dermnetnz.org/topics/atrophic-vulvovaginitis
    Atrophic vulvovaginitis is treated with topical oestrogen, a prescription medicine. This can be provided as vaginal cream, pessaries or vaginal ring. In New Zealand, Ovestin, which contains oestriol, is used in a dose of 0.5 mg/day for 12 weeks then once or twice weekly. It can be inserted with an applicator or on a fingertip. Vagifem pessaries (containing oestrodiol) can also be used but are not currently funded by PHARMAC in New Zealand. […] Oestrogen treatment results in: Normalisation of vaginal wall cells, Improved vaginal blood flow, Decreased vaginal pH, Re-colonisation by lactobacilli, Improve vaginal thickness and elasticity, Reduction in vulvovaginal symptoms, Improved sexual function, Reduced urinary infections. […] Topical oestrogen is considered safe because very little is absorbed systemically. However, it is not usually prescribed to women with severe liver disease, oestrogen-dependent cancers or thromboembolic disease in case it increases the risk of these conditions.
  • #38 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    If vaginal dryness is associated with other symptoms of menopause, such as moderate or severe hot flashes, your doctor may suggest estrogen pills, patches or gel, or a higher dose estrogen ring. […] You may use vaginal dilators as a nonhormonal treatment option. Vaginal dilators may also be used in addition to estrogen therapy. […] Available as a prescription ointment or gel, topical lidocaine can be used to lessen discomfort associated with sexual activity. […] If you have a history of breast cancer, tell your doctor and consider these options: […] In consultation with your cancer specialist (oncologist), your doctor might recommend low-dose vaginal estrogen if nonhormonal treatments don’t help your symptoms. […] Vaginal dilators are a nonhormonal option that can stimulate and stretch the vaginal muscles. This helps to reverse narrowing of the vagina.
  • #39 Atrophic Vulvovaginitis (Atrophic Vaginitis): A Complete Overview — DermNet
    https://dermnetnz.org/topics/atrophic-vulvovaginitis
    Other forms of oestrogen are sometimes recommended including tablets, transdermal patches, gels, sprays and emulsions. Systemic oestrogen is usually mixed with progestogens. There are important risks and side effects so they are not usually used if atrophic vaginitis is the only problem. […] Topical oestrogen may cause side effects, including: Vaginal itching and burning, Increased risk of vaginal Candida albicans infection (vaginal thrush), Breast discomfort (uncommon), Vaginal bleeding (rare). […] Experimental options for vulvovaginal rejuvenation in symptomatic women that are unsuitable for or intolerant of local or systemic oestrogen therapy include: Platelet-rich plasma injections, Hyaluronic acid or fat implants (lipofilling of labia majora), Fractional carbon dioxide laser, nonablative erbium:YAG laser, diode laser and monopolar radiofrequency devices, Vaginal surgery (vaginoplasty).
  • #40 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes
    https://www.healthline.com/health/atrophic-vaginitis
    A vaginal estrogen cream, such as Premarin or Estrace. These types of medications are inserted into the vagina with an applicator at bedtime. Your doctor may prescribe the cream daily for a couple of weeks, then step down to two or three times per week. […] A vaginal estrogen tablet, such as Vagifem, is inserted into the vagina using a disposable applicator. Usually, one dose per day is prescribed at first, which is later stepped down to one or two times per week. […] During menopause, oral estrogen is often used to treat hot flashes and vaginal dryness. But prolonged use heightens the risk of certain cancers, particularly breast cancer. Oral estrogen usually isn’t prescribed to people who have had cancer. […] If your health history doesn’t include cancer, progesterone may be prescribed in addition to estrogen in pill or patch form. Your doctor will work with you to decide which option is best for you. […] Estrogen therapy is the primary treatment method for atrophic vaginitis, but small changes, such as wearing cotton underwear, using vaginal moisturizers, and engaging in regular physical activity, may help as well.
  • #41 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes
    https://www.healthline.com/health/atrophic-vaginitis
    A vaginal estrogen cream, such as Premarin or Estrace. These types of medications are inserted into the vagina with an applicator at bedtime. Your doctor may prescribe the cream daily for a couple of weeks, then step down to two or three times per week. […] A vaginal estrogen tablet, such as Vagifem, is inserted into the vagina using a disposable applicator. Usually, one dose per day is prescribed at first, which is later stepped down to one or two times per week. […] During menopause, oral estrogen is often used to treat hot flashes and vaginal dryness. But prolonged use heightens the risk of certain cancers, particularly breast cancer. Oral estrogen usually isn’t prescribed to people who have had cancer. […] If your health history doesn’t include cancer, progesterone may be prescribed in addition to estrogen in pill or patch form. Your doctor will work with you to decide which option is best for you. […] Estrogen therapy is the primary treatment method for atrophic vaginitis, but small changes, such as wearing cotton underwear, using vaginal moisturizers, and engaging in regular physical activity, may help as well.
  • #42 The Right Treatment for Vaginal Atrophy Can Help Restore Your Quality of Life | BodyLogicMD
    https://www.bodylogicmd.com/blog/the-right-treatment-for-vaginal-atrophy-can-help-restore-your-quality-of-life/
    Evidence consistently shows that estrogen therapy can relieve uncomfortable menopause symptoms, including vaginal atrophy. In fact, it is remarkably effective for this purpose; according to a 2018 paper in the International Journal of Women’s Health, “studies have shown that systemic HRT eliminates the symptoms of vaginal atrophy in 75% of cases, while local therapy does so in 80-90% of cases.” This data should be highly encouraging for any woman struggling with estrogen-related vaginal discomfort—not only is treatment available, but that treatment is nearly universally successful. […] […] When you decide to explore your treatment options, an expert hormone practitioner can provide you with the guidance you need to move forward with confidence. After gaining a full understanding of your symptoms and health history, they can help you determine whether hormone replacement therapy is right for you and create a personalized treatment plan tailored to your needs. While hormone replacement therapy may be the centerpiece of treatment, healthy physical activity and supportive nutrition can also help with overall wellness during this transformative stage of life. With the right strategies, you can not only address vaginal atrophy, but revitalize your mood, your energy, and your relationships.
  • #43 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    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. However, for most physicians and scientific societies, it is a second-line treatment after moisturizers and lubricants. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] 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. […] Recently introduced in the treatment of VVA, laser vaginal therapy has demonstrated effectiveness as well as high satisfaction among patients and health care providers. […] 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.
  • #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 estrogen therapy comes in a number of forms. Because they all seem to work equally well, you and your doctor can decide which one is best for you. […] Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe genitourinary syndrome of menopause (GSM). […] These vaginal inserts deliver the hormone DHEA directly to the vagina to help ease painful sex. DHEA is a hormone that helps the body produce other hormones, including estrogen. Prasterone is used nightly for moderate to severe vaginal atrophy.
  • #45 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 estrogen therapy comes in a number of forms. Because they all seem to work equally well, you and your doctor can decide which one is best for you. […] Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe genitourinary syndrome of menopause (GSM). […] These vaginal inserts deliver the hormone DHEA directly to the vagina to help ease painful sex. DHEA is a hormone that helps the body produce other hormones, including estrogen. Prasterone is used nightly for moderate to severe vaginal atrophy.
  • #46 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 estrogen therapy comes in a number of forms. Because they all seem to work equally well, you and your doctor can decide which one is best for you. […] Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe genitourinary syndrome of menopause (GSM). […] These vaginal inserts deliver the hormone DHEA directly to the vagina to help ease painful sex. DHEA is a hormone that helps the body produce other hormones, including estrogen. Prasterone is used nightly for moderate to severe vaginal atrophy.
  • #47 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    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. However, for most physicians and scientific societies, it is a second-line treatment after moisturizers and lubricants. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] 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. […] Recently introduced in the treatment of VVA, laser vaginal therapy has demonstrated effectiveness as well as high satisfaction among patients and health care providers. […] 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 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print
    Prasterone, also known as dehydroepiandrosterone (DHEA), turns into estrogen and testosterone in the vagina and is also an option for people with vaginal dryness due to menopause. […] Ospemifene is a prescription medication that is similar to estrogen but is not estrogen. In the vaginal tissue, it acts similarly to estrogen. […] Other therapies, such as vaginal laser, other energy-based devices, or alternative topical medications (such as vitamins and probiotics) have been marketed as treatments for vaginal dryness but are not routinely prescribed.
  • #49 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print
    Prasterone, also known as dehydroepiandrosterone (DHEA), turns into estrogen and testosterone in the vagina and is also an option for people with vaginal dryness due to menopause. […] Ospemifene is a prescription medication that is similar to estrogen but is not estrogen. In the vaginal tissue, it acts similarly to estrogen. […] Other therapies, such as vaginal laser, other energy-based devices, or alternative topical medications (such as vitamins and probiotics) have been marketed as treatments for vaginal dryness but are not routinely prescribed.
  • #50 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 estrogen therapy comes in a number of forms. Because they all seem to work equally well, you and your doctor can decide which one is best for you. […] Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe genitourinary syndrome of menopause (GSM). […] These vaginal inserts deliver the hormone DHEA directly to the vagina to help ease painful sex. DHEA is a hormone that helps the body produce other hormones, including estrogen. Prasterone is used nightly for moderate to severe vaginal atrophy.
  • #51 Your Guide to Managing Vaginal Atrophy Symptoms with BHRT
    https://www.thrivelab.com/blog/your-guide-to-managing-vaginal-atrophy-symptoms-with-bhrt
    Restoring estrogen levels promotes the regeneration of vaginal tissues, increasing vaginal lubrication, thickness, and elasticity. […] BHRT offers a solution by replenishing estrogen levels in the body, promoting the regeneration of vaginal tissues, and alleviating symptoms of vaginal atrophy. […] One approach to managing vaginal atrophy is bioidentical hormone replacement therapy which involves supplementing the body with natural hormones to restore hormonal balance. […] Bioidentical Hormone Replacement Therapy stands out as a natural and effective treatment for vaginal atrophy and other menopausal symptoms. […] BHRT works by restoring hormonal balance, revitalizing vaginal tissues, and improving overall well-being. By restoring estrogen levels, BHRT promotes the regeneration of vaginal tissues, increasing vaginal lubrication, thickness, and elasticity. This can help alleviate symptoms such as vaginal dryness, itching, burning, and pain during intercourse.
  • #52 Your Guide to Managing Vaginal Atrophy Symptoms with BHRT
    https://www.thrivelab.com/blog/your-guide-to-managing-vaginal-atrophy-symptoms-with-bhrt
    Restoring estrogen levels promotes the regeneration of vaginal tissues, increasing vaginal lubrication, thickness, and elasticity. […] BHRT offers a solution by replenishing estrogen levels in the body, promoting the regeneration of vaginal tissues, and alleviating symptoms of vaginal atrophy. […] One approach to managing vaginal atrophy is bioidentical hormone replacement therapy which involves supplementing the body with natural hormones to restore hormonal balance. […] Bioidentical Hormone Replacement Therapy stands out as a natural and effective treatment for vaginal atrophy and other menopausal symptoms. […] BHRT works by restoring hormonal balance, revitalizing vaginal tissues, and improving overall well-being. By restoring estrogen levels, BHRT promotes the regeneration of vaginal tissues, increasing vaginal lubrication, thickness, and elasticity. This can help alleviate symptoms such as vaginal dryness, itching, burning, and pain during intercourse.
  • #53 Your Guide to Managing Vaginal Atrophy Symptoms with BHRT
    https://www.thrivelab.com/blog/your-guide-to-managing-vaginal-atrophy-symptoms-with-bhrt
    Restoring estrogen levels promotes the regeneration of vaginal tissues, increasing vaginal lubrication, thickness, and elasticity. […] BHRT offers a solution by replenishing estrogen levels in the body, promoting the regeneration of vaginal tissues, and alleviating symptoms of vaginal atrophy. […] One approach to managing vaginal atrophy is bioidentical hormone replacement therapy which involves supplementing the body with natural hormones to restore hormonal balance. […] Bioidentical Hormone Replacement Therapy stands out as a natural and effective treatment for vaginal atrophy and other menopausal symptoms. […] BHRT works by restoring hormonal balance, revitalizing vaginal tissues, and improving overall well-being. By restoring estrogen levels, BHRT promotes the regeneration of vaginal tissues, increasing vaginal lubrication, thickness, and elasticity. This can help alleviate symptoms such as vaginal dryness, itching, burning, and pain during intercourse.
  • #54 Vaginal atrophy: causes, symptoms and treatment | SEID Lab
    https://lab-seid.com/vaginal-atrophy-understanding-a-common-condition-in-women/?lang=en
    Vaginal atrophy can have a very significant impact on the quality of life of those who experience it. […] Various treatments are available to address the symptoms of vaginal atrophy and improve the quality of life of affected women. […] Hormone replacement therapy (HRT): This therapy involves the administration of hormones, such as oestrogen, to compensate for the natural decrease in hormone levels in the body. It can help restore vaginal health, relieve dryness and improve tissue elasticity. HRT can be applied in the form of creams, vaginal rings or oral tablets, always under medical prescription. […] Vaginal moisturisers and lubricants provide temporary relief from vaginal dryness and facilitate sexual intercourse. […] Laser treatments: Laser therapy is a relatively new option that uses laser energy to stimulate collagen production in vaginal tissue. Improves lubrication, elasticity and overall health of the vagina.
  • #55 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://www.mdpi.com/1648-9144/58/6/770
    Physical methods for the treatment of VVA, such as vaginal laser therapy, represent a non-pharmacological second line option, particularly useful for women who are nonresponsive and/or noncompliant and those who have contraindications to hormones. […] The primary purpose of this review is to narratively report the evidence regarding the efficacy and safety of Er:YAG and CO2 vaginal laser treatment for genital symptoms in women suffering from VVA. […] The two main types of lasers currently used for the treatment of VVA are the fractional micro-ablative CO2 laser and the non-ablative photothermal Erbium:YAG laser. […] The effectiveness of the Er:YAG laser for vaginal atrophy was first described in 2015. […] The vaginal micro-ablative CO2 laser was introduced in 2014 and, immediately, different histological studies confirmed its efficacy in changing and rejuvenating vulvovaginal tissue in patients affected by VVA.
  • #56 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://www.mdpi.com/1648-9144/58/6/770
    Physical methods for the treatment of VVA, such as vaginal laser therapy, represent a non-pharmacological second line option, particularly useful for women who are nonresponsive and/or noncompliant and those who have contraindications to hormones. […] The primary purpose of this review is to narratively report the evidence regarding the efficacy and safety of Er:YAG and CO2 vaginal laser treatment for genital symptoms in women suffering from VVA. […] The two main types of lasers currently used for the treatment of VVA are the fractional micro-ablative CO2 laser and the non-ablative photothermal Erbium:YAG laser. […] The effectiveness of the Er:YAG laser for vaginal atrophy was first described in 2015. […] The vaginal micro-ablative CO2 laser was introduced in 2014 and, immediately, different histological studies confirmed its efficacy in changing and rejuvenating vulvovaginal tissue in patients affected by VVA.
  • #57 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://www.mdpi.com/1648-9144/58/6/770
    Physical methods for the treatment of VVA, such as vaginal laser therapy, represent a non-pharmacological second line option, particularly useful for women who are nonresponsive and/or noncompliant and those who have contraindications to hormones. […] The primary purpose of this review is to narratively report the evidence regarding the efficacy and safety of Er:YAG and CO2 vaginal laser treatment for genital symptoms in women suffering from VVA. […] The two main types of lasers currently used for the treatment of VVA are the fractional micro-ablative CO2 laser and the non-ablative photothermal Erbium:YAG laser. […] The effectiveness of the Er:YAG laser for vaginal atrophy was first described in 2015. […] The vaginal micro-ablative CO2 laser was introduced in 2014 and, immediately, different histological studies confirmed its efficacy in changing and rejuvenating vulvovaginal tissue in patients affected by VVA.
  • #58 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://www.mdpi.com/1648-9144/58/6/770
    Physical methods for the treatment of VVA, such as vaginal laser therapy, represent a non-pharmacological second line option, particularly useful for women who are nonresponsive and/or noncompliant and those who have contraindications to hormones. […] The primary purpose of this review is to narratively report the evidence regarding the efficacy and safety of Er:YAG and CO2 vaginal laser treatment for genital symptoms in women suffering from VVA. […] The two main types of lasers currently used for the treatment of VVA are the fractional micro-ablative CO2 laser and the non-ablative photothermal Erbium:YAG laser. […] The effectiveness of the Er:YAG laser for vaginal atrophy was first described in 2015. […] The vaginal micro-ablative CO2 laser was introduced in 2014 and, immediately, different histological studies confirmed its efficacy in changing and rejuvenating vulvovaginal tissue in patients affected by VVA.
  • #59 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://www.mdpi.com/1648-9144/58/6/770
    The available literature, so far, counts several clinical studies on the efficacy and safety of the vaginal laser for the treatment of VVA, most of them concerning the use of the micro-ablative fractional CO2 laser and others focusing on Erbium:YAG vaginal laser treatment. […] The symptoms significantly improve in almost all the investigations, with a significant reduction in the VAS scores for vaginal dryness, burning, itching, and dyspareunia and an augmentation in the total FSFI and FSDS scores, but also in their individual items. […] Vaginal laser treatment represents a valid, innovative, and minimally invasive therapy for the treatment of vulvovaginal atrophy symptoms as it has been widely demonstrated to be effective and completely safe.
  • #60 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review
    https://www.mdpi.com/1648-9144/58/6/770
    The available literature, so far, counts several clinical studies on the efficacy and safety of the vaginal laser for the treatment of VVA, most of them concerning the use of the micro-ablative fractional CO2 laser and others focusing on Erbium:YAG vaginal laser treatment. […] The symptoms significantly improve in almost all the investigations, with a significant reduction in the VAS scores for vaginal dryness, burning, itching, and dyspareunia and an augmentation in the total FSFI and FSDS scores, but also in their individual items. […] Vaginal laser treatment represents a valid, innovative, and minimally invasive therapy for the treatment of vulvovaginal atrophy symptoms as it has been widely demonstrated to be effective and completely safe.
  • #61 Vaginal Atrophy Treatment London | Vaginal Dryness
    https://www.londonwomenscentre.co.uk/our-treatments/vaginal-atrophy
    If you suffer from discomfort caused by vaginal atrophy, a new type of treatment is now available. MonaLisa Touch is a fractional CO2 laser that is used to treat vaginal atrophy in a painless and minimally invasive way. […] The MonaLisa Touch treatment reshapes and restores atrophic vaginal tissue. It stimulates the production of collagen lost during menopause, thus helping to regain the normal functionality of the vagina. […] Most women have reported significant reduction in dryness, burning sensations, urinary problems (recurrent and chronic UTIs) and pain during sex, following laser therapy. […] If your vaginal atrophy symptoms are moderate, our consultants may suggest over-the-counter self-medication. Using a vaginal moisturiser or lubricant can effectively restore lost moisture and provide relief from discomfort.
  • #62 Vaginal Atrophy Treatment London | Vaginal Dryness
    https://www.londonwomenscentre.co.uk/our-treatments/vaginal-atrophy
    If you suffer from discomfort caused by vaginal atrophy, a new type of treatment is now available. MonaLisa Touch is a fractional CO2 laser that is used to treat vaginal atrophy in a painless and minimally invasive way. […] The MonaLisa Touch treatment reshapes and restores atrophic vaginal tissue. It stimulates the production of collagen lost during menopause, thus helping to regain the normal functionality of the vagina. […] Most women have reported significant reduction in dryness, burning sensations, urinary problems (recurrent and chronic UTIs) and pain during sex, following laser therapy. […] If your vaginal atrophy symptoms are moderate, our consultants may suggest over-the-counter self-medication. Using a vaginal moisturiser or lubricant can effectively restore lost moisture and provide relief from discomfort.
  • #63 Vaginal Atrophy Treatment London | Vaginal Dryness
    https://www.londonwomenscentre.co.uk/our-treatments/vaginal-atrophy
    If you suffer from discomfort caused by vaginal atrophy, a new type of treatment is now available. MonaLisa Touch is a fractional CO2 laser that is used to treat vaginal atrophy in a painless and minimally invasive way. […] The MonaLisa Touch treatment reshapes and restores atrophic vaginal tissue. It stimulates the production of collagen lost during menopause, thus helping to regain the normal functionality of the vagina. […] Most women have reported significant reduction in dryness, burning sensations, urinary problems (recurrent and chronic UTIs) and pain during sex, following laser therapy. […] If your vaginal atrophy symptoms are moderate, our consultants may suggest over-the-counter self-medication. Using a vaginal moisturiser or lubricant can effectively restore lost moisture and provide relief from discomfort.
  • #64 Vulvovaginal Atrophy Following Treatment for Oncogynecologic Pathologies: Etiology, Epidemiology, Diagnosis, and Treatment Options
    https://www.mdpi.com/1648-9144/60/10/1584
    Vaginal dilators are especially important for patients with vaginal stenosis after RT, promoting tissue stretch and support, enhancing vaginal blood flow, and improving pelvic floor muscle control. […] Fractionated microablative carbon dioxide (CO2) and non-ablative Erbium YAG lasers are commonly used for VVA treatment. […] Clinical trials have shown that radiofrequency improves VVA symptoms and FSFI scores within 3–4 months.
  • #65 3 Ways to Treat Vaginal Atrophy – Tideline Women’s Health
    https://tidelinehealth.net/3-ways-to-treat-vaginal-atrophy/
    At Tideline Center for Health Aesthetics, we offer an array of vaginal rejuvenation treatment options, including the following. […] ThermiVa uses radiofrequency (RF) heating energy to stimulate collagen production and tighten the tissues. This treatment is an effective solution for vaginal dryness, vaginal laxity, mild urinary incontinence, and decreased vaginal sensitivity. […] Platelet-rich plasma (PRP) uses a patients own blood to regenerate vaginal tissue, improving vaginal dryness, sexual enjoyment, urinary leakage, and more. […] If you are seeking professional treatment for vaginal atrophy, contact Tideline Center for Health Aesthetics today to schedule a consultation.
  • #66 3 Ways to Treat Vaginal Atrophy – Tideline Women’s Health
    https://tidelinehealth.net/3-ways-to-treat-vaginal-atrophy/
    At Tideline Center for Health Aesthetics, we offer an array of vaginal rejuvenation treatment options, including the following. […] ThermiVa uses radiofrequency (RF) heating energy to stimulate collagen production and tighten the tissues. This treatment is an effective solution for vaginal dryness, vaginal laxity, mild urinary incontinence, and decreased vaginal sensitivity. […] Platelet-rich plasma (PRP) uses a patients own blood to regenerate vaginal tissue, improving vaginal dryness, sexual enjoyment, urinary leakage, and more. […] If you are seeking professional treatment for vaginal atrophy, contact Tideline Center for Health Aesthetics today to schedule a consultation.
  • #67 Atrophic Vulvovaginitis (Atrophic Vaginitis): A Complete Overview — DermNet
    https://dermnetnz.org/topics/atrophic-vulvovaginitis
    Other forms of oestrogen are sometimes recommended including tablets, transdermal patches, gels, sprays and emulsions. Systemic oestrogen is usually mixed with progestogens. There are important risks and side effects so they are not usually used if atrophic vaginitis is the only problem. […] Topical oestrogen may cause side effects, including: Vaginal itching and burning, Increased risk of vaginal Candida albicans infection (vaginal thrush), Breast discomfort (uncommon), Vaginal bleeding (rare). […] Experimental options for vulvovaginal rejuvenation in symptomatic women that are unsuitable for or intolerant of local or systemic oestrogen therapy include: Platelet-rich plasma injections, Hyaluronic acid or fat implants (lipofilling of labia majora), Fractional carbon dioxide laser, nonablative erbium:YAG laser, diode laser and monopolar radiofrequency devices, Vaginal surgery (vaginoplasty).
  • #68 Atrophic Vulvovaginitis (Atrophic Vaginitis): A Complete Overview — DermNet
    https://dermnetnz.org/topics/atrophic-vulvovaginitis
    Other forms of oestrogen are sometimes recommended including tablets, transdermal patches, gels, sprays and emulsions. Systemic oestrogen is usually mixed with progestogens. There are important risks and side effects so they are not usually used if atrophic vaginitis is the only problem. […] Topical oestrogen may cause side effects, including: Vaginal itching and burning, Increased risk of vaginal Candida albicans infection (vaginal thrush), Breast discomfort (uncommon), Vaginal bleeding (rare). […] Experimental options for vulvovaginal rejuvenation in symptomatic women that are unsuitable for or intolerant of local or systemic oestrogen therapy include: Platelet-rich plasma injections, Hyaluronic acid or fat implants (lipofilling of labia majora), Fractional carbon dioxide laser, nonablative erbium:YAG laser, diode laser and monopolar radiofrequency devices, Vaginal surgery (vaginoplasty).
  • #69 Atrophic Vulvovaginitis (Atrophic Vaginitis): A Complete Overview — DermNet
    https://dermnetnz.org/topics/atrophic-vulvovaginitis
    Other forms of oestrogen are sometimes recommended including tablets, transdermal patches, gels, sprays and emulsions. Systemic oestrogen is usually mixed with progestogens. There are important risks and side effects so they are not usually used if atrophic vaginitis is the only problem. […] Topical oestrogen may cause side effects, including: Vaginal itching and burning, Increased risk of vaginal Candida albicans infection (vaginal thrush), Breast discomfort (uncommon), Vaginal bleeding (rare). […] Experimental options for vulvovaginal rejuvenation in symptomatic women that are unsuitable for or intolerant of local or systemic oestrogen therapy include: Platelet-rich plasma injections, Hyaluronic acid or fat implants (lipofilling of labia majora), Fractional carbon dioxide laser, nonablative erbium:YAG laser, diode laser and monopolar radiofrequency devices, Vaginal surgery (vaginoplasty).
  • #70 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    Vulvovaginal atrophy (VVA) is a silent epidemic that affects up to 50%60% of postmenopausal women who are suffering in silence from this condition. […] Modern medicine has in the arsenal various options for treating this pathological condition, including systemic and topical hormone replacement therapy, the use of selective estrogen receptor modulators, vaginal dehydroepiandrosterone, use of lubricants and moisturizers, as well as non-drug therapies. Timely diagnosis and adequately selected therapy for the main symptoms of VVA lead to restoration and maintenance of the vaginal function and vaginal health. […] 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.
  • #71 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    Vulvovaginal atrophy (VVA) is a silent epidemic that affects up to 50%60% of postmenopausal women who are suffering in silence from this condition. […] Modern medicine has in the arsenal various options for treating this pathological condition, including systemic and topical hormone replacement therapy, the use of selective estrogen receptor modulators, vaginal dehydroepiandrosterone, use of lubricants and moisturizers, as well as non-drug therapies. Timely diagnosis and adequately selected therapy for the main symptoms of VVA lead to restoration and maintenance of the vaginal function and vaginal health. […] 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.
  • #72 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    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. However, for most physicians and scientific societies, it is a second-line treatment after moisturizers and lubricants. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] 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. […] Recently introduced in the treatment of VVA, laser vaginal therapy has demonstrated effectiveness as well as high satisfaction among patients and health care providers. […] 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.
  • #73 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    If vaginal dryness is associated with other symptoms of menopause, such as moderate or severe hot flashes, your doctor may suggest estrogen pills, patches or gel, or a higher dose estrogen ring. […] You may use vaginal dilators as a nonhormonal treatment option. Vaginal dilators may also be used in addition to estrogen therapy. […] Available as a prescription ointment or gel, topical lidocaine can be used to lessen discomfort associated with sexual activity. […] If you have a history of breast cancer, tell your doctor and consider these options: […] In consultation with your cancer specialist (oncologist), your doctor might recommend low-dose vaginal estrogen if nonhormonal treatments don’t help your symptoms. […] Vaginal dilators are a nonhormonal option that can stimulate and stretch the vaginal muscles. This helps to reverse narrowing of the vagina.
  • #74 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294
    If vaginal dryness is associated with other symptoms of menopause, such as moderate or severe hot flashes, your doctor may suggest estrogen pills, patches or gel, or a higher dose estrogen ring. […] You may use vaginal dilators as a nonhormonal treatment option. Vaginal dilators may also be used in addition to estrogen therapy. […] Available as a prescription ointment or gel, topical lidocaine can be used to lessen discomfort associated with sexual activity. […] If you have a history of breast cancer, tell your doctor and consider these options: […] In consultation with your cancer specialist (oncologist), your doctor might recommend low-dose vaginal estrogen if nonhormonal treatments don’t help your symptoms. […] Vaginal dilators are a nonhormonal option that can stimulate and stretch the vaginal muscles. This helps to reverse narrowing of the vagina.
  • #75 Atrophic vaginitis – Wikipedia
    https://en.wikipedia.org/wiki/Atrophic_vaginitis
    Atrophic vaginitis may involve the use of topical estrogen or other estrogen replacement. […] Treatment is generally with estrogen cream applied to the vagina. […] Topical treatment with estrogen is effective when the symptoms are severe and relieves the disruption in pH to restore the microbiome of the vagina. […] Recent research showed a medication called ospemifene can be an alternative oral treatment if vaginal products or hormone therapy is not suitable for patients surviving gynecological cancer. […] Some treatments have been developed more recently. These include selective estrogen receptor modulators, vaginal dehydroepiandrosterone, and laser therapy. […] If a person cannot tolerate or use estrogen therapy, topical hyaluronic acid can be used as another option which has been shown to be safe and effective.
  • #76 Atrophic vaginitis – Wikipedia
    https://en.wikipedia.org/wiki/Atrophic_vaginitis
    For mild atrophic vaginitis, hyaluronic acid can be used as a treatment first. […] However, if it is moderate to severe atrophic vaginitis, estrogen therapy is recommended to be used first. […] Vitamin E vaginal suppositories were also found to be helpful in relieving symptoms of GSM, but further studies need to be done to evaluate how safe and effective this treatment is for this condition.
  • #77 Atrophic vaginitis – Wikipedia
    https://en.wikipedia.org/wiki/Atrophic_vaginitis
    For mild atrophic vaginitis, hyaluronic acid can be used as a treatment first. […] However, if it is moderate to severe atrophic vaginitis, estrogen therapy is recommended to be used first. […] Vitamin E vaginal suppositories were also found to be helpful in relieving symptoms of GSM, but further studies need to be done to evaluate how safe and effective this treatment is for this condition.
  • #78 Atrophic Vaginitis | Doctor
    https://patient.info/doctor/atrophic-vaginitis
    Atrophic vaginitis treatment […] In most cases, it can be managed successfully. Treatments are often underused because of patient and clinician lack of knowledge of available treatments, embarrassment about initiating a discussion of symptoms and reluctance to initiate hormonal therapy. […] A number of different treatments are available. These include vaginal lubricants and moisturisers, vaginal oestrogen and hormone replacement therapy (HRT). […] The principles of management are: Restoration of urogenital physiology. Alleviation of symptoms. […] Personal lubricants and moisturisers can be effective at relieving discomfort and pain during sexual intercourse for women with mild to moderate vaginal dryness, particularly those who have a genuine contra-indication to oestrogen, or who choose not to use oestrogen. Regular sexual activity can be beneficial for many women.
  • #79 Current treatment options for postmenopausal vaginal atrophy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/
    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. However, for most physicians and scientific societies, it is a second-line treatment after moisturizers and lubricants. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. […] 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. […] Recently introduced in the treatment of VVA, laser vaginal therapy has demonstrated effectiveness as well as high satisfaction among patients and health care providers. […] 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.
  • #80 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Noninvasive and nonsurgical CO2 laser treatments help regenerate vaginal tissue and improve its strength and elasticity after laser treatments. […] Osphena is a pill you take each day. Its benefits are similar to those of estrogen, but it doesn’t contain estrogen. […] You don’t have to just live with vaginal atrophy. Even if you’re in menopause or postmenopausal, that doesn’t mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can’t be cured, but you don’t have to live with the discomfort. With proper diagnosis and treatment, the symptoms can be managed. […] The sooner you get treatment, the less likely it is that your vaginal atrophy will worsen. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. […] Seek treatment. Don’t be afraid to have the conversation with your healthcare provider and with your partner(s).
  • #81 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Noninvasive and nonsurgical CO2 laser treatments help regenerate vaginal tissue and improve its strength and elasticity after laser treatments. […] Osphena is a pill you take each day. Its benefits are similar to those of estrogen, but it doesn’t contain estrogen. […] You don’t have to just live with vaginal atrophy. Even if you’re in menopause or postmenopausal, that doesn’t mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can’t be cured, but you don’t have to live with the discomfort. With proper diagnosis and treatment, the symptoms can be managed. […] The sooner you get treatment, the less likely it is that your vaginal atrophy will worsen. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. […] Seek treatment. Don’t be afraid to have the conversation with your healthcare provider and with your partner(s).
  • #82 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Noninvasive and nonsurgical CO2 laser treatments help regenerate vaginal tissue and improve its strength and elasticity after laser treatments. […] Osphena is a pill you take each day. Its benefits are similar to those of estrogen, but it doesn’t contain estrogen. […] You don’t have to just live with vaginal atrophy. Even if you’re in menopause or postmenopausal, that doesn’t mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can’t be cured, but you don’t have to live with the discomfort. With proper diagnosis and treatment, the symptoms can be managed. […] The sooner you get treatment, the less likely it is that your vaginal atrophy will worsen. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. […] Seek treatment. Don’t be afraid to have the conversation with your healthcare provider and with your partner(s).
  • #83 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy
    Noninvasive and nonsurgical CO2 laser treatments help regenerate vaginal tissue and improve its strength and elasticity after laser treatments. […] Osphena is a pill you take each day. Its benefits are similar to those of estrogen, but it doesn’t contain estrogen. […] You don’t have to just live with vaginal atrophy. Even if you’re in menopause or postmenopausal, that doesn’t mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy can’t be cured, but you don’t have to live with the discomfort. With proper diagnosis and treatment, the symptoms can be managed. […] The sooner you get treatment, the less likely it is that your vaginal atrophy will worsen. […] Vaginal atrophy can seriously affect your quality of life in general, not just your sex life. […] Seek treatment. Don’t be afraid to have the conversation with your healthcare provider and with your partner(s).