Atrophic Vaginitis2018-12-04T16:42:32-07:00

Atrophic Vaginitis

Atrophic vaginitis or vaginal atrophic is a common condition that occurs when there is a decline in estrogen level.

A decline of estrogen leads to thinning, drying, and inflammation of the vaginal wall tissue.

Common Symptoms of Atrophic Vaginitis include:

  • Vaginal dryness / discharge
  • Vulva itching
  • Pain with urination and urinary frequency
  • Urinary incontinence
  • Increase incidence of urinary tract infection
  • Pain with intercourse (Dyspareunia)
  • Loss of vaginal lubrication during sex
  • Vaginal bleeding

Such a condition often occurs when an individual becomes postmenopausal.  A temporary drop in estrogen level can also occur during breast-feeding and if an individual is placed on anti-estrogen medication such as Arimidex for treatment of breast cancer.

Additional more direct cause would include radiation therapy to the pelvic region such as for cervical / anal cancers.

Other proposed risk factors include use of tobacco products and the absence of vaginal delivery in women who have given birth via c-section.

The workup for this condition includes a detailed history and physical examination.  Laboratory studies may also include a urinalysis and culture as well as the need for a cystoscopy as well if patient has significant urinary complaints.

There is a variety of treatments available to address atrophic vaginitis:

Over-the-counter remedies such as:

  • Vaginal moisturizing products
  • Water-based lubricants

Use of estrogen supplementation (if appropriate):

  • Topical cream
  • Oral estrogen
  • Vaginal estrogen tablet

Office-based procedures

  • Laser vaginal rejuvenation (Mona Lisa Touch)

Most importantly, the appropriateness of these options should be discussed with your physician during your appointment.

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