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Learn More...What is atrophic vaginitis and how is it treated?
Atrophic vaginitis affects 47% of postmenopausal women and is caused by low levels of estrogen. Symptoms may include vaginal dryness, itching, or burning. Treatments may include lubricants, lifestyle changes as well as estrogen therapy. Use our free symptom checker to find out if you have atrophic vaginitis. What is atrophic vaginitis?
What causes atrophic vaginitis in postmenopausal women?
Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. Because the condition is attributable to estrogen deficiency, it may occur in premenopausal women who take antiestrogenic medications or who have medical or surgical conditions that result in decreased levels of estrogen.
When should I see a doctor for atrophic vaginitis?
If you develop any symptoms of atrophic vaginitis, such as vaginal dryness or irritation, pain with sexual intercourse, or bleeding from the vagina, you should see your physician. He or she can evaluate you to determine if you have atrophic vaginitis, then offer the appropriate treatment.
What is the best treatment for vulvovaginal atrophy?
CONCLUSION Vulvovaginal atrophy, a common and often underreported condition, occurs in women who experience hypoestrogenic states. Systemic treatment, when prescribed for menopausal symptoms, may not be sufficient to control VVA. Local estrogens include creams, tablets, and rings, all of which are equally effective.
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.
What is the treatment for atrophy?
Disuse (physiologic) atrophy can be treated with regular exercise and better nutrition. Your healthcare provider may recommend physical therapy or an exercise plan. Even if you can't actively move certain joints in your body, you can do still exercises wearing a splint or brace.
How can I overcome vaginal atrophy?
Estrogen therapy is considered to be the most effective. Some treatments are meant to treat the symptoms of atrophy. 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.
Where do you apply estradiol cream?
If you are using estradiol gel, you should apply it in a thin layer to one arm, from the wrist to the shoulder. If you are using estradiol emulsion, you should apply it to both thighs and calves (lower legs).
How to make a vaginal applicator?
Use a lubricant with sex. Vegetable oil, olive oil, coconut oil are good choices. Place a small amount of vegetable oil on the vaginal applicators to put it in. Cooling packs, as needed. Baking soda baths. Soak in lukewarm (not hot) bath water with 4 to 5 tablespoons of baking soda. Soak 1 to 3 times a day for 10 minutes.
Can depo-medroxyprogesterone cause skin changes?
Using Depo-medroxyprogesterone (Depo-ProveraTM) Tamoxifen (NolvadexTM), Letrozole (FemaraTM) Have had their ovaries surgically removed. Lowering estrogen levels can cause skin changes. This can happen in the vulvar and vaginal areas as well as the urethra and bladder.
What is the best treatment for vaginal vaginosis?
For this type of vaginitis, your doctor may prescribe metronidazole (Flagyl) tablets that you take by mouth or metronidazole (MetroGel) gel or clindamycin (Cleocin) cream that you apply to your vagina.
What is the instrument used to check for vaginal inflammation?
During the pelvic exam, your doctor may use an instrument (speculum) to look inside your vagina for inflammation and abnormal discharge. Collect a sample for lab testing. Your doctor might collect a sample of cervical or vaginal discharge for lab testing to confirm what kind of vaginitis you have. Perform pH testing.
What is the best medicine for yeast infections?
Yeast infections. Yeast infections usually are treated with an over-the-counter antifungal cream or suppository, such as miconazole (Monistat 1), clotrimazole, butoconazole or tioconazole (Vagistat-1). Yeast infections may also be treated with a prescription oral antifungal medication, such as fluconazole (Diflucan).
How to treat labial fungus?
Follow package directions and complete the entire course of treatment, even if you're feeling better right away. Apply a cold compress, such as a washcloth, to the labial area to ease discomfort until the antifungal medication takes full effect .
Can estrogen be used for menopause?
Genitourinary syndrome of menopause (vaginal atrophy). Estrogen — in the form of vaginal creams, tablets or rings — can effectively treat this condition. This treatment is available by prescription from your doctor, after other risk factors and possible complications are reviewed. Noninfectious vaginitis.
What is vulvovaginal atrophy?
Vaginal atrophy, atrophic vaginitis, and urogenital atrophy are other terms used to describe this constellation of symptoms associated with decreased estrogenization of the vulvovaginal tissue.
How to treat whitened vulvovaginal area?
Apply low-dose estrogen cream to the vulvovaginal area and hydrocortisone cream to the whitened area. Apply hydrocortisone cream to the whitened area. Perform biopsy of the whitened area. Administer 1 dose of fluconazole (150 mg) orally, followed by application of low-dose estrogen cream to the vulvovaginal area.
What is a VVA?
Vulvovaginal atrophy (VVA) is a common and underreported condition associated with decreased estrogenization of the vaginal tissue. Symptoms include dryness, irritation, soreness, and dyspareunia with urinary frequency, urgency, and urge incontinence.
What happens if the pH in the vagina rises?
Without this cascade, the pH in the vagina rises, resulting in a loss of lactobacilli and an overgrowth of other bacteria, including group B streptococcus, staphylococci, coliforms, and diphtheroids12(Figure 1). These bacteria can cause symptomatic vaginal infections and inflammation.
Why does my vagina feel dry?
Vaginal spotting, due to small tears in the vaginal epithelium, may also occur.
Does topical estrogen cause dryness?
Although treatment with topical estrogen is effective in alleviating symptoms, women frequently do not report symptoms and thus go untreated.1,2. Common symptoms include vaginal dryness, irritation, postcoital bleeding, and soreness. These symptoms may be associated with vaginal discharge and dyspareunia.
Does estrogen cause VVA?
Even while taking systemic estrogen, 10% to 20% of women may still have residu al VVA symptoms . Breast cancer treatment increases the prevalence of VVA because the surgical, endocrine, and chemotherapeutic agents used in its treatment can cause or exacerbate VVA.
What is the best treatment for trichomoniasis?
Trichomoniasis is treated with oral metronidazole or tinidazole, and patients' sex partners should be treated as well.
How common is bacterial vaginosis?
Bacterial vaginosis is implicated in 40% to 50% of cases when a cause is identified , with vulvovaginal candidiasis accounting for 20% to 25% and trichomoniasis for 15% to 20% of cases. Noninfectious causes, including atrophic, irritant, allergic, and inflammatory vaginitis, are less common and account for 5% to 10% of vaginitis cases.
What causes vaginal odor?
The most common causes of vaginitis are bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Bacterial vaginosis is implicated in 40% to 50% of cases when a cause is identified, ...
Can you use fluconazole for vulvovaginal candidiasis?
Culture can be helpful for the diagnosis of complicated vulvovaginal candidiasis by identifying nonalbicans strains of Candida. Treatment of vulvovaginal candidiasis involves oral fluconazole or topical azoles, although only topical azoles are recommended during pregnancy.
Diagnosis
Treatment
- To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including: 1. 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. The effects of a moisturizer generally last a bit longer th…
Clinical Trials
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Alternative Medicine
- 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. Interest in complementary and alternative medicine is growing, and researchers are working to determine the benefits and risks of various alternative treatments for genitourinary syndrome of menopaus…
Preparing For Your Appointment
- You'll probably start by discussing your symptoms with your primary care provider. If you aren't already seeing a doctor who specializes in women's health (gynecologist or internal medicine women's health specialist), your primary care provider may refer you to one.