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Atrophic vaginitis is inflammation of the vagina due to thinning tissue and decreased lubrication. It is related to reduced estrogen levels.
For other types and causes of vaginitis, see: Vulvovaginitis
Alternative NamesVaginitis - atrophic; Vaginitis due to reduced estrogen
Causes, incidence, and risk factorsAtrophic vaginitis is caused by a decrease in estrogen. Estrogen levels normally drop after menopause.
Estrogen is very important in keeping the tissues of the vagina lubricated and healthy. Normally, the lining of the vagina makes a clear, lubricating fluid. This fluid makes sexual intercourse more comfortable and helps decrease vaginal irritation.Thinning or shrinking of the vaginal tissue causes dryness and inflammation.
The following may cause estrogen levels to drop and lead to atrophic vaginitis:
- Medications or hormones used to decrease estrogen levels in women, as part of the treatment for Breast cancer, endometriosis, fibroids, or infertility
- Radiation treatment to the pelvic area or chemotherapy
- Severe stress, depression, or rigorous exercise
Atrophic vaginitis may occur in younger women who have had surgery to remove their ovaries. Some women develop the condition immediately after childbirth or while breastfeeding, since estrogen levels are lower at these times.
The vagina can also become further irritated from soaps, laundry detergents, lotions, perfumes, or douches. Certain medications, smoking, tampons, and condoms may also cause or worsen vaginal dryness. For more information on these causes of vaginitis, see: vulvovaginitis.
Symptoms- Burning on urination
- Light bleedingafter intercourse
- Painful sexual intercourse causing a loss in sexual interest
- Slight vaginal discharge
- Vaginal soreness, including itching or burning sensations
A pelvic examination reveals thin, pale vaginal walls. A wet prep test of vaginal discharge may be done to rule out other causes for the condition. Hormonal studies may be done to determine if you are in menopause.
TreatmentThere are many treatments for vaginal dryness. Before self treating your symptoms, a doctor must determine if they are caused by decreased estrogen, an infection, irritant, or other reason.
If symptoms are mild, they may be relieved by using a water-soluble vaginal lubricant during intercourse. Do not use petroleum jelly, mineral oil, or other oils. These may increase the chance of infection and may damage latex condoms or diaphragms.
Vaginal moisturizing creams are also available without prescription. See also: Alternative treatments for vaginal dryness
Prescription estrogen is very effective in treating atrophic vaginitis. It is available as a cream, tablet, suppository, or ring, all of which are placed directly into the vagina. These medicines deliver estrogen directly to the vaginal tissues. Only a little estrogen is absorbed into the bloodstream.
If hot flashes or other symptoms of menopause are also present, estrogen may be given as a skin patch, or in a pill that you take by mouth. See: Hormone replacement therapy
Women should discuss the risks and benefits of estrogen replacement therapy with their health care provider.
Expectations (prognosis)Proper treatment will usually relieve the symptoms.
ComplicationsAtrophic vaginitis may make you more prone to vaginal infections caused by bacteria or fungi (yeast).
Atrophic vaginitis can also cause open sores or cracks in the vaginal wall.
Calling your health care providerCall 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.
ReferencesEckert LO, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, Toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 22.
Lobo RA. Menopause: endocrinology, consequences of estrogen deficiency, effects of hormone replacement therapy, treatment regimens. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 42.
What else can I help you with?
Why is estrogen indicated in atrophic vaginitis?
Estrogen is indicated in atrophic vaginitis because it helps restore the vaginal mucosa's thickness and elasticity, which are often diminished due to decreased estrogen levels, particularly during and after menopause. The hormone promotes increased blood flow and lubrication, alleviating symptoms such as dryness, irritation, and discomfort during intercourse. By replenishing estrogen, it can significantly improve the quality of life for affected individuals.
What causes vulvovaginitis?
These conditions can be caused by bacterial, fungal, or parasitic infections. Also, vulvovaginitis can be caused by low estrogen levels
What is Benign smear with severe inflammation and preparative changes?
A benign pap smear with severe inflammation is usually caused by an infection or atrophic vaginitis. Reparative changes are changes that are caused by the inflammation present.
What is atropic Vaginitis?
Atrophic vaginitis is a condition characterized by inflammation and thinning of the vaginal walls due to decreased estrogen levels, often occurring during menopause. Symptoms may include vaginal dryness, itching, burning, and discomfort during intercourse. Treatment typically involves hormone replacement therapy or vaginal moisturizers and lubricants to alleviate symptoms. It is important for affected individuals to consult a healthcare provider for appropriate management.
Is there a medicine to cure all types of vaginitis?
Vaginitis is an inflammation of the vagina that can result in discharge, itching and pain. The most common types of vaginitis are: Bacterial vaginosis Yeast infections Trichomoniasis Vaginal atrophy (atrophic vaginitis) Vaginitis signs and symptoms may include: Change in color, odor or amount of discharge from your vagina Vaginal itching or irritation Pain during intercourse Painful urination Light vaginal bleeding or spotting The cause depends on the type of vaginitis you have.there are Bacterial vaginosis, Yeast infections, Trichomoniasis and Noninfectious vaginitis. Factors that increase your risk of developing vaginitis include: Hormonal changes, such as those associated with pregnancy, birth control pills or menopause Sexual activity Having a sexually transmitted infection Medications, such as antibiotics and steroids Uncontrolled diabetes Use of hygiene products such as bubble bath, vaginal spray or vaginal deodorant Douching Wearing damp or tight-fitting clothing Using an intrauterine device (IUD) for birth control A variety of organisms and conditions can cause vaginitis, so treatment targets the specific cause. Fu yan Pill can be a good choice.
How do you pronounce atrophic?
It is pronounced as "ay-TROH-fik."
What is the treatment for vulvovaginitis?
The most common causes of vaginitis, candida (monilia, yeast infection) and bacterial vaginosis are due to imbalances in the vaginal environment. Often, they will resolve on their own without treatment, but most women prefer to take treatment to get rid of symptoms more quickly. Atrophic vaginitis, due to decreased estrogen, will often improve without treatment, but treatment can improve comfort and health in the interim. Vaginitis due to chemical irritants or allergens will also often resolve without treatment. Trichomoniasis, a cause of vaginitis spread by sex, needs treatment to go away.
What is the medical term meaning shiny skin?
Atrophic skin is shiny.
What is Most common cause of post menopausal bleeding in India?
The most common cause of postmenopausal bleeding in India is atrophic vaginitis, which is inflammation of the vaginal walls due to decreased estrogen levels. Other common causes include endometrial atrophy, endometrial polyps, and endometrial hyperplasia. It is important for women experiencing postmenopausal bleeding to consult a healthcare provider for evaluation and appropriate management.
What else can cause atypical cells besides hpv?
Atypical cells can be caused by various factors besides HPV, including inflammation, infection (such as bacterial or fungal infections), and hormonal changes. Certain benign conditions, like cervical polyps or atrophic vaginitis, can also lead to atypical cell changes. Additionally, exposure to irritants or carcinogens, such as smoking or chemical exposure, may contribute to atypical cell development.
Post-hysterectomy bl?
Post-hysterectomy bleeding can occur months or years after the procedure and may be due to a number of factors, some of which are potentially serious and will require an evaluation and possible treatment by your physician. Fallopian tube prolapse, endometriosis, granulation tissue,atrophic vaginitis, can cause bleeding after hysterectomy. Fallopian tube prolapse (FTP) is a rare complication following both abdominal and vaginal hysterectomies. A biopsy can determine whether the condition is present. One of the reasons a woman might elect to undergo a hysterectomy is endometriosis. This condition occurs when the tissue that lines the uterus develops in other areas of the body. Endometeriosis can be painful and cause irregular bleeding.When the cervix is removed, what's referred to as a vaginal cuff is created.This is where endometriosis can develop following a hysterectomy. Granulation tissue is a healing tissue that grows to help ward off infection following a hysterectomy. Occasionally granulation tissue grows too profusely. Atrophic vaginitis is an inflammation of the vagina caused by low estrogen levels and severe irritation.
Which vitamin is most affected by atrophic gastritis?
Vitamin B12 is most affected by atrophic gastritis. This condition leads to a reduction in stomach acid and intrinsic factor production, both of which are essential for the absorption of vitamin B12 in the intestines. Consequently, individuals with atrophic gastritis may experience vitamin B12 deficiency, leading to potential neurological and hematological issues. Regular monitoring and supplementation may be necessary for those affected.
