Vaginal Atrophy

Vaginal atrophy, also known as atrophic vaginitis, is a condition that occurs when the tissues of the vagina become thin, dry, and less elastic, often due to a decrease in estrogen levels.
It can cause symptoms such as vaginal dryness, itching, burning, and painful intercourse, and may be treated with vaginal moisturizers, lubricants, topical hormonal therapy, Vaginal RF (FormaV) or laser.

SYMPTOMS OF VAGINAL ATROPHY:

Common symptoms of vaginal atrophy include vaginal dryness, burning, vaginal discharge, and genital itching. In addition to vaginal symptoms, a decrease in estrogen levels may affect the bladder and urethra.

Many patients have voiding concerns as well. They may develop urinary tract infections and experience an urgency to urinate. In addition to all these, one can also experience bleeding and pain during intimacy.

HOW PREVALENT ARE THESE PROBLEMS?

Research has shown that approximately 47 percent of patients experience these symptoms after menopause. About 70 percent of patients with symptoms of vaginal atrophy hesitate to or do not approach their healthcare providers to discuss their condition.
There is a common myth that these symptoms are an expected and necessary part of the ageing process. Various cultural, religious, and societal beliefs and stigmas cause embarrassment, and may play a role in making patients feel uncomfortable discussing concerns related to the genitourinary system.

TREATMENT OPTIONS:

Treatments available for this condition include:

  • Vaginal moisturising agents can help reduce the symptoms of vaginal atrophy.
  • Vaginal estrogen creams and suppositories are also used to treat moderate-to-severe vaginal atrophy symptoms.
  • Vulvovaginal atrophy with/without urinary issues can be cured by vaginal radiofrequency/ fractional CO2 laser treatment.
  • Sexually active women with breast cancer often complain about symptoms of vaginal atrophy. Many of these women are ineligible for vaginal estrogen or are wary of hormonal treatment. In such cases, a vaginal radiofrequency/laser is a very helpful treatment option.