MedlinePlus Medical Encyclopedia: Atrophic vaginitis

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Atrophic vaginitis

Contents of this page:
Illustrations Definition Causes, incidence, and risk factors Symptoms Signs and tests	Treatment Expectations (prognosis) Complications Calling your health care provider Prevention

Illustrations

Female reproductive anatomy

Causes of painful intercourse

Uterus

Normal uterine anatomy (cut section)

Definition Return to top

Atrophic vaginitis is an inflammation of the vagina due to thinning and shrinking tissues and decreased lubrication of the vaginal walls. It is caused by a lack of estrogen.

Causes, incidence, and risk factors Return to top

Atrophic vaginitis is typically caused by a decrease in estrogen, as normally occurs after menopause. The disorder may occur in younger women who have had surgery to remove their ovaries. Some women experience it immediately after childbirth or while breastfeeding, since estrogen levels are lower at these times.

Symptoms Return to top

Vaginal soreness -- may be an itching or burning sensation.
Slight vaginal discharge.
Burning on urination.
Light bleeding after intercourse.
Painful sexual intercourse.

Signs and tests Return to top

A pelvic examination reveals thin, pale vaginal walls. A wet prep (microscopic evaluation of vaginal discharge) may be done to rule out other causes of vaginitis. Hormonal studies may be done if menopausal status is uncertain.

Treatment Return to top

Topical estrogen creams or tablets may be used vaginally. Alternatively, oral or transdermal estrogen replacement therapy may be initiated. Usually, this is effective in overcoming the problem. Women may want to discuss the risks and benefits of oral estrogen replacement therapy with their physicians.

Painful sexual intercourse may be helped by using a water-soluble vaginal lubricant.

Expectations (prognosis) Return to top

Proper treatment will usually relieve the symptoms.

Complications Return to top

Atrophic vaginitis may predispose a woman to having vaginal infections caused by bacteria or fungi (yeast). However, usually there is not a specific infection. Instead, there is a localized skin reaction to the normal bacteria found there.
The condition can cause open sores or cracks in the vaginal wall.

Calling your health care provider Return to top

Call for an appointment with your health care provider if you are experiencing vaginal dryness or soreness, burning, itching, or painful sexual intercourse that is not alleviated with a water-soluble lubricant.

Prevention Return to top

For post-menopausal women in particular, regular sexual activity, with or without a partner, is recommended. Sexual activity improves blood circulation in the vagina, which helps maintain the tissue.

Update Date: 1/12/2003

Updated by: Daniel Rein, M.D., Obstetrician and Gynecologist, University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network.

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