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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
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.Expectations (prognosis) Return to top
Proper treatment will usually relieve the symptoms.Complications Return to top
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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Page last updated: 28 October 2004 |