Atrophic vaginitis is one of the most common gynecological disorders observed in the menopause. This disease has a close relationship with a deficit of sex hormones (estrogen) in women that occurs after menopause. 7-10 years after the cessation of menstruation vaginitis occurs in nearly half of the women and 10 years later, and its frequency increases to 73-75%.
There are two forms of atrophic vaginitis: postmenopausal women and is associated with artificial menopause.
Causes of the disease
Under physiological conditions, estrogens promote the proliferation of the vaginal epithelium and the improvement of its blood supply. The normal level of estrogen provides the formation of lactic acid and maintaining acidic vaginal contents, which creates favorable conditions for the reproduction of “useful” lactobacilli and inhibits the growth of pathogenic and opportunistic microorganisms.
In postmenopausal atrophic changes occur, leading to a decrease in the lumen of the vagina, his thinning of the epithelium, vaginal smooth out wrinkles. These atrophic changes serve as the backdrop for a long chronic course of inflammatory processes (bacterial vaginitis).
Atrophic vaginitis is not sexually transmitted.
The most frequent clinical manifestations of atrophic vaginitis:
– Dryness, itching, burning sensation in the vagina;
– Intermittent bleeding from the vagina
– A frequent urge to urinate;
On examination, the gynecologist is determined by smoothing and thinning of the vaginal mucosa, the presence of bleeding during any contact.
In some cases, asymptomatic atrophic vaginitis.
Diagnosis of atrophic vaginitis is based on a set of studies:
– Gynecological examination the vagina and cervix using mirrors;
– Smears from the mucous membranes of the vagina and cervix for cytological examination to rule out cancer pathology
– Smears from the mucous membranes of the vagina for microscopy, bacteriological research;
– Extended colposcopy study;
– Determine the pH of the vaginal contents.
Treatment of atrophic vaginitis involves filling local hypoestrogenism. Hormone therapy picks gynecologist, endocrinologist. Antibiotics in atrophic vaginitis unnecessarily, since this disease is not contagious component.
What you can do?
If you find the above symptoms should immediately contact your gynecologist. It should be remembered that any profuse discharge during menopause are at risk.
What can the doctor?
Hormonal therapy for the local share (the use of ointments, creams or suppositories), and systemic. Treatment strategy defines a gynecologist. Systemic hormonal therapy is prescribed in the case of a combination of symptoms of urogenital atrophy with climacteric syndrome, as well as for the prevention and treatment of cardiovascular disease and osteoporosis. More likely to use a local hormone therapy in the form of ointments or suppositories. The advantage of this method is the introduction of a rapid effect in the absence of systemic effects. The most commonly used drugs to estriol.