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. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. However, despite the high prevalence and negative impact on the quality of life, VVA is under-reported by patients, undiagnosed by health care providers, and undertreated. Gynecologists should proactively start an open discussion with patients on urogenital symptoms. Treatment should be started as early as VVA occurs and should be maintained over time. As there are many treatment options, therapy should be individualized.

• #1 Diagnosis and Treatment of Atrophic Vaginitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0515/p3090.html

  Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. […] Estrogen replacement therapy may be provided systemically or locally, but the dosage and delivery method must be individualized. […] Vaginal moisturizers and lubricants, and participation in coitus may also be beneficial in the treatment of women with atrophic vaginitis. […] Active diagnosis and intervention may prevent development of atrophic vaginitis or eliminate existing symptoms. […] Awareness of the many choices for delivery of estrogen replacement, as well as alternative therapies, greatly increases a physician’s ability to prescribe treatment that is compatible with a patient’s physical needs and lifestyle. […] In the appropriate circumstances, encouragement of sexual activity is also an important source of nonpharmacologic treatment about which many patients may not be informed. […] Ironically, continued coital relations may enhance a woman’s ability to enjoy a healthy sex life after menopause by encouraging maintenance of a physiologic environment defensive to atrophic changes.

• #1 Atrophic vaginitis: Symptoms, causes, and treatments

  https://www.medicalnewstoday.com/articles/189406

  While it may not be possible to completely prevent atrophic vaginitis, using vaginal estrogen before the condition becomes severe can be a way to protect the vagina. […] Using a water-soluble vaginal lubricant can soothe mild cases during sexual intercourse.

• #1 Vaginal atrophy | Jean Hailes

  https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulval-vaginal-conditions/vaginal-atrophy

  Vaginal atrophy is the thinning of your vaginal lining and vulval skin, caused by a drop in oestrogen levels around the time of menopause. […] Vaginal 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. […] 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. […] Regular sexual activity (including masturbation) to improve blood flow to your vagina, which can keep vaginal tissues elastic and flexible. Sexually active women report fewer symptoms of vaginal atrophy compared to women who dont have regular sex.

• #1 Vulvovaginal Atrophy Following Treatment for Oncogynecologic Pathologies: Etiology, Epidemiology, Diagnosis, and Treatment Options

  https://www.mdpi.com/1648-9144/60/10/1584

  Vulvovaginal atrophy, characterized by the thinning of vaginal mucosa typically resulting from reduced estrogen levels, is frequently exacerbated by oncogynecologic treatments such as chemotherapy, hormonal therapy, radiotherapy, or surgery. […] Despite being a relatively common complication, vulvovaginal atrophy is not always discussed before the start of treatment. […] Discussing this complication in advance is beneficial not only for patient awareness but also for prevention purposes—local preparations applied before the onset of symptoms may reduce their intensity later on. […] Common treatments for VVA include vaginal lubricants and moisturizers, vaginal dilators, pelvic floor exercises, local estrogen and dehydroepiandrosterone, systemic hormone therapy, or ospemifene. […] A clear understanding of treatment safety and efficacy in this patient group is vital for healthcare providers to choose the best approach, as some patients prefer other modalities over standard local therapies, improving adherence and outcomes. […] Early initiation of local treatments can provide preventive benefits. […] Therefore, low-dose local estrogen therapy can be an option when other local treatments are ineffective.

• #1 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy

  Losing estrogen is part of your body’s natural aging process. […] However, there are ways to keep vaginal atrophy from getting worse. Avoid vaginal irritants such as perfumes, dye, shampoo, detergents and douching. […] Remember, regular sexual activity is good for vaginal atrophy because it increases blood flow to your vaginal tissue.

• #1 Vaginal Atrophy | Baylor Medicine

  https://www.bcm.edu/healthcare/specialties/obstetrics-and-gynecology/ob-gyn-conditions/vaginal-atrophy

  Regular sexual activity, which enhances blood flow to your vagina […] Avoid smoking, which impairs blood circulation and reduces the effects of your body’s natural estrogen.

• #1 Vaginal atrophy: Natural remedies, causes, and treatments

  https://www.medicalnewstoday.com/articles/315089

  Vaginal atrophy refers to inflammation, dryness, and thinning of the vaginal walls. Natural remedies include using lubricants, staying sexually active, exercising, and avoiding smoking. […] Where applicable, the following lifestyle measures could help relieve the symptoms of vaginal atrophy: Giving up smoking: Smoking decreases estrogen levels and increases the risk of developing vaginal atrophy and other conditions, such as osteoporosis. 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. Keeping well-hydrated: This can help maintain moisture levels in the body. […] Vaginal atrophy is easier to prevent than treat. Being sexually active, even if you are alone, helps maintain muscle tone and high quality blood flow to the area. Allow enough time for foreplay to make sure that the vaginal walls are lubricated before penetration. Use a water-based lubricant or vaginal moisturizer to reduce discomfort and skin irritation.

• #1 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294

  To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: […] Vaginal estrogen has the advantage of being effective at lower doses and limiting your overall exposure to estrogen because less reaches your bloodstream. It may also provide better direct relief of symptoms than oral estrogen does. […] Vaginal dilators may also be used in addition to estrogen therapy. These devices stimulate and stretch the vaginal muscles to reverse narrowing of the vagina. […] If you’re experiencing vaginal dryness or irritation, you may find relief if you: Try an over-the-counter moisturizer. […] Some alternative medicines are used to treat vaginal dryness and irritation associated with menopause, but few approaches are backed by sufficient evidence from clinical trials.

• #1 Current treatment options for postmenopausal vaginal atrophy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/

  According to the generally accepted international standards, the first-line recommendations for the treatment of mild and moderate manifestations of VVA are nonhormonal vaginal lubricants that should be used before intercourse and vaginal moisturizers with a long-term effect that are used regularly (several times a week); in such cases, regular sexual activity is of importance. […] Considering the cause (hypoestrogenism), and the pathogenesis of the development of VVA, the most logical choice for the treatment of this condition would be estrogen therapy. However, for most physicians and scientific societies, it is a second-line treatment after moisturizers and lubricants. […] The local HRT includes preparations containing estradiol, as well as estriol. Local estrogen therapy is preferred in the presence of isolated urogenital disorders; the patients should be informed that the effect is achieved after 13 months of local estrogen therapy, and that they should be able to choose the drug that they consider most appropriate for them.

• #1

  https://hellobonafide.com/blogs/news/vaginal-atrophy-treatment

  What can we do about treating vaginal atrophy? Well, first it’s important to address the symptoms of vaginal atrophy on a regular basis. This is not going to be something that gets better over time, in the way hot flashes and night sweats might disappear. Vaginal atrophy during menopause is something that’s chronic and progressive if it’s not addressed proactively. […] A possible natural treatment for vaginal atrophy? I recommend that you hydrate, well. I also recommend that you moderate the use of or avoid products that have harsh chemicals or strong fragrances because they may alter the vaginal pH and cause some external irritation. […] To help with menopause vaginal burning or dryness after menopause, I recommend that you moisturize the vagina on a regular routine basis. After all, we do moisturize our faces regularly, and we should also be moisturizing our vaginas. Why not consider an over the counter vaginal moisturizer, like Revaree Plus, for example, twice a week, or even think about using vaginal estrogen, if you are a candidate for that. Be sure to consult with your healthcare provider to determine the best vaginal atrophy treatment option for you.

• #1 What Is Vaginal Atrophy? – Itchy, Burning Relief

  https://www.verywellhealth.com/what-is-vaginal-atrophy-itchy-burning-relief-7562627

  Vaginal atrophy describes thinning, drying, and inflammation of the lining of the vagina. It occurs when estrogen levels drop due to menopause. […] First-line therapies for mild symptoms include nonprescription, nonhormonal vaginal and vulvar lubricants, and moisturizers. If that doesn’t help, your provider may recommend low-dose vaginal estrogen therapy. […] Using lubricants during intercourse can reduce friction and irritation of thin, dry tissue. […] Self-care remedies include moisturizers and using lubricants during intercourse. Staying sexually active can also help. Otherwise, there are some medical treatments, including topical estrogen and hormone therapy, you can try. […] Work with your provider to determine the best way to ease your symptoms. Medical treatment and self-care measures can improve symptoms and quality of life.

• #1 Vulval & Vaginal Atrophy Treatment Melbourne | Dr. Len Kliman

  https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/vulval-and-vaginal-atrophy/

  This condition is now called the Genitourinary Syndrome of Menopause (GSM). […] Symptoms of GSM include vaginal dryness and burning, discomfort with intercourse and urinary symptoms, especially urgency, dysuria and urinary tract infections. […] Many women put up with these symptoms and dont discuss them with any health practitioner. This is a pity as simple treatment is very effective. […] GSM can be treated with the use of bland, simple moisturisers and/or bath oil. However, the most effective treatment is the use of local oestrogens as a cream or pessary. Treatment should be used nightly for two weeks and then two nights a week indefinitely. In most cases systemic treatment on top of local treatment does not further enhance cure. A number of studies have shown systemic absorption from cream and pessaries is minimal and even women who have had hormone dependent cancers such as breast cancer are not at an increased risk of cancer recurrence when they use local rather than systemic hormone therapy.

• #1 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. […] A water-soluble vaginal lubricant can be used to moisten the tissues and prevent painful sexual intercourse. Regular sexual activity also can help to prevent symptoms. This is because sexual intercourse improves blood circulation to the vagina, which helps to maintain vaginal tissue.

• #1 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes

  https://www.healthline.com/health/atrophic-vaginitis

  Regular sexual activity helps keep vaginal tissues healthy. A healthy sex life also benefits the circulatory system and improves heart health. […] Wearing cotton underwear and loose-fitting clothing can improve symptoms. Loose cotton clothing improves air circulation around the genitals, making them a less ideal environment for bacteria to grow. […] A woman with atrophic vaginitis can experience pain during sexual intercourse. However, staying sexually active enhances blood circulation in the vagina and stimulates natural moisture. […] Vitamin D also helps the body absorb calcium. This helps to slow or prevent postmenopausal bone loss, especially when combined with regular exercise. […] 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.

• #1 Treating Vaginal Atrophy: Start Early

  https://www.intimina.com/blog/vaginal-atrophy-solutions/

  With the average age of menopause being 51, most of us will spend at least 1/3 of our lives beyond menopause. […] But theres no reason to just live with the condition, taking a few preventative steps now and knowing your options can help you take control of your intimate wellbeing and continue to enjoy a healthy intimate life. […] Paying attention to your intimate health is the best way to lessen the effects of reduced estrogen on your vaginal tissue. For symptoms like dryness and using a good water-based, pH-balanced feminine moisturizer can be very effective. These work by restoring much-needed moisture and rebalancing the vaginal pH to its naturally acidic level. Other preventative solutions that can also help you reduce atrophy include: […] Kegel exercise can increase blood flow to the vagina, which helps keep the tissue healthy and encourage lubrication.

• #1 5 things every primary care provider should know about vaginal atrophy | MobileODT

  https://www.mobileodt.com/blog/5-things-every-primary-care-provider-should-know-about-vaginal-atrophy/

  Teleconsultation provides a significant benefit to patients as it can reduce the need for external referrals, allowing patients to receive specialist care within their own familiar primary care practice, and reducing the need for additional appointments. […] There are a number of treatments that can be used to address vaginal atrophy. Some simply respond to the symptoms while others address the underlying causes. […] Topical vaginal estrogens are one of the most popular vaginal atrophy treatments. It has proven effective in relieving symptoms without causing a proliferation of vaginal epithelium. […] When administered at the onset of menopause it can even prevent the development of urogenital symptoms. […] The vaginal insert Intrarosa uses the active ingredient prasterone, which is also known as dehydroepiandrosterone (DHEA), which is a successful alternative for many women. […] In some cases that fail treatment with estrogen replacement, either topical or oral, functional gynecology laser treatment has been shown to be a promising alternative.

• #1 Low-Dose Topical Estrogen for Vaginal Atrophy Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2009/0701/p86.html

  Endogenous estradiol levels fall significantly after menopause, leading estrogen-dependent tissues to gradually atrophy. Vaginal atrophy can cause dryness, soreness, irritation, and dyspareunia, and may contribute to vaginal and bladder infections. Estrogen therapy can reduce these symptoms. Locally administered estrogen is recommended over systemic estrogen therapy for treating vaginal atrophy, and may be continued for as long as symptoms are bothersome. The typical dose is 25 mcg of estradiol (Vagifem, Estrogel), administered via vaginal tablet or vaginal gel, initially daily and then twice weekly for maintenance. […] Reports from other studies have indicated that lower doses of estrogen may be as effective for treating vaginal atrophy. […] The study results indicate that 10-mcg estradiol vaginal tablets appear to be effective for treating postmenopausal vaginal atrophy.

• #1 Frontiers | Hormonal Approach for Postmenopausal Vulvovaginal Atrophy

  https://www.frontiersin.org/journals/reproductive-health/articles/10.3389/frph.2021.783247/full

  The application of vaginal ET must be adjusted according to tolerability of each woman. However, ET usually starts with nightly application between 2 and 3 weeks and decreases to two to three times per week. […] Essentially, non-hormonal treatments are preferred initial strategies for the survivors of hormone-dependent cancers (breast and endometrial cancers). However, after a detailed evaluation of benefits and risks, low-dose vaginal ET, for a short time, could be considered in women with unmanageable symptoms affecting their quality of life. […] Vaginal ET use was not associated with significant absorption, which may provide indirect evidence of safety. Research confirmed this information when observed that vaginal ET is considerable safety in women with breast cancer, receiving aromatase inhibitors.

• #1 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print

  Several types of FDA-approved low-dose vaginal estrogen products are available: […] As low-dose vaginal estrogen is associated with few adverse effects, it can probably be used indefinitely, although there are no long-term studies to provide data about the effects over many years. […] If sex continues to be painful despite treatment for vaginal dryness, talk to your health care provider. You may have spasms in the vaginal muscles and there may be other things you can try, such as lubricated vaginal dilators which can gradually stretch the vagina. […] 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.

• #1 Current treatment options for postmenopausal vaginal atrophy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6074805/

  Vaginal lubricants and moisturizers can be used as needed in combination with other VVA treatments. […] The positive effect in the treatment of women with VVA can be achieved by combining hormonal and non-hormonal methods of treatment. It is important not to forget about the positive effect of sexual intercourse on the improvement of vaginal health. For the women who do not have regular sexual intercourse or have vaginal narrowing, the phenomenon of vaginismus, gradual careful stretching of the vagina with special dilators using lubricants is recommended. It can play an important role in restoring and maintaining the vaginal function. Then, the resumption of regular sexual activity will help to maintain vaginal health. Many women with these disorders benefit from the exercises that strengthen the muscles of the pelvic floor. In those patients, the use of vaginal estrogens before and after the expansion of the vagina and/or therapy to strengthen the pelvic muscles may be useful. […] 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.

• #1 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review

  https://www.mdpi.com/1648-9144/58/6/770

  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. […] Considering the limitations of the current treatments for VVA, it is essential to provide an alternative for all those women who do not respond, have contraindications, or are not compliant with the previously mentioned available therapies. […] 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.

• #1

  https://journals.lww.com/jfmpc/fulltext/2020/09060/effect_of_trigonella_foenum__fenugreek__vaginal.22.aspx

  Menopause forms one-third of women’s lives. One of the most prevalent postmenopausal complications is vaginal atrophy whose symptoms could have destructive effects on the life quality among postmenopausal women. One of the objectives of the present study is the assessment of the vaginal cream of Fenugreek on vaginal inflammation of atrophic vaginitis in postmenopausal women. The results of the present study demonstrated that the fenugreek vaginal cream treatment group experienced a significant improvement in vaginal atrophy symptoms compared to the onset of the study (P 0.001). Fenugreek vaginal cream was effective in treating vaginal atrophy; therefore, postmenopausal women are recommended to use this cream instead of synthetic estrogen to reduce the complications of this hormone. The major objective of the present study is to investigate the effect of vaginal cream of Fenugreek on vaginal inflammation of atrophic vaginitis among postmenopausal women. The results showed that fenugreek was effective; therefore, it is suggested that alternative hormonal therapies such as phytoestrogens be utilized to improve menopausal symptoms including vaginal atrophy.

• #1 Frontiers | Hormonal Approach for Postmenopausal Vulvovaginal Atrophy

  https://www.frontiersin.org/journals/reproductive-health/articles/10.3389/frph.2021.783247/full

  Hormonal therapy must be individualized to the needs of women and is conditioned by the stages of menopause. Low-dose vaginal estrogens, vaginal DHEA, and systemic estrogen therapy are effective for moderate to severe GSM. Treatment by administering hormone systemic, in particular, is commonly used to combat vasomotor symptoms, preserve bone mass, improve sleep, prevent the deterioration of cognitive function, and stimulate libido. The vaginal formulations promote the renovation of the epithelium and vaginal flora and improve the urogenital and sexual complaints, decreasing the vaginal dryness. […] The main therapeutic objective is the relief of symptoms. Local (vaginal) hormones are the most used option to fulfill this objective. They promote the renovation of the epithelium and vaginal flora, and improvement of the urogenital and sexual complaints.

• #1 Current treatment options for postmenopausal vaginal atrophy | IJWH

  https://www.dovepress.com/current-treatment-options-for-postmenopausal-vaginal-atrophy-peer-reviewed-fulltext-article-IJWH

  Treatment should be started as early as VVA occurs and should be maintained over time. As there are many treatment options, therapy should be individualized. […] According to the generally accepted international standards, the first-line recommendations for the treatment of mild and moderate manifestations of VVA are nonhormonal vaginal lubricants that should be used before intercourse and vaginal moisturizers with a long-term effect that are used regularly (several times a week); in such cases, regular sexual activity is of importance. […] Considering the cause (hypoestrogenism), and the pathogenesis of the development of VVA, the most logical choice for the treatment of this condition would be estrogen therapy. […] According to the latest clinical guidelines for the management of patients with VVA, systemic or topical application of pharmacological estrogen preparations sufficiently and quickly improves the index of maturation and thickness of the vaginal mucosa, reduces the pH of the vagina, increases vaginal maturation index, and eliminates the symptoms of VVA.

• #1 How To Treat Vaginal Dryness and Atrophy | Poise® US

  https://www.poise.com/en-us/advice-and-support/menopause/natural-remedies-for-vaginal-atrophy-and-dryness

  To manage menopause and vaginal dryness, its best to act quickly because if left untreated the condition will only worsen. The earlier you take action, the easier vaginal dryness is to improve. […] However, no matter the life stage, there are steps you can take today to treat vaginal dryness through safe and effective treatments. Lets take a closer look. […] Thankfully, we live in a time when prescription vaginal estrogen products work easily and safely, such as topical prescription vaginal rings. […] If you prefer over the counter (OTC) and products that do not contain estrogen, here are some suggestions for vaginal dryness treatment: […] Natural treatment options for vaginal dryness and atrophy can also serve as alternatives to medications and topical applications. Plus, you dont have to leave your home to take action! […] Please dont be afraid to mention any vaginal health concerns to your doctor. We hear these questions often, so nothing is TMI for us. There are many simple solutions available for women to help you improve both vaginal dryness and atrophy.

• #1 New Innovations for the Treatment of Vulvovaginal Atrophy: An Up-to-Date Review

  https://www.mdpi.com/1648-9144/58/6/770

  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. […] VVA is a chronic progressive condition requiring a long-term treatment, on cessation of which the symptoms tend to reappear. […] 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. Low-dose vaginal estrogen therapy is the preferred pharmacological choice if symptomatic patients are not responsive to nonprescription therapies. […] 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.

• #1 What is Vaginal Atrophy, and Can it be Reversed? | FemmePharma Consumer Healthcare

  https://femmepharma.com/what-is-vaginal-atrophy-and-can-it-be-prevented/?srsltid=AfmBOorhfOHm3xH6qxNCSG8Leou8k3ilYmn0shOslRKIeOJNT2WKrIwq

  You can reverse symptoms of vaginal atrophy. […] Vaginal atrophy can be reversed with treatment. […] The earlier you begin treatment for vaginal atrophy, regardless of the severity of your symptoms, the better. Some women even seek preventative treatment to offset the occurrence of vaginal atrophy and its more unpleasant side effects. […] Both systemic and topical hormone replacement therapy can help restore your vaginal lining and reduce vaginal dryness and discomfort. […] Lubricants and moisturizers are over-the-counter treatment options for vaginal atrophy. […] A relatively new option that seeks to reverse vaginal atrophy is laser therapy. […] Its also important to note that you’ll need to continue the prevention methods of your choice, otherwise vaginal atrophy will progress. […] Reversing symptoms is possible, which is why its vital to speak up and ask for help as soon as you notice symptoms.

• #1 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/

  By getting help, you can take a significant step toward healing—and the earlier you reach out for support, the better your overall health outcomes are likely to be. […] An expert hormone practitioner can provide you with the guidance you need to move forward with confidence. […] 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.

• #1 Recent Research on the Treatment of Vulvar and Vaginal Atrophy

  https://www.imrpress.com/journal/CEOG/49/12/10.31083/j.ceog4912265/htm

  Signs and symptoms of VVA are very common between menopausal women, worsening their QoL and sexual health; the choice of a therapy depends on a variety of factors, such as patient preference and treatment effectiveness and safety. It is critical to act expeditiously and to adapt the personalized treatment to each woman, considering not only medical history, but anxieties and fears typical of this delicate stage of life.

• #1 How To Treat Vaginal Atrophy | VIDA Wellness and Beauty

  https://www.vidawellnessandbeauty.com/medical-spa/how-to-treat-vaginal-atrophy-vida/

  If you have been feeling pain during intercourse, persistent vaginal dryness, or an itching or burning sensation without apparent reason, you may have vaginal atrophy. […] The good news is that vaginal atrophy is a common condition that your OB/GYN can help you treat with simple and effective methods. […] Treatments are designed to alleviate symptoms on a daily basis, minimizing the damage to your vaginal walls, and overall, improving your quality of life. […] For mild cases of vaginal atrophy, those that occur when estrogen levels are naturally low, such as breastfeeding or right after childbirth, solutions include: […] Your doctor can prescribe medication to supply your whole body with estrogen, benefitting your vaginal walls. […] When OTC or hormonal treatments are not doing enough to alleviate vaginal atrophy symptoms, laser treatments specifically designed for women are a great option. […] Finding a cure for vaginal atrophy will depend entirely on the patient. If you, like millions of women are afraid to discuss this with your doctor, we suggest you reconsider. Vaginal atrophy can be treated and in some cases, reversed almost entirely.

• #1 5 things every primary care provider should know about vaginal atrophy | MobileODT

  https://www.mobileodt.com/blog/5-things-every-primary-care-provider-should-know-about-vaginal-atrophy/

  Vaginal atrophy can cause considerable issues for postmenopausal women. This treatable condition can dramatically decrease the patients quality of life. It is estimated that only 25% of those who suffer from the condition will seek medical help. Primary care clinicians (PCP) should know about vaginal atrophy to respond quickly when patients present with possible symptoms. […] By being aware of the potential symptoms of vaginal atrophy and feeling empowered to ask patients about their experience, PCPs can help treat those patients who might otherwise suffer needlessly. […] The reduction of estrogen production post menopause combines with the natural atrophy of the skin and mucosal surfaces, due to aging, causing vaginal atrophy. […] The most common symptoms of vaginal atrophy include dryness (estimated at 75% of women), dyspareunia (estimated at 38%), and vaginal itching, discharge and pain (estimated at 15%).

• #2 Current treatment options for postmenopausal vaginal atrophy | IJWH

  https://www.dovepress.com/current-treatment-options-for-postmenopausal-vaginal-atrophy-peer-reviewed-fulltext-article-IJWH

  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. […] The main therapeutic goal in managing VVA is to relieve symptoms and restore the vaginal environment to a healthy premenopausal state. However, despite the high prevalence and negative impact on the quality of life, VVA is underreported by patients, undiagnosed by health care providers, and undertreated.

• #2 Current treatment options for postmenopausal vaginal atrophy | IJWH

  https://www.dovepress.com/current-treatment-options-for-postmenopausal-vaginal-atrophy-peer-reviewed-fulltext-article-IJWH

  Treatment should be started as early as VVA occurs and should be maintained over time. As there are many treatment options, therapy should be individualized. […] According to the generally accepted international standards, the first-line recommendations for the treatment of mild and moderate manifestations of VVA are nonhormonal vaginal lubricants that should be used before intercourse and vaginal moisturizers with a long-term effect that are used regularly (several times a week); in such cases, regular sexual activity is of importance. […] Considering the cause (hypoestrogenism), and the pathogenesis of the development of VVA, the most logical choice for the treatment of this condition would be estrogen therapy. […] According to the latest clinical guidelines for the management of patients with VVA, systemic or topical application of pharmacological estrogen preparations sufficiently and quickly improves the index of maturation and thickness of the vaginal mucosa, reduces the pH of the vagina, increases vaginal maturation index, and eliminates the symptoms of VVA.

• #2 What Are The Vaginal Atrophy Treatment Options?

  https://www.drtahery.com/what-are-the-vaginal-atrophy-treatment-options

  Vaginal atrophy treatment in Los Angeles is available for women ready to take the next step. […] Speaking to your care provider as soon as you notice symptoms of vaginal atrophy is important because early treatment can prevent your vaginal atrophy from worsening. […] Many women never talk to their care providers about vaginal atrophy because they assume that nothing can be done to mitigate the age-related effects of diminishing estrogen levels. In reality, there are several treatment options available to help restore comfort and function. […] Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. […] Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. […] Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina. […] Quitting smoking can help to resolve vaginal atrophy. […] Regular exercise can be helpful for keeping blood flow in the genital area high.

• #2 Vaginal atrophy – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288

  Regular sexual activity, either with or without a partner, may help prevent genitourinary syndrome of menopause. Sexual activity increases blood flow to your vagina, which helps keep vaginal tissues healthy.

• #2 Vaginal Atrophy: Natural Treatments and More

  https://www.healthline.com/health/womens-health/vaginal-atrophy-natural-treatments

  Vaginal atrophy is inflammation, dryness, and thinning of the vaginal walls. Natural remedies include using lubricants, exercising, and staying sexually active. […] If GSM affects you, you can try a few treatment options at home. If your symptoms persist or worsen, you should consult your doctor. […] Engaging in regular sexual activity may be one of the best defenses against GSM. Having sex with or without a partner helps to increase blood flow to your vagina, keeping the tissues healthy. […] You can also try using over-the-counter (OTC) moisturizers, such as Replens or Vagisil, to moisturize your vagina. OTC lubricants, such as glycerin-free Astroglide or K-Y Jelly, may ease symptoms during intercourse. […] Taking the time to become aroused before intercourse may eliminate dryness and burning by providing you with more of your body’s natural lubrication.

• #2 Postmenopausal Atrophic Vaginitis: Symptoms, Treatments and Causes

  https://www.healthline.com/health/atrophic-vaginitis

  Regular sexual activity helps keep vaginal tissues healthy. A healthy sex life also benefits the circulatory system and improves heart health. […] Wearing cotton underwear and loose-fitting clothing can improve symptoms. Loose cotton clothing improves air circulation around the genitals, making them a less ideal environment for bacteria to grow. […] A woman with atrophic vaginitis can experience pain during sexual intercourse. However, staying sexually active enhances blood circulation in the vagina and stimulates natural moisture. […] Vitamin D also helps the body absorb calcium. This helps to slow or prevent postmenopausal bone loss, especially when combined with regular exercise. […] 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.

• #2 Experiencing Vaginal Dryness? Here’s What You Need to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/experiencing-vaginal-dryness-heres-what-you-need-to-know

  Vaginal dryness can cause irritation, burning, and pain with intercourse. Its common after menopause, and it also can happen in the years leading up to menopause. […] After and around the time of menopause, your body makes less estrogen. Estrogen is a hormone that helps maintain the vaginas lubrication, elasticity, and thickness. Low levels of estrogen can cause thinning, drying, and inflammation of vaginal walls. This is called vaginal atrophy. […] For vaginal dryness by itself, I recommend trying over-the-counter moisturizers and lubricants. […] I often talk with patients about hormonal treatments when vaginal dryness comes along with urinary symptoms or menopausal symptoms, such as hot flashes.

• #2 Vaginal atrophy isn’t a normal sign of aging, and treatment can help | Ohio State Health & Discovery

  https://health.osu.edu/health/ob-gyn/vaginal-atrophy-treatments-can-help

  Vaginal dryness, burning, itching, discomfort with intercourse, vaginal discharge or spotting, increasing trips to the bathroom, discomfort in the urethra and recurrent urinary tract infections are all symptoms associated with genitourinary syndrome of menopause (GSM), sometimes called vaginal atrophy. […] Avoiding smoking or stopping smoking can help prevent some of the symptoms associated with vaginal atrophy or GSM. Regular sexual activity also can help maintain the elasticity of the vaginal canal and its ability to lubricate, though some may still develop GSM symptoms despite regular intercourse. […] Anyone born with female reproductive organs and symptoms of GSM can be a good candidate for vaginal moisturizers and lubricants for intercourse. When these dont alleviate symptoms, its time to talk to your health care provider more about whether vaginal estrogen or other therapies might be right for you.

• #2 How to Prevent Vaginal Atrophy After Menopause: A. Michael Coppa, MD: OB/GYNs

  https://www.drcoppaobgyn.com/blog/how-to-prevent-vaginal-atrophy-after-menopause

  Vaginal atrophy is a condition characterized by thinner, dryer, and inflamed vaginal walls and it affects at least half of women after menopause. […] Although vaginal atrophy is common post-menopause, theres good news: You have treatment options. Taking a proactive approach to your sexual health gives you the opportunity to manage symptoms or even prevent them from developing in the first place. […] We often start by promoting good overall health through a balanced diet, regular exercise, and adequate hydration to support vaginal health and function. […] For example, incorporating vaginal moisturizers and lubricants into your routine can alleviate symptoms of dryness and discomfort. […] Practicing regular sexual activity, whether alone or with a partner, can also help maintain your vaginal health. […] Finally, one of the most effective strategies to prevent and manage vaginal atrophy is hormone replacement therapy. […] HRT involves taking estrogen or estrogen-based medication to restore vaginal moisture and elasticity.

• #2

  https://hellobonafide.com/blogs/news/vaginal-atrophy-treatment

  What can we do about treating vaginal atrophy? Well, first it’s important to address the symptoms of vaginal atrophy on a regular basis. This is not going to be something that gets better over time, in the way hot flashes and night sweats might disappear. Vaginal atrophy during menopause is something that’s chronic and progressive if it’s not addressed proactively. […] A possible natural treatment for vaginal atrophy? I recommend that you hydrate, well. I also recommend that you moderate the use of or avoid products that have harsh chemicals or strong fragrances because they may alter the vaginal pH and cause some external irritation. […] To help with menopause vaginal burning or dryness after menopause, I recommend that you moisturize the vagina on a regular routine basis. After all, we do moisturize our faces regularly, and we should also be moisturizing our vaginas. Why not consider an over the counter vaginal moisturizer, like Revaree Plus, for example, twice a week, or even think about using vaginal estrogen, if you are a candidate for that. Be sure to consult with your healthcare provider to determine the best vaginal atrophy treatment option for you.

• #2 Vaginismus: Vaginal Atrophy, Aging, and Navigating Vaginismus

  https://hopeandher.com/pages/age-atrophy-vaginismus

  Vaginal atrophy is often at the root of sexual pain issues in women experiencing menopause. […] See your physician if you suspect vaginal atrophy. […] Vaginal Dilators: Used to gently, and slowly, stretch the vagina – restoring length, shape, and elasticity helping penetration to become more comfortable. […] Personal Lubrication: Less dryness and friction during penetration. […] Vaginal Moisturizers: Helps alleviate ongoing dryness. […] Pelvic Floor (Kegels) Exercises: Draws blood flow to the vagina, increasing elasticity. Helps strengthen and increase control over vaginal muscles. […] Estrogen: Helps rebuild lining of vagina and improve elasticity. […] Physical Therapy: Professional assistance for both vaginal atrophy and vaginismus. […] Fortunately, both conditions are treatable. In fact, vaginal atrophy and vaginismus may need to be addressed simultaneously, as it is difficult to resolve one without managing the other.

• #2 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.

• #2 Current treatment options for postmenopausal vaginal atrophy | IJWH

  https://www.dovepress.com/current-treatment-options-for-postmenopausal-vaginal-atrophy-peer-reviewed-fulltext-article-IJWH

  Local estrogen therapy allows to quickly eliminate the symptoms of VVA, but it does not alleviate the vasomotor symptoms and reduce the risk of osteoporosis. […] The positive effect in the treatment of women with VVA can be achieved by combining hormonal and non-hormonal methods of treatment. It is important not to forget about the positive effect of sexual intercourse on the improvement of vaginal health. For the women who do not have regular sexual intercourse or have vaginal narrowing, the phenomenon of vaginismus, gradual careful stretching of the vagina with special dilators using lubricants is recommended. It can play an important role in restoring and maintaining the vaginal function. Then, the resumption of regular sexual activity will help to maintain vaginal health.

• #2 Recent Research on the Treatment of Vulvar and Vaginal Atrophy

  https://www.imrpress.com/journal/CEOG/49/12/10.31083/j.ceog4912265/htm

  The prescription of topical estrogen is a controversial topic in women with history of breast cancer, hormone-sensitive cancer, and thromboembolism, making treatment alternatives necessary. […] Increased attention has been paid to gynecological cancer survivors, especially those who are young and/or with symptoms of VVA due to surgical or pharmacological menopause. Attention to sexual life and quality of life (QoL) is mandatory to the complete care of these cancer survivors. […] For postmenopausal women under anti-estrogen therapy, the LAAVA pilot study showed a significant efficacy of three CO2 laser sessions on symptoms of VVA, such as dryness, itch, burning, dysuria, and dyspareunia. […] A recent summary of Royal College of Obstetricians and Gynecologists (RCOG) concluded that laser treatment could be a valid non-hormonal therapeutic choice for GSM treatment; however, uncertainties remain concerning its safety and long-term efficacy.

• #3 Practice Nursing – Vaginal atrophy: what is it and how can it be treated?

  https://www.practicenursing.com/content/clinical-focus/vaginal-atrophy-what-is-it-and-how-can-it-be-treated/

  Vaginal atrophy is a common, chronic and progressive condition that occurs due to oestrogen deficiency. […] Vaginal atrophy can be treated and the aims of treatment are to promote comfort and ensure that symptoms are reduced. […] Vaginal atrophy is a common condition for women in the menopause. It is chronic and progressive and will not get better without treatment over time, unlike vasomotor symptoms. […] It is estimated that vaginal atrophy affects 5080% of post-menopausal women and is caused by oestrogen deficiency, but it is an under-diagnosed and under-recognised condition. […] Vaginal atrophy and lack of lubrication can also occur at any time in a woman’s life and this happens in an estimated 15% of pre-menopausal women.

Zobacz więcej