
Medication
Hormone therapy not only improves symptoms of vaginal atrophy the best, but also brings back the health of the skin by restoring the normal acid balance of the vagina, thickening the skin (back to how it was originally), maintaining natural moisture and improving bacterial balance.
Self-care
Studies show that vitamin E as suppositories show success in treating vaginal atrophy. Researchers note that it does take longer to show results but it can be just as effective as topical estrogen creams. 5 This makes a great option for women who can’t use hormone-based therapy because of a history of cancer or other factors. 4. Vitamin D
Nutrition
Table 2 Hormonal therapy for management of vulvovaginal atrophy Route of administration Medication Pharmacological preparations Initial dosage Maintenance dosage Vaginal cream Estradiol-17b Estrace 0.01% 0.5–1 g daily for the first 2 weeks 0.5–1 g one to three times weekly Conjugated estrogens Premarin 0.625 mg/g 0.5–1 g daily for the first 2 weeks
Can hormone therapy help with vaginal atrophy?
The natural yogurt sitting in your fridge could contain bacteria that help your symptoms. Studies have found that a low amount of lactobacillus (the bacteria present in most probiotics) was associated with symptoms of vaginal atrophy.
What are the best supplements for vaginal atrophy?
How is vulvovaginal atrophy (VVA) treated?
Can natural yogurt help with vaginal atrophy?

What is the safest treatment for vaginal atrophy?
To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: Vaginal moisturizers. Try a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) to restore some moisture to your vaginal area. You may have to apply the moisturizer every few days.
What is the preferred treatment for atrophic vaginitis?
Hormone therapy is effective in treating vaginal atrophy in postmenopausal women, but some patients and physicians prefer to avoid systemic hormone therapy because of potential harmful effects. Topical estrogen preparations offer an alternative approach to managing symptoms of vaginal atrophy.
How long does it take for estradiol to work for vaginal atrophy?
Official answer. Vaginal atrophy can be treated with topical estrogen including Estrace Vaginal Cream and it can take 3 to 4 weeks to reach its maximum effect.
Which is better estriol or estradiol?
Is estriol or estradiol better? Estradiol is stronger and more effective than estriol. Estriol is a weaker form of estrogen and may have a better safety profile compared to estradiol. However, more clinical trials may be needed on the effectiveness and safety of estriol.
Does estriol cream help vaginal atrophy?
Estriol Provides Effective Symptom Relief Vaginally applied estriol relieves vaginal dryness and vaginal atrophy and reduces pain during sex. Urogenital symptoms like frequency and urgency can be reduced.
Is Vagifem a form of HRT?
Vagifem® belongs to a group of medicines called vaginal Hormone Replacement Therapy (HRT). It is used to relieve menopausal symptoms in the vagina such as dryness or irritation. In medical terms this is known as 'vaginal atrophy'. It is caused by a drop in the levels of oestrogen in your body.
What is the difference between estradiol and Premarin?
Estradiol is also used for comfort care in serious cases of breast cancer or prostate cancer. Premarin, on the other hand, is the brand name of a conjugated estrogen. Conjugated estrogen is also a medical formulation. It's a mixture of several types of estrogens.
What can I use instead of estradiol?
Estradiol Alternatives ComparedEstrace.Climara.Prempro.Vivelle-Dot.Estradiol Patch.Gabapentin.
What is the best treatment for vaginal atrophy?
They’ll help you decide which plan is most effective based on your symptoms and the severity of them. Estrogen therapy is considered to be the most effective.
Why does vaginal atrophy occur during menopause?
Vaginal atrophy most often occurs during menopause, the “change of life.”. This happens because of a decrease in the hormone estrogen.
How to tell if you have menopause or atrophy?
The healthcare provider can diagnose vaginal atrophy based on your symptoms and a pelvic exam to look at how the vagina appears. It will help to know whether or not you are in menopause. Classic signs of atrophy during a pelvic exam include: A shortened or narrowed vagina. Dryness, redness and swelling.
What is the difference between vaginal atrophy and genitourinary syndrome?
Vaginal refers to the vagina while atrophy means “a wasting away or diminution.”. Recently, the term vaginal atrophy has been replaced with the newer term, genitourinary syndrome of menopause (GSM).
What is the difference between a yeast infection and a vaginal atrophy?
However, vaginal atrophy is caused by a lack of estrogen while a vaginal yeast infection is caused by a fungal infection.
What is the term for a condition where the lining of the vagina gets drier and thinner?
What is vaginal atrophy? Vaginal atrophy (also called atrophic vaginitis) is a condition where the lining of the vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms.
How to treat dryness in vagina?
Others address the loss of estrogen, specifically, which will also act to relieve symptoms. Lubricants and moisturizers to add moisture and to loosen the vagina can treat dryness.
What is the best treatment for vaginal atrophy?
Treatment for vaginal atrophy. To undo some of the vaginal dryness, moisturizers like K-Y Liquibeads, or Replens are typically prescribed. If you’re sexually active, water-based lubricants like K-Y Jelly and Astroglide are helpful. These methods are simple, over-the-counter means of improving the condition. When you need something more, your OBGYN ...
When does vaginal atrophy occur?
As you might have guessed, vaginal atrophy typically happens to women as they age, most often during or after menopause, when estrogen production decreases within the body and the vagina loses its youthful elasticity. However, it can also happen in the years leading up to menopause (perimenopause), as estrogen levels also tend to drop ...
What is estrogen therapy?
Estrogen therapy comes in many forms. Topically, they include vaginal estrogen cream, a vaginal estrogen ring, and vaginal estrogen tablets. Systemically, estrogen therapy looks a bit different. Estrogen patches and pills, or an estrogen-progesterone patch may be prescribed.
What is it called when the vagina walls begin to thin?
Vaginal atrophy is just as it sounds — a deterioration of cells in the vagina. Also known as atrophic vaginitis, this condition occurs when the vagina’s walls begin to thin, dry out, and even become inflamed.
How do you know if you have vaginal atrophy?
You bleed lightly after sex. Your vagina may burn at times. It may also feel overly dry. You experience vaginal discharge.
What to eat to help vagina?
Eating to balance hormones can help support the health of your vagina. Locally grown organic fruits and vegetables, lots of pure drinking water, and high-fiber foods like avocados, berries, legumes, nuts and seeds are foods to eat regularly.
Does laser vaginal revitalization work?
Laser vaginal revitalization naturally increases blood flow and lubrication to help improve the natural function of the vagina. There is no anesthesia required, and many women report noticeable changes after just one session.
What is local HRT?
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 1–3 months of local estrogen therapy, and that they should be able to choose the drug that they consider most appropriate for them.8,24
What is systemic HRT?
Systemic HRT is prescribed in the case of a combination of symptoms of urogenital atrophy with other symptoms of climacteric syndrome, as well as for the prevention and treatment of late-onset manifestations of the syndrome and its complications.
What happens to the vaginal mucosa under hypoestrogenic conditions?
Under hypoestrogenic conditions, the vaginal epithelium becomes thinner, its barrier function is lost, the vaginal folding decreases, the elasticity of the tissues decreases, and the secretory activity of the Bartholin glands decreases, which lead to traumatization of the vaginal mucosa and painful sensations (Figure 1).5,10,11
What causes VVA?
In terms of the survey, a detailed history of the patient with a suspicion of VVA should be conducted to identify the possible causes, including effects of irritants (lubricants, hygienic gels, soaps, spermicides), the use of antiestrogen drugs, advanced oophorectomy, or chemotherapy.
When is estrogen therapy prescribed?
Estrogen therapy is prescribed after a clinical examination , identifying the risk factors for possible complications, and explaining the information to the patient. Low doses of estrogens are preferred for use, since the use of high doses of estrogen in menopausal age is associated with a high risk of hyperproliferative endometrial and adenocarcinoma.15
Can you use moisturizers with VVA?
Vaginal lubricants and moisturizers can be used as needed in combination with other VVA treatments.
What is the best way to heal from vaginal atrophy?
When you can accept the symptoms as your body’s request for care, you can respond with effective healing options. It may be a challenge for some women to open up about their experiences with vaginal atrophy, but an experienced practitioner will understand your concerns and help you understand the possibilities of treatment.
Why is vaginal atrophy important?
Because vaginal atrophy affects women’s sexual relationships and their sense of self, it can be both physically and emotionally arduous. As such, finding effective treatment for vaginal atrophy is key to protecting your overall health and sense of well-being.
How does vaginal atrophy affect intimacy?
Vaginal atrophy can be deeply disruptive to your sense of self and your ability to experience intimacy. 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 .
Does estrogen help with menopause?
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.
Can vaginal atrophy be treated?
But you are not without options. By consulting a hormone health specialist, you can find the right treatment for vaginal atrophy and restore your quality of life.
What is the best treatment for vaginal atrophy?
6 Natural Treatments For Vaginal Atrophy. 1. Sea Buckthorn Oil. This oil is often used in Asian countries as a remedy for genital and uterine inflammation. Studies show that sea buckthorn oil, taken orally, significantly helps increase lubrication and works as an effective topical treatment for post-menopausal women.
How to treat vaginal atrophy?
The most common way to treat vaginal atrophy is with prescribed estrogen replacement. These can be in the form of oral pills, topical creams or vaginal rings. Oral pills, especially when supplemented with progestin, are considered harmful because the estrogen could increase the risk of the following conditions. 1.
What is the best supplement for atrophy?
Vitamin D is another suppository supplement that can alleviate symptoms of atrophy. Women who received the suppository reported significant improvement which was medically proven as well. Results showed that vaginal pH as well as dryness improved with the help of this treatment. 6 Vitamin D, like vitamin E, is a great option for women who can’t or don’t want to opt for hormone therapy.
Why does my vagina thinning out?
It’s usually because of a drop in estrogen levels, especially during menopause. It can also happen after a woman gives birth.
Can probiotics help with vaginal atrophy?
Researchers suggest that probiotics could be an effective way to keep the bacterial environment in the vagina dominated by lactobacillus. 4 Hence it could make a safe alternative to prescribed treatments. Advertisements. 3. Vitamin E. Studies show that vitamin E as suppositories show success in treating vaginal atrophy.
Does yogurt help with vaginal atrophy?
Studies have found that a low amount of lactobacillus (the bacteria present in most probiotics) was associated with symptoms of vaginal atrophy. Researchers suggest that probiotics could be an effective way to keep the bacterial environment in ...
Can vitamin E be used as a suppository?
Studies show that vitamin E as suppositories show success in treating vaginal atrophy. Researchers note that it does take longer to show results but it can be just as effective as topical estrogen creams. 5 This makes a great option for women who can’t use hormone-based therapy because of a history of cancer or other factors.
What to do if your vagina doesn't work?
The first level of treatments for VVA and GSM include vaginal moisturizers or a water-based, glycerin-free lubricant. Vaginal moisturizers can help make up for natural moisture in your vagina and provide relief .
Where do you put estrogen ring?
If your doctor recommends a vaginal estrogen ring, you or your doctor will insert a flexible, rubber band-like ring into the upper portion of your vagina. While it’s there, it will continually release estrogen.
What is the condition called when the vagina is thin and dry?
Many women experience vaginal atrophy during and after menopause. This condition, sometimes called vulvovaginal atrophy (VVA), causes vaginal: thinness. dryness. inflammation. pain. VVA occurs when estrogen levels drop, as they do around the time a woman begins menopause.
How to treat menopause symptoms?
Treatment during later periods of menopause may focus on boosting estrogen levels to help decrease discomfort and symptoms.
Does smoking affect vaginal health?
Also, the chemicals in cigarettes interfere with your body’s natural estrogen. Anything you do to help lower your natural estrogen levels may affect your vaginal health.
Can you take estrogen gels after a hysterectomy?
Your doctor may prescribe supplemental progestin in addition to the estrogen therapy if you haven’t had a hysterectomy, which is a surgery in which your uterus is removed. If you’ve had a hysterectomy, estrogen supplements alone should be sufficient.
Is non-hormone therapy the best treatment for women?
For women with an increased risk for these problems, non-hormone options may be the best treatment option until more is known about the possible risks.
What is the best treatment for vaginal atrophy?
Our Neodymium magnetic dilators are best for vaginal atrophy because they encourage blood flow to the tissues, helping to regenerate them. 5. Get plenty of exercise. Last but by no means least, a simple but effective natural vaginal atrophy treatment is regular exercise!
What kind of therapist can help with vaginal atrophy?
Many women with vaginal atrophy seek the assistance of a pelvic floor physical therapist ; if you wish to do the same, check out our PT locator for a therapist close to you.
What is pelvic floor physical therapy?
Pelvic Floor physical therapy is a very effective treatment for reconditioning the pelvic floor muscles, which in turn helps greatly with vaginal atrophy symptoms. In particular, it helps muscular weakness, pain and dysfunction, and it often includes the use of vaginal dilators to help restore the vaginal capacity.
How to ease dryness in vagina?
Natural lubricants are one of the best ways to ease your dryness. Here are some of our favorite plant-based and water-based lubricants for the vaginal area: 2. Use natural vaginal suppositories. First up is vaginal probiotics. There is evidence to support the use of probiotics for vaginal atrophy symptoms.
Why does my vagina become dry?
It happens because of a decline in estrogen, the hormone responsible for keeping the vaginal tissues healthy and the lubrication levels sufficient. When estrogen is missing the vaginal tissues may start to thin and become inflamed. Furthermore, as lubrication levels significantly drop, the vagina becomes dry.
What to do when your vagina is dry?
However vaginal dryness can bring other irritations to women who are not sexually active.
Can probiotics help with vaginal atrophy?
There is evidence to support the use of probiotics for vaginal atrophy symptoms. That’s because like the gut, the vagina has its own little ecosystem comprising of various types of microflora.

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